Journal article
Starting the clock: defining nonoperative management of blunt splenic injury by time
The American journal of surgery, v 205(3), pp 298-301
01 Mar 2013
PMID: 23351507
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
There is no consensus when the designation of nonoperative management (NOM) for splenic injury (BSI) should start. We evaluated NOM success rates based on different time points after admission.
The National Trauma Data Bank was evaluated for BSI for the year 2008. Observations were evaluated by facility, the time to splenectomy, and the volume of BSI admissions.
Of 15,732 BSIs identified, the overall splenectomy salvage rate was 81%. After the 5th hour, the NOM success rate was 95%. Multivariable analysis revealed that higher BSI grades, level 2 centers and community hospitals, and age ≥55 were associated with failed NOM.
The grade of injury is an important predictor for failure of NOM. If a 5% failure rate is to be considered a benchmark, then the 5-hour time point after admission should be used for the calculation of NOM success rates.
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Details
- Title
- Starting the clock: defining nonoperative management of blunt splenic injury by time
- Creators
- Elan Jeremitsky - Allegheny General HospitalR. Stephen Smith - University of South CarolinaAdrian W. Ong - Allegheny General Hospital
- Publication Details
- The American journal of surgery, v 205(3), pp 298-301
- Publisher
- Elsevier
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000315948900026
- Scopus ID
- 2-s2.0-84874113313
- Other Identifier
- 991022020638604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery