Computed tomography grading systems poorly predict the need for intervention after spleen and liver injuries

American Surgeon

Volumn 75, Issue 2, 2009, Pages 133-139

  Cohn, Stephen M ^a   Arango, Jorge I ^a   Myers, John G ^a   Lopez, Peter P ^a   Jonas, Rachelle B ^a   Waite, Lindsay L ^a   Corneille, Michael G ^a   Stewart, Ronald M ^a   Dent, Daniel L ^a  

^a University of Texas Health Science Center   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANGIOGRAPHY; ARTICLE; ARTIFICIAL EMBOLISM; CLINICAL ASSESSMENT; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DISEASE ASSOCIATION; HUMAN; LIVER INJURY; MAJOR CLINICAL STUDY; MEDICAL RECORD REVIEW; OUTCOME ASSESSMENT; PREDICTION; SCORING SYSTEM; SCREENING; SENSITIVITY AND SPECIFICITY; SPLEEN INJURY; ABDOMINAL INJURY; BLUNT TRAUMA; COHORT ANALYSIS; FACTUAL DATABASE; INJURY; INJURY SCALE; LIVER; PREDICTION AND FORECASTING; RADIOGRAPHY; RETROSPECTIVE STUDY; SPLEEN;

ABDOMINAL INJURIES; COHORT STUDIES; DATABASES, FACTUAL; HUMANS; LIVER; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES; SPLEEN; TOMOGRAPHY, X-RAY COMPUTED; TRAUMA SEVERITY INDICES; WOUNDS, NONPENETRATING;

EID: 65249106042     PISSN: 00031348     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (34)

1. Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling: Spleen and liver (1994 revision). Journal of Trauma. 1995;38:323-324
2. Barquist ES, Pizano LR, Feuer W, et al. Inter- and intrarater reliability in computed axial tomographic grading of splenic injury: Why so many grading scales? Journal of Trauma, Injury, Infection, and Critical Care 2004;56:334-338
3. Thompson BEMF, Cohn SM, MacLean AA, et al. Novel computed tomography scan scoring system predicts the need for intervention after splenic injury. Journal of Trauma, Injury, Infection, and Critical Care 2006;2006:1083-1086 (Pubitemid 43778646)
4. MacLean A, Durso A, Cohn SM, et al. A clinically relevant liver injury grading system by CT, preliminary report. Emerg Radiol 2005;12:34-37 (Pubitemid 41789854)
5. Federle MP, Goldberg HI, Kaiser JA, et al. Evaluation of abdominal trauma by computed tomography. Radiology 1981;138:637-644 (Pubitemid 12192240)
6. Resciniti A, Fink MP, Raptopoulos V, et al. Nonoperative treatment of adult splenic trauma: Development of a computed tomographic scoring system that detects appropriate candidates for expectant management. J Trauma 1988;28:828-831 (Pubitemid 18192371)
7. Buntain WL, Gould HR, Maull KI. Predictability of splenic salvage by computed tomography. Journal of Trauma 1988;28:24-34.
8. Mirvis SE. Blunt splenic trauma in adults: CT-based classification and correlation with prognosis and treatment. Radiology 1989;171:33-39 (Pubitemid 19093039)
9. Malangoni MA, Cué JI, Fallat ME, et al. Evaluation of splenic injury by computed tomography and its impact on treatment. Ann Surg 1990;211:592-7, discussion 597-599. (Pubitemid 20155697)
10. Kohn JS. Is computed tomographic grading of splenic injury useful in the nonsurgical management of blunt trauma? Journal of Trauma 1994;36:385-389, discussion 390.
11. Sutyak JP. Computed tomography is inaccurate in estimating the severity of adult splenic injury. Journal of Trauma 1995;39:514-518
12. Shapiro MJ. Overuse of splenic scoring and computed tomographic scans. Journal of Trauma 1999;47:651-658 (Pubitemid 29489515)
13. Croce M, Fabian TC, Menke PG, et al. Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial. Ann Surg 1995;221:744-755
14. Schurr MJ, Fabian TC, Gavant M, et al. Management of blunt splenic trauma: Computed tomographic contrast blush predicts failure of nonoperative management. Journal of Trauma 1995;39:507-12, discussion 512-513
15. Federle MP, Courcoulas AP, Powell M, et al. Blunt splenic injury in adults: Clinical and CT criteria for management, with emphasis on active extravasation. Radiology 1998;206:137-142 (Pubitemid 28062997)
16. Davis KA, Fabian TC, Croce MA, et al. Improved success in nonoperative management of blunt splenic injuries: Embolization of splenic artery pseudoaneurysms. Journal of Trauma 1998;44:1008-13, discussion 1013-1015 (Pubitemid 28310963)
17. Brasel KJ, DeLisle CM, Olson CJ, Borgstrom DC. Splenic injury: Trends in evaluation and management. Journal of Trauma 1998;44:283-286 (Pubitemid 28124165)
18. Shanmuganathan K. Nonsurgical management of blunt splenic injury: Use of CT criteria to select patients for splenic arteriography and potential endovascular therapy. Radiology 2000;217:75-82. (Pubitemid 33097581)
19. Weinberg JA. The utility of serial computed tomography imaging of blunt splenic injury: Still worth a second look? Journal of Trauma 2007;62:1143-7, discussion 1147-1148
20. Dent D, Alsabrook G, Erickson BA, et al. Blunt splenic injuries: High nonoperative management rate can be achieved with selective embolization. J Trauma 2004;56:1063-1067 (Pubitemid 38788733)
21. Omert LA. Implications of the "contrast blush" finding on computed tomographic scan of the spleen in trauma. Journal of Trauma 2001;51:272-7, discussion 277-278
22. Rhodes CA. Clinical outcome of active extravasation in splenic trauma. Emerg Radiol 2005;11:348-352 (Pubitemid 41789867)
23. Harbrecht BG. Angiography for blunt splenic trauma does not improve the success rate of nonoperative management. Journal of Trauma, Injury, Infection, and Critical Care 2007;63:44-49 (Pubitemid 47057560)
24. Peitzman AB, Heil B, Rivera L, et al. Blunt splenic injury in adults: Multi-institutional study of the eastern association for the surgery of trauma. Journal of Trauma, Injury, Infection, and Critical Care 2000;49:177-189
25. Meyer AA, Crass RA, Lim RC, et al. Selective nonoperative management of blunt liver injury using computed tomography. Arch Surg 1985;120:550-554 (Pubitemid 15053410)
26. Foley WD. Treatment of blunt hepatic injuries: Role of CT. Radiology 1987;164:635-638 (Pubitemid 17144913)
27. Farnell MB, Spencer MP, Thompson E, et al. Nonoperative management of blunt hepatic trauma in adults. Surgery 1988;104:748-756 (Pubitemid 18238756)
28. Brasel KJ, DeLisle CM, Olson CJ, Borgstrom DC. Trends in the management of hepatic injury. Am J Surg 1997;174:674-677 (Pubitemid 28008701)
29. Meredith JW. Nonoperative management of blunt hepatic trauma: The exception or the rule? Journal of Trauma 1994;36:529-34, discussion 534-535
30. Becker CD, Gal I, Baer HU, Vock P. Blunt hepatic trauma in adults: Correlation of CT injury grading with outcome. Radiology 1996;201:215-220 (Pubitemid 26314390)
31. Croce MA, Fabian TC, Kudsk KA, et al. AASTorgan injury scale: Correlation of CT-graded liver injuries and operative findings. Journal of Trauma 1991;31:806-812
32. Pachter HL, Knudson MM, Esrig B, et al. Status of nonoperative management of blunt hepatic injuries in 1995: A multicenter experience with 404 patients. Journal of Trauma, Injury, Infection, and Critical Care 1996;40:31-38
33. Fang JF, Wong YC, Lin BC, et al. The CT risk factors for the need of operative treatment in initially hemodynamically stable patients after blunt hepatic trauma. Journal of Trauma, Injury, Infection, and Critical Care 2006;61:547-554
34. Hagiwara A. Nonsurgical management of patients with blunt hepatic injury: Efficacy of transcatheter arterial embolization. AJR Am J Roentgenol 1997;169:1151-1156 (Pubitemid 27406921)