Splenic injuries: factors affecting the outcome of non-operative management
Purpose The aim of this study was to evaluate the outcome of non-operative management (NOM) in patients with splenic injuries and to determine the predictive factors of NOM failure. Methods Two hundred and six patients with splenic injury were admitted between January 2005 and April 2011. Of the 206...
Gespeichert in:
| Veröffentlicht in: | European journal of trauma and emergency surgery (Munich : 2007) 2012-06, Vol.38 (3), p.269-274 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 274 |
|---|---|
| container_issue | 3 |
| container_start_page | 269 |
| container_title | European journal of trauma and emergency surgery (Munich : 2007) |
| container_volume | 38 |
| creator | Böyük, A. Gümüş, M. Önder, A. Kapan, M. Aliosmanoğlu, İ. Taşkesen, F. Arıkanoğlu, Z. Gedik, E. |
| description | Purpose
The aim of this study was to evaluate the outcome of non-operative management (NOM) in patients with splenic injuries and to determine the predictive factors of NOM failure.
Methods
Two hundred and six patients with splenic injury were admitted between January 2005 and April 2011. Of the 206 patients with splenic injury, 47 patients met the inclusion criteria of NOM. The mechanism of injury, grade of splenic injury, other intra- and extra-abdominal injuries, systolic blood pressure on admission, hemoglobin levels, number of transfusions, Injury Severity Score (ISS), Glasgow Coma Scale score, and hospitalization period were recorded. The patients were divided into two groups: those with NOM and those in whom the failure of NOM led to laparotomy. The patients were monitored for vital signs, abdominal findings, and laboratory data. NOM was abandoned in cases of hemodynamic instability, ongoing bleeding, or development of peritonitis. Independent predictive factors of NOM failure were identified. The patients managed non-operatively were compared with the patients for whom NOM failed.
Results
NOM was successful in 40 of 47 patients. There were differences between the two groups for ISS, hemoglobin levels, need for blood transfusion, and the number of associated extra-abdominal injuries. The grade of splenic injury was determined to be an important and significant independent predictive factor for the success of NOM of splenic injuries.
Conclusions
The grade of splenic injury is an important and significant independent predictor factor for the success of NOM. NOM is not recommended in patients with high-grade splenic injury. |
| doi_str_mv | 10.1007/s00068-011-0156-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1761460559</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1761460559</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-b082438e967c34e4295689cdc37a5688d534b5bbe300311519216ac2ebf8773f3</originalsourceid><addsrcrecordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OJlNR-bbOJNil9Y8KCeQzadrVu6SU12Bf-9KVuLCB7CDMwz74QHoVOCLwnG5VXEGAuZY0LS4yKXe2hMpGC5UgXZ3_WMjdBRjMsEY8HpIRpRIQlXXI7R08t6Ba6xWeOWfWggXme1sZ0PMTN1DbZr3CLr3iHzfWd9m2qdOe9yv4ZguuYTstY4s4AWXHeMDmqzinCyrRP0dnf7On3IZ8_3j9ObWW5ZSbu8wpIWTIISpWUFFFRxIZWdp6lJnZxzVlS8qoBhzAjhRFEijKVQ1bIsWc0m6GLIXQf_0UPsdNtEC6uVceD7qEkpSCEw5yqh53_Qpe-DS7_TBBNJsZK4TBQZKBt8jAFqvQ5Na8JXgvTGtB5M62Rab0xrmXbOtsl91cJ8t_GjNgF0AGIauQWE36f_S_0GGziHPQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1018209807</pqid></control><display><type>article</type><title>Splenic injuries: factors affecting the outcome of non-operative management</title><source>SpringerNature Journals</source><creator>Böyük, A. ; Gümüş, M. ; Önder, A. ; Kapan, M. ; Aliosmanoğlu, İ. ; Taşkesen, F. ; Arıkanoğlu, Z. ; Gedik, E.</creator><creatorcontrib>Böyük, A. ; Gümüş, M. ; Önder, A. ; Kapan, M. ; Aliosmanoğlu, İ. ; Taşkesen, F. ; Arıkanoğlu, Z. ; Gedik, E.</creatorcontrib><description>Purpose
The aim of this study was to evaluate the outcome of non-operative management (NOM) in patients with splenic injuries and to determine the predictive factors of NOM failure.
Methods
Two hundred and six patients with splenic injury were admitted between January 2005 and April 2011. Of the 206 patients with splenic injury, 47 patients met the inclusion criteria of NOM. The mechanism of injury, grade of splenic injury, other intra- and extra-abdominal injuries, systolic blood pressure on admission, hemoglobin levels, number of transfusions, Injury Severity Score (ISS), Glasgow Coma Scale score, and hospitalization period were recorded. The patients were divided into two groups: those with NOM and those in whom the failure of NOM led to laparotomy. The patients were monitored for vital signs, abdominal findings, and laboratory data. NOM was abandoned in cases of hemodynamic instability, ongoing bleeding, or development of peritonitis. Independent predictive factors of NOM failure were identified. The patients managed non-operatively were compared with the patients for whom NOM failed.
