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More Becomes Less: Management Strategy Has Definitely Changed over the Past Decade of Splenic Injury—A Nationwide Population-Based Study
المؤلفون المشاركون
Lin, Yen-Ko
Soo, Kwan-Ming
Lin, Hsing-Lin
Lee, Wei-Che
Wang, Jaw-Yuan
Kuo, Liang-Chi
Lin, Tsung-Ying
Chen, Chao-Wen
المصدر
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-01-05
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Blunt spleen injury is generally taken as major trauma which is potentially lethal.
However, the management strategy has progressively changed to noninvasive treatment over the decade.
This study aimed to (1) find out the incidence and trend of strategy change; (2) investigate the effect of change on the mortality rate over the study period; and (3) evaluate the risk factors of mortality.
Materials and Methods.
We utilized nationwide population-based data to explore the incidence of BSI during a 12-year study period.
The demographic characteristics, including gender, age, surgical intervention, blood transfusion, availability of CT scans, and numbers of coexisting injuries, were collected for analysis.
Mortality, hospital length of stay, and cost were as outcome variables.
Results.
578 splenic injuries were recorded with an estimated incidence of 48 per million per year.
The average 12-year overall mortality rate during hospital stay was 5.28% (29/549).
There is a trend of decreasing operative management in patients (X2, P=0.004).
The risk factors for mortality in BSI from a multivariate logistic regression analysis were amount of transfusion (OR 1.033, P<0.001, CI 1.017–1.049), with or without CT obtained (OR 0.347, P=0.026, CI 0.158–0.889), and numbers of coexisting injuries (OR 1.346, P=0.043, CI 1.010–1.842).
Conclusion.
Although uncommon of BSI, management strategy is obviously changed to nonoperative treatment without increasing mortality and blood transfusion under the increase of CT utilization.
Patients with more coexisting injuries and more blood transfusion had higher mortality.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Soo, Kwan-Ming& Lin, Tsung-Ying& Chen, Chao-Wen& Lin, Yen-Ko& Kuo, Liang-Chi& Wang, Jaw-Yuan…[et al.]. 2015. More Becomes Less: Management Strategy Has Definitely Changed over the Past Decade of Splenic Injury—A Nationwide Population-Based Study. BioMed Research International،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1054266
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Soo, Kwan-Ming…[et al.]. More Becomes Less: Management Strategy Has Definitely Changed over the Past Decade of Splenic Injury—A Nationwide Population-Based Study. BioMed Research International No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1054266
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Soo, Kwan-Ming& Lin, Tsung-Ying& Chen, Chao-Wen& Lin, Yen-Ko& Kuo, Liang-Chi& Wang, Jaw-Yuan…[et al.]. More Becomes Less: Management Strategy Has Definitely Changed over the Past Decade of Splenic Injury—A Nationwide Population-Based Study. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1054266
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1054266
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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