Treatment of splenic trauma in Norway: a retrospective cohort study
Abstract Background Non-operative management of splenic injuries has become the treatment of choice in hemodynamically stable patients over the last decades. The aim of the study is to describe the incidence, initial treatment and early outcome of patients with splenic injuries on a national level....
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doaj-4459ac1765184e8d80fb09f41a74ddc32020-11-24T23:21:45ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412017-11-012511610.1186/s13049-017-0457-yTreatment of splenic trauma in Norway: a retrospective cohort studyTrond Dehli0Jorunn Skattum1Bjørn Christensen2Ole-Petter Vinjevoll3Bent-Åge Rolandsen4Christine Gaarder5Pål Aksel Næss6Torben Wisborg7Department of Gastrointestinal Surgery, University Hospital North Norway TromsøDepartment of Traumatology, Division of Emergencies and Critical Care, Oslo University Hospital UllevålEmergency Care Clinic, Haukeland University HospitalDepartment of Surgery, St. Olav’s University HospitalDepartment of Surgery, St. Olav’s University HospitalDepartment of Traumatology, Division of Emergencies and Critical Care, Oslo University Hospital UllevålDepartment of Traumatology, Division of Emergencies and Critical Care, Oslo University Hospital UllevålAnaesthesia and Critical Care Research Group, Faculty of Health Sciences, University of TromsøAbstract Background Non-operative management of splenic injuries has become the treatment of choice in hemodynamically stable patients over the last decades. The aim of the study is to describe the incidence, initial treatment and early outcome of patients with splenic injuries on a national level. Methods All hospitals in Norway admitting trauma patients were invited to participate in the study. The study period was January through December 2013. The hospitals delivered anonymous data on primarily admitted patients with splenic injury. Results Three of the four regional trauma centers and 26 of the remaining 33 acute care hospitals delivered data on a total of 151 patients with splenic injury indicating an incidence of 4 splenic injuries per 100,000 inhabitants/year, and a median of 4 splenic injuries per hospital per year. A total of 128 (85%) patients were successfully treated non-operatively including 20 patients who underwent an angiographic procedure. The remaining 23 (15%) patients underwent open splenectomy or spleen-preserving surgery. Conclusion Most patients with splenic injuries are managed non-operatively. Despite the low number of splenic injuries per hospital, the results indicate satisfactory outcome on a national level.http://link.springer.com/article/10.1186/s13049-017-0457-ySplenic injuryNonoperative managementSplenic artery embolizationIncidence |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Trond Dehli Jorunn Skattum Bjørn Christensen Ole-Petter Vinjevoll Bent-Åge Rolandsen Christine Gaarder Pål Aksel Næss Torben Wisborg |
spellingShingle |
Trond Dehli Jorunn Skattum Bjørn Christensen Ole-Petter Vinjevoll Bent-Åge Rolandsen Christine Gaarder Pål Aksel Næss Torben Wisborg Treatment of splenic trauma in Norway: a retrospective cohort study Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Splenic injury Nonoperative management Splenic artery embolization Incidence |
author_facet |
Trond Dehli Jorunn Skattum Bjørn Christensen Ole-Petter Vinjevoll Bent-Åge Rolandsen Christine Gaarder Pål Aksel Næss Torben Wisborg |
author_sort |
Trond Dehli |
title |
Treatment of splenic trauma in Norway: a retrospective cohort study |
title_short |
Treatment of splenic trauma in Norway: a retrospective cohort study |
title_full |
Treatment of splenic trauma in Norway: a retrospective cohort study |
title_fullStr |
Treatment of splenic trauma in Norway: a retrospective cohort study |
title_full_unstemmed |
Treatment of splenic trauma in Norway: a retrospective cohort study |
title_sort |
treatment of splenic trauma in norway: a retrospective cohort study |
publisher |
BMC |
series |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
issn |
1757-7241 |
publishDate |
2017-11-01 |
description |
Abstract Background Non-operative management of splenic injuries has become the treatment of choice in hemodynamically stable patients over the last decades. The aim of the study is to describe the incidence, initial treatment and early outcome of patients with splenic injuries on a national level. Methods All hospitals in Norway admitting trauma patients were invited to participate in the study. The study period was January through December 2013. The hospitals delivered anonymous data on primarily admitted patients with splenic injury. Results Three of the four regional trauma centers and 26 of the remaining 33 acute care hospitals delivered data on a total of 151 patients with splenic injury indicating an incidence of 4 splenic injuries per 100,000 inhabitants/year, and a median of 4 splenic injuries per hospital per year. A total of 128 (85%) patients were successfully treated non-operatively including 20 patients who underwent an angiographic procedure. The remaining 23 (15%) patients underwent open splenectomy or spleen-preserving surgery. Conclusion Most patients with splenic injuries are managed non-operatively. Despite the low number of splenic injuries per hospital, the results indicate satisfactory outcome on a national level. |
topic |
Splenic injury Nonoperative management Splenic artery embolization Incidence |
url |
http://link.springer.com/article/10.1186/s13049-017-0457-y |
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