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dc.contributor.authorDehli, Trond
dc.contributor.authorBågenholm, Anna
dc.contributor.authorTrasti, Nora
dc.contributor.authorMonsen, Svein Arne
dc.contributor.authorBartnes, Kristian
dc.date.accessioned2016-03-07T13:19:28Z
dc.date.available2016-03-07T13:19:28Z
dc.date.issued2015-10-29
dc.description.abstractBackground Hemorrhage after blunt trauma is a major contributor to death after trauma. In the abdomen, an injured spleen is the most frequent cause of major bleeding. Splenectomy is historically the treatment of choice. In 2007, non-operative management (NOM) with splenic artery embolization (SAE) was introduced in our institution. The indication for SAE is hemodynamically stable patients with extravasation of contrast, or grade 3–5 spleen injury according to the Abbreviated Organ Injury Scale 2005, Update 2008. We wanted to examine if the introduction of SAE increased the rate of salvaged spleens in our trauma center. Method All patients discharged with the diagnosis of splenic injury in the period 01.01.2000 – 31.12.2013 from the University Hospital of North Norway Tromsø were included in the study. Patients admitted for rehabilitation purposes or with an iatrogenic injury were excluded. Results A total of 109 patients were included in the study. In the period 2000-7, 20 of 52 patients were splenectomized. During 2007-13, there were 6 splenectomies and 24 SAE among 57 patients. The reduction in splenectomies is significant (p < 0.001). There is an increase in the rate of treated patients (splenectomy and SAE) from 38 to 53 % in the two time periods, but not significantly (p = 0.65). Conclusion The rate of salvaged spleens has increased after the introduction of SAE in our center.en_US
dc.descriptionPublished version. Source at <a href=http://doi.org/10.1186/s13049-015-0163-6>http://doi.org/10.1186/s13049-015-0163-6</a>.en_US
dc.identifier.citationScandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2015, 23:85-90en_US
dc.identifier.issn1757-7241
dc.identifier.otherFRIDAID 1286090
dc.identifier.other10.1186/s13049-015-0163-6
dc.identifier.urihttps://hdl.handle.net/10037/8725
dc.identifier.urnURN:NBN:no-uit_munin_8280
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.rights.accessRightsopenAccess
dc.subjectSpleenen_US
dc.subjectTraumaen_US
dc.subjectGeneral surgeryen_US
dc.subjectClinical codingen_US
dc.subjectInterfacility transferen_US
dc.subjectAbbreviated injury scaleen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::General surgery: 780en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Generell kirurgi: 780en_US
dc.titleThe treatment of spleen injuries: a retrospective studyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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