Emergency CT for assessment and management of blunt traumatic splenic injuries at a Level 1 Trauma Center: 13-year study

Emergency Radiology
Sergio MargariAngelo Vanzulli

Abstract

To determine the relationship between multidetector computed tomography (MDCT) findings, management strategies, and ultimate clinical outcomes in patients with splenic injuries secondary to blunt trauma. This Institutional Review Board-approved study collected 351 consecutive patients admitted at the Emergency Department (ED) of a Level I Trauma Center with blunt splenic trauma between October 2002 and November 2015. Their MDCT studies were retrospectively and independently reviewed by two radiologists to grade splenic injuries according to the American Association for the Surgery of Trauma (AAST) organ injury scale (OIS) and to detect intraparenchymal (type A) or extraparenchymal (type B) active bleeding and/or contained vascular injuries (CVI). Clinical data, information on management, and outcome were retrieved from the hospital database. Statistical analysis relied on Student's t, chi-squared, and Cohen's kappa tests. Emergency multiphase MDCT was obtained in 263 hemodynamically stable patients. Interobserver agreement for both AAST grading of injuries and vascular lesions was excellent (k = 0.77). Operative management (OM) was performed in 160 patients (45.58% of the whole cohort), and high-grade (IV and V) OIS injuries an...Continue Reading

References

Feb 1, 1994·AJR. American Journal of Roentgenology·C D BeckerW Schweizer
Jul 1, 1993·AJR. American Journal of Roentgenology·K ShanmuganathanE R Sover
Jul 20, 2002·AJR. American Journal of Roentgenology·Jürgen K WillmannDominik Weishaupt
Mar 12, 2005·The Journal of Trauma·James M HaanThomas M Scalea
Apr 26, 2005·Journal of the American College of Surgeons·J David Richardson
Jul 26, 2005·Journal of the American College of Surgeons·Andrew B PeitzmanUNKNOWN Eastern Association for the Surgery of Trauma Multiinstitutional Trials Workgroup
Sep 2, 2006·Journal of Intensive Care Medicine·Deborah M Stein, Thomas M Scalea
Apr 5, 2008·Journal of the American College of Surgeons·Helen MarmeryThomas M Scalea
May 31, 2008·Injury·Lynne Moore, David E Clark
Jun 16, 2009·The British Journal of Surgery·K Søreide
Dec 27, 2012·The Journal of Trauma and Acute Care Surgery·Nicole A StassenUNKNOWN Eastern Association for the Surgery of Trauma
Apr 9, 2013·World Journal of Emergency Surgery : WJES·Mohsin RazaPermasavaran Padmanathan Nair
Sep 30, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A BrillantinoG Noschese
Oct 31, 2015·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Trond DehliKristian Bartnes

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Citations

Jan 30, 2019·Annals of Maxillofacial Surgery·Stefan Ihde, Antonina Ihde
Mar 14, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Siobhán B O'NeillSadia R Qamar
Sep 17, 2020·JAMA Surgery·Catherine ArvieuxUNKNOWN Splenic Arterial Embolization to Avoid Splenectomy (SPLASH) Study Group

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