Safety of selective nonoperative management for blunt splenic trauma: the impact of concomitant injuries.
Conclusions: Nonoperative management for hemodynamically normal patients with blunt splenic injury is feasible and safe, even in the presence of concurrent (non-hollow organ) injuries or a contrast blush on CT. However, associated injuries are related to prolonged intensive care unit- and hospital stay, complications, and failure of nonoperative management. Specifically, higher age and the presence of a femur fracture are predictors of failure.
PMID: 30505349 [PubMed]
Source: Patient Safety in Surgery - Category: Surgery Authors: Teuben MPJ, Spijkerman R, Blokhuis TJ, Pfeifer R, Teuber H, Pape HC, Leenen LPH Tags: Patient Saf Surg Source Type: research