The ambulatory blood pressure monitoring
was programmed to take measurements every 15 to 30 minutes throughout the day and night, respectively. The oscillometric technique utilized a Spacelabs 90207 monitor (Spacelabs Medical Inc, Issaquah, WA, USA). The upper limit of normality for daytime ambulatory blood pressure was defined as 135/85 mmHg. In hypertensive patients, Captopril-stimulated study was performed after baseline assessment with 99mTc EC scintigraphy and 1 hour after oral administration of 25 mg. Statistical analysis was performed with StatView® using analysis of variance (Anova) or the test of Kruskal – Wallis.
The IC was set to 95% and significance was considered at p <0,05. BKM120 Results A total of 66 patients were admitted with high grades renal injury (grades III to V) secondary to trauma. All patients were successfully assessed with non-operative management after tomographic staging. find more Of these 66 patients, 31 of them agreed to be included in the study and were submitted to clinical, laboratorial, morphological and functional studies. Of 31 patients with renal trauma successfully treated conservatively, the median age was 23.9 years at the time of admission (range 4 – 60 years). Patient
gender, AAST renal injury grade, side of injury and presence of gross haematuria are listed in Table 1. Blunt trauma occurred in 27 (87.1%) cases: motor vehicle accident (8), motorcycle accident (7), pedestrian struck (3), Chlormezanone falls (5), animal related accident (3) and assault (1). Of the 4 penetrating traumas (12.9%): stab wounds (2) and gunshot wounds (2). Table 1 Patients characteristics at the admission N (%) Gender: Female 6 (19.4) Male 25 (80.6) Age: Younger than 18 9 (29) 18 or greater 22 (71) Renal Trauma Grade: III 13 (41.9) IV: 16 (51.6) IV p (parenchymal) 9 (29) IV v (vascular) 7 (22.6) V 2 (6.5) Side: Left 15 (48.4) Right 16 (51.6) Gross haematuria: No 2 (6.5) Yes 29 (93.5) Only 5 patients required blood transfusion (16.1%), a total of 4090 ml. Of these, 4 (80%) had grade IV renal trauma with vascular injury. All patients had normal serum creatinine at admission. The length of hospital stay varied from 2 to 27 days, and averaged 7.8 days. The time elapsed from admission for renal trauma to the initial follow-up varied from 1 year and 4 KU-57788 cell line months to 14 years and 5 months, averaging 6 years and 4 months, as shown in Table 2. There was no significant difference among the grades of renal trauma.