Conservative management and embolization dominate renal trauma care, with low nephrectomy rates

Conservative management predominated (94%) in 573 renal trauma patients. Embolization achieved 100% technical success, nephrectomy rate 3%. 30-day all-cause mortality 2.3%, renal-specific 0.2%.

• Subgroup analysis: hemodynamically unstable (n=123) and high-grade injuries (n=181) were also predominantly managed conservatively with similar outcomes.
• Limitation: renal function assessment was constrained by capped eGFR reporting and incomplete follow-up.

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