Predictors of failure of nonoperative management in spleen trauma

Zenaidi, Hakim; Ismail, Imen Ben; Rebii, Saber; Zoghlami, Ayoub

doi:10.4103/jets.jets_60_20

Cited by 6 publications

(2 citation statements)

References 5 publications

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“…Predictors of failed conservative management are age ≥55 years, systolic blood pressure at admission <100 mmHg, shock on admission, transfusion of ≥3 units of packed red blood cells, and associated pancreatic injury or intra-abdominal hollow organ injury. 6 Our patient was managed surgically because she was aged ≥55 years and had severe hypotension, both of which are predictors of failed conservative management.…”

Section: Blood Test Results On Admission and 4 Days After Admissionmentioning

confidence: 94%

Delayed splenic rupture secondary to a fall: a case report

Tan,

Fang,

Lim

2024

Asian Journal of Gerontology and Geriatrics

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Section: Blood Test Results On Admission and 4 Days After Admissionmentioning

confidence: 94%

Delayed splenic rupture secondary to a fall: a case report

Tan,

Fang,

Lim

2024

Asian Journal of Gerontology and Geriatrics

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“…Nonoperative management is currently the option of choice for solid organ injuries, whether blunt or penetrating, with a success rate between 78% and 98% 17 . A systematic review showed that hospitals with a higher volume of nonoperative treatment are considered an independent factor for greater NOM success (OR=2.15) and shorter hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological profile of patients undergoing non-operative management of solid organ injury and associated factors with mortality

SARQUIS,

COLLAÇO,

TODERKE

et al. 2024

Rev. Col. Bras. Cir.

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Introduction: Trauma primarily affects the economically active population, causing social and economic impact. The non-operative management of solid organ injuries aims to preserve organ function, reducing the morbidity and mortality associated with surgical interventions. The aim of study was to demonstrate the epidemiological profile of patients undergoing non-operative management in a trauma hospital and to evaluate factors associated with mortality in these patients. Methods: This is a historical cohort of patients undergoing non-operative management for solid organ injuries at a Brazilian trauma reference hospital between 2018 and 2022. Included were patients with blunt and penetrating trauma, analyzing epidemiological characteristics, blood transfusion, and association with the need for surgical intervention. Results: A total of 365 patients were included in the study. Three hundred and forty-three patients were discharged (93.97%), and the success rate of non-operative treatment was 84.6%. There was an association between mortality and the following associated injuries: hemothorax, sternal fracture, aortic dissection, and traumatic brain injury. There was an association between the need for transfusion and surgical intervention. Thirty-eight patients required some form of surgical intervention. Conclusion: The profile of patients undergoing non-operative treatment consists of young men who are victims of blunt trauma. Non-operative treatment is safe and has a high success rate.

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