Nonoperative Management of Hepatic, Splenic, and Renal Injuries in Adults with Multiple Injuries
BACKGROUNDNonoperative management (NOM) of abdominal solid organ (ASO; liver, spleen, kidney) injuries from blunt trauma in adults has gained acceptance, but multisystem trauma remains a relative contraindication to NOM. METHODSWe reviewed the charts of 126 adult patients who underwent NOM of an ASO...
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| Veröffentlicht in: | The journal of trauma 2000-07, Vol.49 (1), p.56-62 |
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| container_title | The journal of trauma |
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| creator | Sartorelli, Kennith H. Frumiento, Carmine Rogers, Frederick B. Osler, Turner M. |
| description | BACKGROUNDNonoperative management (NOM) of abdominal solid organ (ASO; liver, spleen, kidney) injuries from blunt trauma in adults has gained acceptance, but multisystem trauma remains a relative contraindication to NOM.
METHODSWe reviewed the charts of 126 adult patients who underwent NOM of an ASO injury for success of NOM, transfusions, and complications. Patients were divided into two groupsgroup I had isolated ASO injuries (n = 48); group II had an ASO injury and at least one additional injury with an Abbreviated Injury Score ≥ 2 (n = 78).
RESULTSNOM was successful 89.6% of group I and 93.6% of group II patients (p = 0.55). Group II had higher Injury Severity Scores (20.7 ± 9.8 vs. 8.3 ± 4.9 p < 0.05) and transfusion requirements (30.8% vs. 14.6%, p < 0.05) than group I. Complication rates were not different (group I, 20.8% vs. 26.9% group II, p = 0.58).
CONCLUSIONNOM of ASO injuries may attempted in adult patients with multiple injuries without increased morbidity. |
| doi_str_mv | 10.1097/00005373-200007000-00008 |
| format | Article |
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METHODSWe reviewed the charts of 126 adult patients who underwent NOM of an ASO injury for success of NOM, transfusions, and complications. Patients were divided into two groupsgroup I had isolated ASO injuries (n = 48); group II had an ASO injury and at least one additional injury with an Abbreviated Injury Score ≥ 2 (n = 78).
RESULTSNOM was successful 89.6% of group I and 93.6% of group II patients (p = 0.55). Group II had higher Injury Severity Scores (20.7 ± 9.8 vs. 8.3 ± 4.9 p < 0.05) and transfusion requirements (30.8% vs. 14.6%, p < 0.05) than group I. Complication rates were not different (group I, 20.8% vs. 26.9% group II, p = 0.58).
CONCLUSIONNOM of ASO injuries may attempted in adult patients with multiple injuries without increased morbidity.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-200007000-00008</identifier><identifier>PMID: 10912858</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins, Inc</publisher><subject>Adult ; Critical Care - methods ; Female ; Humans ; Injury Severity Score ; Kidney - injuries ; Liver - injuries ; Male ; Medical Records ; Middle Aged ; Multiple Trauma - therapy ; Retrospective Studies ; Spleen - injuries</subject><ispartof>The journal of trauma, 2000-07, Vol.49 (1), p.56-62</ispartof><rights>2000 Lippincott Williams & Wilkins, Inc.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3568-16dced6c8d2217e9ef7862796d43faa9befe76a9e828fb3600165315b238bf1c3</citedby><cites>FETCH-LOGICAL-c3568-16dced6c8d2217e9ef7862796d43faa9befe76a9e828fb3600165315b238bf1c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10912858$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sartorelli, Kennith H.</creatorcontrib><creatorcontrib>Frumiento, Carmine</creatorcontrib><creatorcontrib>Rogers, Frederick B.</creatorcontrib><creatorcontrib>Osler, Turner M.</creatorcontrib><title>Nonoperative Management of Hepatic, Splenic, and Renal Injuries in Adults with Multiple Injuries</title><title>The journal of trauma</title><addtitle>J Trauma</addtitle><description>BACKGROUNDNonoperative management (NOM) of abdominal solid organ (ASO; liver, spleen, kidney) injuries from blunt trauma in adults has gained acceptance, but multisystem trauma remains a relative contraindication to NOM.
METHODSWe reviewed the charts of 126 adult patients who underwent NOM of an ASO injury for success of NOM, transfusions, and complications. Patients were divided into two groupsgroup I had isolated ASO injuries (n = 48); group II had an ASO injury and at least one additional injury with an Abbreviated Injury Score ≥ 2 (n = 78).
RESULTSNOM was successful 89.6% of group I and 93.6% of group II patients (p = 0.55). Group II had higher Injury Severity Scores (20.7 ± 9.8 vs. 8.3 ± 4.9 p < 0.05) and transfusion requirements (30.8% vs. 14.6%, p < 0.05) than group I. Complication rates were not different (group I, 20.8% vs. 26.9% group II, p = 0.58).
