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....

Full description

Bibliographic Details
Main Authors: Trond Dehli, Jorunn Skattum, Bjørn Christensen, Ole-Petter Vinjevoll, Bent-Åge Rolandsen, Christine Gaarder, Pål Aksel Næss, Torben Wisborg
Format: Article
Language:English
Published: BMC 2017-11-01
Series:Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13049-017-0457-y
id doaj-4459ac1765184e8d80fb09f41a74ddc3
record_format Article
spelling 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
work_keys_str_mv AT tronddehli treatmentofsplenictraumainnorwayaretrospectivecohortstudy
AT jorunnskattum treatmentofsplenictraumainnorwayaretrospectivecohortstudy
AT bjørnchristensen treatmentofsplenictraumainnorwayaretrospectivecohortstudy
AT olepettervinjevoll treatmentofsplenictraumainnorwayaretrospectivecohortstudy
AT bentagerolandsen treatmentofsplenictraumainnorwayaretrospectivecohortstudy
AT christinegaarder treatmentofsplenictraumainnorwayaretrospectivecohortstudy
AT palakselnæss treatmentofsplenictraumainnorwayaretrospectivecohortstudy
AT torbenwisborg treatmentofsplenictraumainnorwayaretrospectivecohortstudy
_version_ 1725570073529155584