- Title
- Factors predicting the need for splenectomy in children with blunt splenic trauma
- Creator
- Fick, Anton E. A.; Raychaudhuri, Prasenjit; Bear, John; Roy, Gerrad; Balogh, Zsolt; Kumar, Rajendra
- Relation
- ANZ Journal of Surgery Vol. 81, Issue 10, p. 717-719
- Publisher Link
- http://dx.doi.org/10.1111/j.1445-2197.2010.05591.x
- Publisher
- Wiley-Blackwell Publishing Asia
- Resource Type
- journal article
- Date
- 2011
- Description
- Background/Purpose: Non-operative management of blunt splenic trauma (BST) in children is the standard of care with a success rate of greater than 90%. This paper aims to determine the factors which could predict the need for operative intervention in children with BST. Methods: Prospectively entered data of 69 children with BST, between 1997 and 2008, from a single tertiary level trauma centre, were retrospectively analysed. A radiologist blinded to the outcome reviewed all computed tomography scans retrospectively. Results: Forty-two children had isolated BST (61%) and 27 children had associated injuries (39%). All except one survived the injury and non-operative treatment was successful in 91%. Six of the 69 children (9%) with BST underwent splenectomy. There was no independent correlation to age, gender, mechanism of injury (MOI), injury grade and the need for splenectomy, whereas haemodynamic instability within 6 h of injury defined as failed resuscitation had a 100% correlation. Conclusion: Haemodynamic instability, which failed to respond to resuscitation within 6 h, predicted the need for splenectomy in children with BST. Splenic injury grade assessed by computed tomography scan does not predict the need for splenectomy.
- Subject
- blunt splenic trauma; non operative management; paediatric; splenectomy
- Identifier
- http://hdl.handle.net/1959.13/936469
- Identifier
- uon:12321
- Identifier
- ISSN:1445-1433
- Language
- eng
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