Yassar Alamri1, Dana Moon2, Damien Ah Yen3, Chris Wakeman4, Tim Eglinton4, Frank Frizelle4. 1. Canterbury District Health Board, Christchurch, New Zealand Brain Research Institute, Christchurch, University of Otago, Christchurch. 2. University of Otago, Christchurch, MidCentral District Health Board, Palmerston North. 3. Waikato District Health Board, Hamilton. 4. Canterbury District Health Board, Christchurch, University of Otago, Christchurch.
Abstract
AIM: The aim of this study was to describe the demographics, mechanisms of injury, management and outcomes in patients who suffered splenic trauma in Christchurch, New Zealand. METHODS: A retrospective study included all splenic injury patients admitted to Christchurch Public Hospital between January 2005 and August 2015. RESULTS: A total of 238 patients were included, with a median age of 26 years (4-88.7). Of these, 235 patients had blunt injuries. Eighty-nine had high-grade injuries. Yearly admissions of splenic trauma patients have gradually increased. A total of 173 (72.7%) patients were managed with observation; 28 patients (11.8%) had radiological intervention and 37 patients (15.5%) had splenectomy. Patients who died were significantly more likely to be older (median, 46.5 vs 25.2 years, p=0.04) and to have been admitted to ICU (100% vs 32%, p=<0.001). CONCLUSION: Splenic injuries have shown a steady increase in the last decade. Splenectomy rates have decreased in favour of non-operative techniques. Radiological intervention with splenic artery embolisation was successful in all selected patients with high-grade injuries.
AIM: The aim of this study was to describe the demographics, mechanisms of injury, management and outcomes in patients who suffered splenic trauma in Christchurch, New Zealand. METHODS: A retrospective study included all splenic injurypatients admitted to Christchurch Public Hospital between January 2005 and August 2015. RESULTS: A total of 238 patients were included, with a median age of 26 years (4-88.7). Of these, 235 patients had blunt injuries. Eighty-nine had high-grade injuries. Yearly admissions of splenic traumapatients have gradually increased. A total of 173 (72.7%) patients were managed with observation; 28 patients (11.8%) had radiological intervention and 37 patients (15.5%) had splenectomy. Patients who died were significantly more likely to be older (median, 46.5 vs 25.2 years, p=0.04) and to have been admitted to ICU (100% vs 32%, p=<0.001). CONCLUSION:Splenic injuries have shown a steady increase in the last decade. Splenectomy rates have decreased in favour of non-operative techniques. Radiological intervention with splenic artery embolisation was successful in all selected patients with high-grade injuries.
Authors: Maike Grootenhaar; Dominique Lamers; Karin Kamphuis-van Ulzen; Ivo de Blaauw; Edward C Tan Journal: World J Emerg Surg Date: 2021-02-27 Impact factor: 5.469
Authors: Roy Spijkerman; Lauren C M Bulthuis; Lillian Hesselink; Thomas M P Nijdam; Luke P H Leenen; Ivar G J M de Bruin Journal: Eur J Trauma Emerg Surg Date: 2020-02-11 Impact factor: 3.693