CONCLUSIONNOM of ASO injuries may attempted in adult patients with multiple injuries without increased morbidity.</description><subject>Adult</subject><subject>Critical Care - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Kidney - injuries</subject><subject>Liver - injuries</subject><subject>Male</subject><subject>Medical Records</subject><subject>Middle Aged</subject><subject>Multiple Trauma - therapy</subject><subject>Retrospective Studies</subject><subject>Spleen - injuries</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kdtKxDAQhoMouq6-guTKK6s5NG16KYsncBU8XMe0nbrVNK1J6-Lbm1oVbxwY5mf4Zgb-QQhTckxJlp6QEIKnPGKjSkNGo5AbaEYFyyIpSbaJZoQwFgkm2Q7a9f4lEHHM5TbaCUsok0LO0NNNa9sOnO7rd8BLbfUzNGB73Fb4ErrQLo7wfWfAjkLbEt-B1QZf2ZfB1eBxbfFpOZje43Xdr_AyyDrgv8Ae2qq08bD_Xefo8fzsYXEZXd9eXC1Or6OCi0RGNCkLKJNClozRFDKoUpmwNEvKmFdaZzlUkCY6A8lklfOEEJoITkXOuMwrWvA5Opz2dq59G8D3qql9AcZoC-3gVUpZnAnBAygnsHCt9w4q1bm60e5DUaJGd9WPu-rX3a-WDKMH3zeGvIHyz-BkZwDiCVi3pgfnX82wBqdWoE2_Uv99jX8Cx8OEnw</recordid><startdate>200007</startdate><enddate>200007</enddate><creator>Sartorelli, Kennith H.</creator><creator>Frumiento, Carmine</creator><creator>Rogers, Frederick B.</creator><creator>Osler, Turner M.</creator><general>Lippincott Williams & Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200007</creationdate><title>Nonoperative Management of Hepatic, Splenic, and Renal Injuries in Adults with Multiple Injuries</title><author>Sartorelli, Kennith H. ; Frumiento, Carmine ; Rogers, Frederick B. ; Osler, Turner M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3568-16dced6c8d2217e9ef7862796d43faa9befe76a9e828fb3600165315b238bf1c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Critical Care - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Kidney - injuries</topic><topic>Liver - injuries</topic><topic>Male</topic><topic>Medical Records</topic><topic>Middle Aged</topic><topic>Multiple Trauma - therapy</topic><topic>Retrospective Studies</topic><topic>Spleen - injuries</topic><toplevel>online_resources</toplevel><creatorcontrib>Sartorelli, Kennith H.</creatorcontrib><creatorcontrib>Frumiento, Carmine</creatorcontrib><creatorcontrib>Rogers, Frederick B.</creatorcontrib><creatorcontrib>Osler, Turner M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sartorelli, Kennith H.</au><au>Frumiento, Carmine</au><au>Rogers, Frederick B.</au><au>Osler, Turner M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nonoperative Management of Hepatic, Splenic, and Renal Injuries in Adults with Multiple Injuries</atitle><jtitle>The journal of trauma</jtitle><addtitle>J Trauma</addtitle><date>2000-07</date><risdate>2000</risdate><volume>49</volume><issue>1</issue><spage>56</spage><epage>62</epage><pages>56-62</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><abstract>BACKGROUNDNonoperative management (NOM) of abdominal solid organ (ASO; liver, spleen, kidney) injuries from blunt trauma in adults has gained acceptance, but multisystem trauma remains a relative contraindication to NOM.
METHODSWe reviewed the charts of 126 adult patients who underwent NOM of an ASO injury for success of NOM, transfusions, and complications. Patients were divided into two groupsgroup I had isolated ASO injuries (n = 48); group II had an ASO injury and at least one additional injury with an Abbreviated Injury Score ≥ 2 (n = 78).
RESULTSNOM was successful 89.6% of group I and 93.6% of group II patients (p = 0.55). Group II had higher Injury Severity Scores (20.7 ± 9.8 vs. 8.3 ± 4.9 p < 0.05) and transfusion requirements (30.8% vs. 14.6%, p < 0.05) than group I. Complication rates were not different (group I, 20.8% vs. 26.9% group II, p = 0.58).
CONCLUSIONNOM of ASO injuries may attempted in adult patients with multiple injuries without increased morbidity.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>10912858</pmid><doi>10.1097/00005373-200007000-00008</doi><tpages>7</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Adult Critical Care - methods Female Humans Injury Severity Score Kidney - injuries Liver - injuries Male Medical Records Middle Aged Multiple Trauma - therapy Retrospective Studies Spleen - injuries |
| title | Nonoperative Management of Hepatic, Splenic, and Renal Injuries in Adults with Multiple Injuries |
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