Results
NOM was successful in 40 of 47 patients. There were differences between the two groups for ISS, hemoglobin levels, need for blood transfusion, and the number of associated extra-abdominal injuries. The grade of splenic injury was determined to be an important and significant independent predictive factor for the success of NOM of splenic injuries.
Conclusions
The grade of splenic injury is an important and significant independent predictor factor for the success of NOM. NOM is not recommended in patients with high-grade splenic injury.</description><identifier>ISSN: 1863-9933</identifier><identifier>EISSN: 1863-9941</identifier><identifier>DOI: 10.1007/s00068-011-0156-8</identifier><identifier>PMID: 26815958</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Clinical outcomes ; Critical Care Medicine ; Emergency Medicine ; Injuries ; Intensive ; Medical treatment ; Medicine ; Medicine & Public Health ; Original Article ; Spleen ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Traumatic Surgery</subject><ispartof>European journal of trauma and emergency surgery (Munich : 2007), 2012-06, Vol.38 (3), p.269-274</ispartof><rights>Springer-Verlag 2011</rights><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-b082438e967c34e4295689cdc37a5688d534b5bbe300311519216ac2ebf8773f3</citedby><cites>FETCH-LOGICAL-c372t-b082438e967c34e4295689cdc37a5688d534b5bbe300311519216ac2ebf8773f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00068-011-0156-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00068-011-0156-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27928,27929,41492,42561,51323</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26815958$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Böyük, A.</creatorcontrib><creatorcontrib>Gümüş, M.</creatorcontrib><creatorcontrib>Önder, A.</creatorcontrib><creatorcontrib>Kapan, M.</creatorcontrib><creatorcontrib>Aliosmanoğlu, İ.</creatorcontrib><creatorcontrib>Taşkesen, F.</creatorcontrib><creatorcontrib>Arıkanoğlu, Z.</creatorcontrib><creatorcontrib>Gedik, E.</creatorcontrib><title>Splenic injuries: factors affecting the outcome of non-operative management</title><title>European journal of trauma and emergency surgery (Munich : 2007)</title><addtitle>Eur J Trauma Emerg Surg</addtitle><addtitle>Eur J Trauma Emerg Surg</addtitle><description>Purpose
The aim of this study was to evaluate the outcome of non-operative management (NOM) in patients with splenic injuries and to determine the predictive factors of NOM failure.
Methods
Two hundred and six patients with splenic injury were admitted between January 2005 and April 2011. Of the 206 patients with splenic injury, 47 patients met the inclusion criteria of NOM. The mechanism of injury, grade of splenic injury, other intra- and extra-abdominal injuries, systolic blood pressure on admission, hemoglobin levels, number of transfusions, Injury Severity Score (ISS), Glasgow Coma Scale score, and hospitalization period were recorded. The patients were divided into two groups: those with NOM and those in whom the failure of NOM led to laparotomy. The patients were monitored for vital signs, abdominal findings, and laboratory data. NOM was abandoned in cases of hemodynamic instability, ongoing bleeding, or development of peritonitis. Independent predictive factors of NOM failure were identified. The patients managed non-operatively were compared with the patients for whom NOM failed.
Results
NOM was successful in 40 of 47 patients. There were differences between the two groups for ISS, hemoglobin levels, need for blood transfusion, and the number of associated extra-abdominal injuries. The grade of splenic injury was determined to be an important and significant independent predictive factor for the success of NOM of splenic injuries.
