Treatment of Splenic Trauma: a Retrospective Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 109
- 试验地点
- 1
- 主要终点
- type of splenic trauma treatment
研究概览
简要总结
In blunt trauma, the spleen is most frequent injured organ in the abdomen and the most frequent source of bleeding in the abdomen.
Historically, splenectomy was the treatment of choice for splenic bleeding. For exsanguinating patients, open splenectomy is still the proper choice of treatment if the spleen is a significant source of bleeding. However, for hemodynamic stable patients with splenic injury, non-operative management (NOM) is an alternative, assuming they have no other indication for surgery (peritonitis).
Non-operative management includes observation and/or splenic artery embolisation (SAE), but the indications for observation and SAE varies between trauma centers. The greatest advantage of NOM is the preservation of splenic function.
In the investigators hospital splenic artery embolisation was introduced in 2007. The investigators want to describe the treatment of splenic injuries in their hospital, to see if the number of splenectomies has been recduced after 2007, and to see if SAE has also been used in transferred trauma patients.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients admitted at UNN Tromsø in the period of 01.01.2000 - 31.12.2013 and with the discharge diagnosis S36.0 Splenic injury (ICD-10)
排除标准
- •no injury/coding error
- •iatrogenic injury
- •transfer >7 days after injury
- •>10 days between injury and first hospital admission
结局指标
主要结局
type of splenic trauma treatment
时间窗: 0-7 days
There are three different treatments of splenic trauma treatment, resulting in four different treatments: * splenectomy * splenic artery embolization * non-operative management * any combination of the three treatments
次要结局
- Mortality(30 days)
- Length of stay in the intensive care unit(0 - 90 days)
- Emergency procedures(0 - 7 days)
- Length of hospital stay(1 - 90 days)