Age over 40 years increases the failure rate of non-operative management of blunt splenic injuries
Détails
ID Serval
serval:BIB_6596DC45282C
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Abstract (résumé de présentation): article court qui reprend les éléments essentiels présentés à l'occasion d'une conférence scientifique dans un poster ou lors d'une intervention orale.
Collection
Publications
Institution
Titre
Age over 40 years increases the failure rate of non-operative management of blunt splenic injuries
Titre de la conférence
97th Annual Congress of the Swiss Society of Surgery
Adresse
Interlaken, Switzerland, May 26-28, 2010
ISBN
1365-2168
Statut éditorial
Publié
Date de publication
2010
Volume
97
Série
British Journal of Surgery
Pages
10
Langue
anglais
Résumé
Objective: Non-operative management (NOM) of blunt splenic injuries (BSI)
is nowadays considered the standard treatment. The study aimed to determine
the criteria applied for NOM and to identify risk factors for its failure.
Methods: Review of all adult patients with BSI treated at the University
Hospital Bern, Switzerland, between 2000 and 2008.
Results: There were 206 patients (146 men, 70·9%) with a mean age of
38·2 ± 19·1 years and an Injury Severity Score of 30·9 ± 11·6. The American
Association for the Surgery of Trauma classification of the splenic injury was:
grade I, n=43 (20·9%); grade II, n=52 (25·2%); grade III, n=60 (29·1%); grade
IV, n=42 (20·4%) and grade V, n=9 (4·4%). 47 patients (22·8%) required
immediate surgery. Five or more units of red cell transfusions (P<0·001),
Glasgow Coma Scale<11 (P=0·009) and age ≥55 years (P=0·038) were
associated with primary operative management (OM). 159 patients (77·2%)
qualified for NOM, which was successful in 89·9% (143/159). The overall
splenic salvage rate was 69·4% (143/206). Multivariate analysis found age
≥40 years to be the only factor independently related to the failure of NOM
(P=0·001).
Conclusion: Advanced age is associated with an increased failure rate ofNOM
in patients with BSI.
is nowadays considered the standard treatment. The study aimed to determine
the criteria applied for NOM and to identify risk factors for its failure.
Methods: Review of all adult patients with BSI treated at the University
Hospital Bern, Switzerland, between 2000 and 2008.
Results: There were 206 patients (146 men, 70·9%) with a mean age of
38·2 ± 19·1 years and an Injury Severity Score of 30·9 ± 11·6. The American
Association for the Surgery of Trauma classification of the splenic injury was:
grade I, n=43 (20·9%); grade II, n=52 (25·2%); grade III, n=60 (29·1%); grade
IV, n=42 (20·4%) and grade V, n=9 (4·4%). 47 patients (22·8%) required
immediate surgery. Five or more units of red cell transfusions (P<0·001),
Glasgow Coma Scale<11 (P=0·009) and age ≥55 years (P=0·038) were
associated with primary operative management (OM). 159 patients (77·2%)
qualified for NOM, which was successful in 89·9% (143/159). The overall
splenic salvage rate was 69·4% (143/206). Multivariate analysis found age
≥40 years to be the only factor independently related to the failure of NOM
(P=0·001).
Conclusion: Advanced age is associated with an increased failure rate ofNOM
in patients with BSI.
Open Access
Oui
Création de la notice
02/02/2011 11:47
Dernière modification de la notice
20/08/2019 15:21
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