Conclusions
The grade of splenic injury is an important and significant independent predictor factor for the success of NOM. NOM is not recommended in patients with high-grade splenic injury.</description><subject>Clinical outcomes</subject><subject>Critical Care Medicine</subject><subject>Emergency Medicine</subject><subject>Injuries</subject><subject>Intensive</subject><subject>Medical treatment</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Spleen</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><issn>1863-9933</issn><issn>1863-9941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OJlNR-bbOJNil9Y8KCeQzadrVu6SU12Bf-9KVuLCB7CDMwz74QHoVOCLwnG5VXEGAuZY0LS4yKXe2hMpGC5UgXZ3_WMjdBRjMsEY8HpIRpRIQlXXI7R08t6Ba6xWeOWfWggXme1sZ0PMTN1DbZr3CLr3iHzfWd9m2qdOe9yv4ZguuYTstY4s4AWXHeMDmqzinCyrRP0dnf7On3IZ8_3j9ObWW5ZSbu8wpIWTIISpWUFFFRxIZWdp6lJnZxzVlS8qoBhzAjhRFEijKVQ1bIsWc0m6GLIXQf_0UPsdNtEC6uVceD7qEkpSCEw5yqh53_Qpe-DS7_TBBNJsZK4TBQZKBt8jAFqvQ5Na8JXgvTGtB5M62Rab0xrmXbOtsl91cJ8t_GjNgF0AGIauQWE36f_S_0GGziHPQ</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Böyük, A.</creator><creator>Gümüş, M.</creator><creator>Önder, A.</creator><creator>Kapan, M.</creator><creator>Aliosmanoğlu, İ.</creator><creator>Taşkesen, F.</creator><creator>Arıkanoğlu, Z.</creator><creator>Gedik, E.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120601</creationdate><title>Splenic injuries: factors affecting the outcome of non-operative management</title><author>Böyük, A. ; Gümüş, M. ; Önder, A. ; Kapan, M. ; Aliosmanoğlu, İ. ; Taşkesen, F. ; Arıkanoğlu, Z. ; Gedik, E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-b082438e967c34e4295689cdc37a5688d534b5bbe300311519216ac2ebf8773f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Clinical outcomes</topic><topic>Critical Care Medicine</topic><topic>Emergency Medicine</topic><topic>Injuries</topic><topic>Intensive</topic><topic>Medical treatment</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Spleen</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Böyük, A.</creatorcontrib><creatorcontrib>Gümüş, M.</creatorcontrib><creatorcontrib>Önder, A.</creatorcontrib><creatorcontrib>Kapan, M.</creatorcontrib><creatorcontrib>Aliosmanoğlu, İ.</creatorcontrib><creatorcontrib>Taşkesen, F.</creatorcontrib><creatorcontrib>Arıkanoğlu, Z.</creatorcontrib><creatorcontrib>Gedik, E.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Böyük, A.</au><au>Gümüş, M.</au><au>Önder, A.</au><au>Kapan, M.</au><au>Aliosmanoğlu, İ.</au><au>Taşkesen, F.</au><au>Arıkanoğlu, Z.</au><au>Gedik, E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Splenic injuries: factors affecting the outcome of non-operative management</atitle><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle><stitle>Eur J Trauma Emerg Surg</stitle><addtitle>Eur J Trauma Emerg Surg</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>38</volume><issue>3</issue><spage>269</spage><epage>274</epage><pages>269-274</pages><issn>1863-9933</issn><eissn>1863-9941</eissn><abstract>Purpose
The aim of this study was to evaluate the outcome of non-operative management (NOM) in patients with splenic injuries and to determine the predictive factors of NOM failure.
Methods
Two hundred and six patients with splenic injury were admitted between January 2005 and April 2011. Of the 206 patients with splenic injury, 47 patients met the inclusion criteria of NOM. The mechanism of injury, grade of splenic injury, other intra- and extra-abdominal injuries, systolic blood pressure on admission, hemoglobin levels, number of transfusions, Injury Severity Score (ISS), Glasgow Coma Scale score, and hospitalization period were recorded. The patients were divided into two groups: those with NOM and those in whom the failure of NOM led to laparotomy. The patients were monitored for vital signs, abdominal findings, and laboratory data. NOM was abandoned in cases of hemodynamic instability, ongoing bleeding, or development of peritonitis. Independent predictive factors of NOM failure were identified. The patients managed non-operatively were compared with the patients for whom NOM failed.
Results
NOM was successful in 40 of 47 patients. There were differences between the two groups for ISS, hemoglobin levels, need for blood transfusion, and the number of associated extra-abdominal injuries. The grade of splenic injury was determined to be an important and significant independent predictive factor for the success of NOM of splenic injuries.
Conclusions
The grade of splenic injury is an important and significant independent predictor factor for the success of NOM. NOM is not recommended in patients with high-grade splenic injury.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>26815958</pmid><doi>10.1007/s00068-011-0156-8</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1863-9933 |
| ispartof | European journal of trauma and emergency surgery (Munich : 2007), 2012-06, Vol.38 (3), p.269-274 |
| issn | 1863-9933 1863-9941 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1761460559 |
| source | SpringerNature Journals |
| subjects | Clinical outcomes Critical Care Medicine Emergency Medicine Injuries Intensive Medical treatment Medicine Medicine & Public Health Original Article Spleen Sports Medicine Surgery Surgical Orthopedics Traumatic Surgery |
| title | Splenic injuries: factors affecting the outcome of non-operative management |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-16T19%3A37%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Splenic%20injuries:%20factors%20affecting%20the%20outcome%20of%20non-operative%20management&rft.jtitle=European%20journal%20of%20trauma%20and%20emergency%20surgery%20(Munich%20:%202007)&rft.au=B%C3%B6y%C3%BCk,%20A.&rft.date=2012-06-01&rft.volume=38&rft.issue=3&rft.spage=269&rft.epage=274&rft.pages=269-274&rft.issn=1863-9933&rft.eissn=1863-9941&rft_id=info:doi/10.1007/s00068-011-0156-8&rft_dat=%3Cproquest_cross%3E1761460559%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1018209807&rft_id=info:pmid/26815958&rfr_iscdi=true |