{"id":"https://openalex.org/W2463531856","doi":"https://doi.org/10.1016/s0022-5347(17)36143-8","title":"Major Blunt Renal Trauma in the Pediatric Population: Is a Nonoperative Approach Indicated?","display_name":"Major Blunt Renal Trauma in the Pediatric Population: Is a Nonoperative Approach Indicated?","publication_year":1993,"publication_date":"1993-03-01","ids":{"openalex":"https://openalex.org/W2463531856","doi":"https://doi.org/10.1016/s0022-5347(17)36143-8","mag":"2463531856","pmid":"https://pubmed.ncbi.nlm.nih.gov/8437261"},"language":"en","primary_location":{"id":"doi:10.1016/s0022-5347(17)36143-8","doi":"https://doi.org/10.1016/s0022-5347(17)36143-8","is_oa":false,"landing_page_url":"https://doi.org/10.1016/s0022-5347(17)36143-8","pdf_url":null,"source":{"id":"https://openalex.org/S30525748","display_name":"The Journal of Urology","issn_l":"0022-5347","issn":["0022-5347","1527-3792"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Urology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Eric M. Smith","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210151235","display_name":"Rainbow Babies & Children's Hospital","ror":"https://ror.org/04x495f64","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799343972","https://openalex.org/I4210151235"]},{"id":"https://openalex.org/I4210157264","display_name":"MetroHealth Medical Center","ror":"https://ror.org/05j4p5w63","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1299218025","https://openalex.org/I4210157264"]},{"id":"https://openalex.org/I58956616","display_name":"Case Western Reserve University","ror":"https://ror.org/051fd9666","country_code":"US","type":"education","lineage":["https://openalex.org/I58956616"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eric M. Smith","raw_affiliation_strings":["From the Department of Urology, Rainbow Babies and Children\u2019s Hospital and MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Urology, Rainbow Babies and Children\u2019s Hospital and MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio","institution_ids":["https://openalex.org/I4210151235","https://openalex.org/I4210157264","https://openalex.org/I58956616"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052385053","display_name":"Jack S. Elder","orcid":"https://orcid.org/0000-0001-5309-0490","observed_orcids":["https://orcid.org/0000-0001-5309-0490"]},"institutions":[{"id":"https://openalex.org/I4210151235","display_name":"Rainbow Babies & Children's Hospital","ror":"https://ror.org/04x495f64","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799343972","https://openalex.org/I4210151235"]},{"id":"https://openalex.org/I4210157264","display_name":"MetroHealth Medical Center","ror":"https://ror.org/05j4p5w63","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1299218025","https://openalex.org/I4210157264"]},{"id":"https://openalex.org/I58956616","display_name":"Case Western Reserve University","ror":"https://ror.org/051fd9666","country_code":"US","type":"education","lineage":["https://openalex.org/I58956616"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jack S. Elder","raw_affiliation_strings":["From the Department of Urology, Rainbow Babies and Children\u2019s Hospital and MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Urology, Rainbow Babies and Children\u2019s Hospital and MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio","institution_ids":["https://openalex.org/I4210151235","https://openalex.org/I4210157264","https://openalex.org/I58956616"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5108589720","display_name":"J. Patrick Spirnak","orcid":"https://orcid.org/0009-0003-6868-0604","observed_orcids":["https://orcid.org/0009-0003-6868-0604"]},"institutions":[{"id":"https://openalex.org/I4210151235","display_name":"Rainbow Babies & Children's Hospital","ror":"https://ror.org/04x495f64","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799343972","https://openalex.org/I4210151235"]},{"id":"https://openalex.org/I4210157264","display_name":"MetroHealth Medical Center","ror":"https://ror.org/05j4p5w63","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1299218025","https://openalex.org/I4210157264"]},{"id":"https://openalex.org/I58956616","display_name":"Case Western Reserve University","ror":"https://ror.org/051fd9666","country_code":"US","type":"education","lineage":["https://openalex.org/I58956616"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J. Patrick Spirnak","raw_affiliation_strings":["From the Department of Urology, Rainbow Babies and Children\u2019s Hospital and MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Urology, Rainbow Babies and Children\u2019s Hospital and MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio","institution_ids":["https://openalex.org/I4210151235","https://openalex.org/I4210157264","https://openalex.org/I58956616"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":null,"fwci":2.8374,"has_fulltext":false,"cited_by_count":80,"citation_normalized_percentile":{"value":0.88815377,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"149","issue":"3","first_page":"546","last_page":"548"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.9682999849319458,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.9682999849319458,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.027799999341368675,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11951","display_name":"Trauma Management and Diagnosis","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/blunt-renal-trauma","display_name":"blunt renal trauma","score":0.984000027179718},{"id":"https://openalex.org/keywords/renal-laceration","display_name":"renal laceration","score":0.8339999914169312},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.9890000224113464},{"id":"https://openalex.org/keywords/renal-function","display_name":"renal function","score":0.5529999732971191},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.5329999923706055}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9797365665435791},{"id":"https://openalex.org/C105698618","wikidata":"https://www.wikidata.org/wiki/Q886371","display_name":"Blunt","level":2,"score":0.777079701423645},{"id":"https://openalex.org/C2777521253","wikidata":"https://www.wikidata.org/wiki/Q770709","display_name":"Blunt trauma","level":2,"score":0.484205961227417},{"id":"https://openalex.org/C2777981362","wikidata":"https://www.wikidata.org/wiki/Q7159235","display_name":"Pediatric trauma","level":4,"score":0.4802575409412384},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.41643157601356506},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3347247242927551},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.31315940618515015},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3095448613166809},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.12744569778442383},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.11057355999946594},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.08287703990936279}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007668","descriptor_name":"Kidney","qualifier_ui":"Q000293","qualifier_name":"injuries","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014949","descriptor_name":"Wounds, Nonpenetrating","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D014949","descriptor_name":"Wounds, Nonpenetrating","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1016/s0022-5347(17)36143-8","doi":"https://doi.org/10.1016/s0022-5347(17)36143-8","is_oa":false,"landing_page_url":"https://doi.org/10.1016/s0022-5347(17)36143-8","pdf_url":null,"source":{"id":"https://openalex.org/S30525748","display_name":"The Journal of Urology","issn_l":"0022-5347","issn":["0022-5347","1527-3792"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Urology","raw_type":"journal-article"},{"id":"pmid:8437261","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8437261","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of urology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9922999739646912,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W2058468708","https://openalex.org/W2069910446","https://openalex.org/W2301640527","https://openalex.org/W2338361235","https://openalex.org/W2404648484","https://openalex.org/W2412544786","https://openalex.org/W2418483633","https://openalex.org/W2462271953","https://openalex.org/W2464649144"],"related_works":["https://openalex.org/W2461012716","https://openalex.org/W4242509732","https://openalex.org/W2136302227","https://openalex.org/W3030608212","https://openalex.org/W2440578935","https://openalex.org/W2003142395","https://openalex.org/W3009894866","https://openalex.org/W2012537682","https://openalex.org/W2142319638","https://openalex.org/W2058525163"],"abstract_inverted_index":{"We":[0,111],"evaluated":[1],"and":[2,30,39,64,82],"treated":[3],"at":[4],"our":[5],"institutions":[6],"22":[7],"consecutive":[8],"patients":[9,55,78,106],"with":[10,50,125],"major":[11,17,126],"blunt":[12,127],"renal":[13,18,58,69,88,92,128],"trauma:":[14],"20":[15],"had":[16,32],"lacerations":[19],"(grades":[20],"3":[21],"to":[22,46,120],"5)":[23],"as":[24],"defined":[25],"by":[26],"initial":[27],"computerized":[28],"tomography,":[29],"2":[31],"vascular":[33],"pedicle":[34],"injuries":[35],"without":[36],"parenchymal":[37],"injury":[38],"were":[40,80],"excluded.":[41,74],"An":[42],"attempt":[43],"was":[44],"made":[45],"treat":[47],"all":[48],"children":[49,124],"a":[51,68,117],"nonoperative":[52,114],"approach.":[53],"Two":[54],"(10%)":[56],"required":[57,86],"exploration:":[59],"1":[60,65],"for":[61,108],"persistent":[62],"bleeding":[63],"in":[66,103,123],"whom":[67],"neoplasm":[70],"could":[71],"not":[72,101],"be":[73],"The":[75],"remaining":[76],"18":[77],"(90%)":[79],"stabilized":[81],"observed.":[83],"No":[84],"child":[85],"delayed":[87],"exploration.":[89],"All":[90],"traumatized":[91],"units":[93],"demonstrated":[94],"function":[95],"on":[96],"followup":[97],"studies.":[98],"Hypertension":[99],"did":[100],"occur":[102],"the":[104],"13":[105],"available":[107],"long-term":[109],"followup.":[110],"conclude":[112],"that":[113],"management":[115],"is":[116],"suitable":[118],"alternative":[119],"early":[121],"exploration":[122],"lacerations.":[129]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-07-22T00:00:00"}
