Treatment of Splenic Trauma: a Retrospective Cohort Study

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

109 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-09-30

Study Completion Date

2015-10-31

Brief Summary

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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.

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Detailed Description

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Conditions

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Splenic Injury

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Splenic injury

All patients admitted at the University Hospital North Norway Tromsø with a splenic injury following trauma, are included in the study.

Treatment of splenic injury

Intervention Type PROCEDURE

There are four possible treatments of splenic injury in this study:

* splenectomy
* splenic artery embolisation
* non-operative management
* any combination of the three treatments mentioned

Interventions

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Treatment of splenic injury

There are four possible treatments of splenic injury in this study:

* splenectomy
* splenic artery embolisation
* non-operative management
* any combination of the three treatments mentioned

Intervention Type PROCEDURE