Observation for nonoperative management of the spleen: How long is long enough?

Journal of Trauma - Injury, Infection and Critical Care

Volumn 65, Issue 6, 2008, Pages 1354-1358

  McCray, Victor W ^a,b   Davis, James W ^a   Lemaster, Deborah ^a   Parks, Steven N ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b Neurosciences Critical Care Units   (United States)

Author keywords

Hemoglobin; Management; Nonoperative; Observation; Protocol; Splenic

Indexed keywords

HEMOGLOBIN;

ADULT; AGE DISTRIBUTION; ARTICLE; BED REST; CONSERVATIVE TREATMENT; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; INJURY SCALE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MEDICAL RECORD REVIEW; PATIENT CARE; PRACTICE GUIDELINE; PRIORITY JOURNAL; REGISTER; RETROSPECTIVE STUDY; SEX DIFFERENCE; SPLEEN INJURY; SPLENECTOMY; TREATMENT FAILURE; ABDOMINAL INJURY; ARTIFICIAL EMBOLISM; FEMALE; HEMOGLOBIN DETERMINATION; INJURY; MALE; OBSERVATION; SPLEEN; TREATMENT OUTCOME;

ABDOMINAL INJURIES; ADULT; BED REST; EMBOLIZATION, THERAPEUTIC; FEMALE; HEMOGLOBINOMETRY; HUMANS; INJURY SEVERITY SCORE; LENGTH OF STAY; MALE; OBSERVATION; PATIENT READMISSION; PRACTICE GUIDELINES AS TOPIC; RETROSPECTIVE STUDIES; SPLEEN; SPLENECTOMY; TREATMENT OUTCOME;

EID: 67650632289     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e31818e8fde     Document Type: Article

References (38)

1. Tom WW, Howells GA, Bree RL, Schwab R, Lucas RJ. A nonoperative approach to the adult ruptured spleen sustained from blunt trauma. Am Surg. 1985; 51: 367-371.
2. Longo WE, Baker CC, McMillen MA, Modlin IM, Degutis LC, Zucker KA. Nonoperative management of adult blunt splenic trauma. Criteria for successful outcome. Ann Surg. 1989; 210: 626-629.
3. Elmore JR, Clark DE, Isler RJ, Horner WR. Selective nonoperative management of blunt splenic trauma in adults. Arch Surg. 1989; 124: 581-586.
4. Cogbill TH, Moore EE, Jurkovich GJ, et al. Nonoperative management of blunt splenic trauma: a multicenter experience. J Trauma. 1989; 29: 1312-1317.
5. Villalba MR, Howells GA, Lucas RJ, et al. Nonoperative management of the adult ruptured spleen. Arch Surg. 1990; 125: 836-839.
6. Williams MD, Young DH, Schiller WR. Trend toward nonoperative management of splenic injuries. Am J Surg. 1990; 160: 588-592.
7. Pachter HL, Spencer FC, Hofstetter SR, Liang HG, Hoballah J, Coppa GF. Experience with selective operative and nonoperative treatment of splenic injuries in 193 patients. Ann Surg. 1990; 211: 583-591.
8. Morrell DG, Chang FC, Helmer SD. Changing trends in the management of splenic injury. Am J Surg. 1995; 170: 686-690.
9. Haller JA, Papa P, Drugas G, Colombani P. Nonoperative management of solid organ injuries in children. Is it safe? Ann Surg. 1994; 219: 625-631.
10. Coburn MC, Pfeifer J, DeLuca FG. Nonoperative management of splenic and hepatic trauma in the multiply injured pediatric and adolescent patient. Arch Surg. 1995; 130: 332-338.
11. Malangoni MA, Levine AW, Droege EA, Aprahamian C, Condon RE. Management of injury to the spleen in adults. Ann Surg. 1994; 200: 702-705.
12. Mahon PA, Sutton JE. Nonoperative management of adult splenic injury due to blunt trauma: a Warning. Am J Surg. 1985; 149: 716-721.
13. Mucha P, Daly RC, Farnell MC. Selective management of blunt splenic trauma. J Trauma. 1986; 26: 970-979.
14. Archer LP, Rogers FB, Shackford SR. Selective nonoperative management of liver and spleen injuries in neurologically impaired adult patients. Arch Surg. 1996; 131: 309-315.
15. Pachter HL, Guth AA, Hofstetter SR, Spencer FC. Changing patterns in the management of splenic trauma: the impact of nonoperative management. Ann Surg. 1998; 227: 708-719.
16. Cocanour CS, Moore FA, Ware DN, Marvin RG, Duke JH. Age should not be a consideration for nonoperative management of blunt splenic injury. J Trauma. 2000; 48: 606-612.
17. Smith JS, Cooney RN, Mucha P. Nonoperative management of the ruptured spleen: a revalidation of criteria. Surgery. 1996; 120: 745-751.
18. Kohn JS, Clark DE, Isler RJ, Pope CF. Computed tomographic grading of splenic injury useful in the nonsurgical management of blunt trauma? J Trauma. 1994; 36: 385-389.
19. 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. J Trauma. 2000; 49: 177-189.
20. Harbrecht BG, Peitzman AB, Rivera L, et al. Contribution of age and gender to outcome of blunt splenic injury in adults: multicenter study of the Eastern Association for the surgery of trauma. J Trauma. 2001; 51: 887-895.
21. Nix JA, Costanza M, Daley BJ, Powell MA, Enderson BL. Outcome of the current management of splenic injuries. J Trauma. 2001; 50: 835-842.
22. Haan JM, Bochicchio GV, Kramer N. Nonoperative management of blunt splenic injury: a 5-year experience. J Trauma. 2005; 58: 492-498.
23. Rajani RR, Claridge JA, Yowler CH, et al. Improved outcome of adult blunt splenic injury: a cohort analysis. Surgery. 2006; 140: 625-632.
24. Velmahos GC, Chan LS, Kamel E, et al. Nonoperative management of splenic injuries. Arch Surg. 2000; 135: 674-681.
25. Moore EE, Cogbill TH, Jurkovich GJ. Organ injury scaling: spleen and liver (1994 Revision). J Trauma. 1995; 38: 323-324.
26. quot; Sysmex XE-2100 Operator's Manual." Sysmex Corporation; 2000.
27. Shapiro MJ, Krausz C, Durham RM, Mazuski JE. Overuse of splenic scoring and computed tomographic scans. J Trauma. 1999; 47: 651-658.
28. Barquist ES, Pizano LR, Feuer W. Inter-and intrarater reliability in computed axial tomographic grading of splenic injury: why so many grading scales? J Trauma. 2004; 56: 334-338.
29. Weinberg JA, Magnotti LJ, Croce MA, Edwards NM, Fabian TC. The utility of serial computed tomography imaging of blunt splenic injury: still worth a second look? J Trauma. 2007; 62: 1143-1148.
30. Sharma OP, Oswanski MF, Singer D. Role of repeat computerized tomography in nonoperative management of solid organ trauma. Am Surg. 2005; 71: 244-249.
31. Brenner DJ, Hall EJ. Computed Tomography-An increasing source of radiation exposure. N Engl J Med. 2007; 357: 2277-2284.
32. Schurr MJ, Fabian TC, Gavant M, et al. Management of blunt splenic trauma: computed tomographic contrast blush predicts failure of nonoperative management. J Trauma. 1995; 39: 507-512.
33. Nwomeh BC, Nadler EP, Meza MP. Contrast extravasation predicts the need for operative intervention in children with blunt splenic trauma. J Trauma. 2004; 56: 537-541.
34. Smith J, Armen S, Cook CH, Martin LC. Blunt splenic injuries: have we watched long enough? J Trauma. 2008; 64: 656-663.
35. Cocanour CS, Moore FA, Ware DN, Marvin RG, Clark JM, Duke JH. Delayed complications of nonoperative management of blunt splenic trauma. Arch Surg. 1998; 133: 619-625.
36. Crawford RS, Tabbara M, Sheridan R. Early discharge after nonoperative management for splenic injuries: increased patient risk caused by late failure? Surgery. 2007; 142: 337-342.
37. Dulchavsky SA, Lucas CE, Ledgerwood AM, Grabow D. Wound healing of the injured spleen with and without splenorrhaphy. J Trauma. 1987; 27: 1155-1160.
38. Rovin JD, Alford BA, McIlhenny TJ, Burns RC, Rodgers BM, McGahren ED. Follow-up abdominal computerized tomography after splenic trauma in children may not be necessary. Am Surg. 2001; 67: 127-130.