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Comparative effectiveness of treatment strategies for severe splenic trauma in the pediatric population.

Publication ,  Journal Article
Rialon, KL; Englum, BR; Gulack, BC; Guevara, CJ; Bhattacharya, SD; Shapiro, ML; Rice, HE; Scarborough, JE; Adibe, OO
Published in: Am J Surg
October 2016

BACKGROUND: Splenic angioembolization (SAE) is increasingly used in the management of splenic injuries in adults, although its value in pediatric trauma is unclear. We sought to assess outcomes related to splenectomy vs SAE. METHODS: The National Trauma Data Bank was queried for patients 0 to 15 years of age from 2007 to 2011. Subgroup analysis of splenectomy vs SAE was performed for high-grade injuries using propensity analysis and inverse probability weighting. RESULTS: Of 11,694 children presenting with splenic trauma, over 90% were treated nonoperatively. Adjusted analysis of high-grade injuries included 265 children who underwent splenectomy and 199 who underwent SAE. The Injury Severity Score, number of transfusions, and complications rates were not significantly different between the 2 groups. Overall adjusted mortality for children with high-grade injuries was 13.4% following splenectomy and 10.0% following SAE (P = .31) CONCLUSION: Patients undergoing SAE for high-grade splenic trauma have comparable morbidity and mortality with splenectomy.

Duke Scholars

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

October 2016

Volume

212

Issue

4

Start / End Page

786 / 793

Location

United States

Related Subject Headings

  • United States
  • Surgery
  • Splenectomy
  • Spleen
  • Postoperative Complications
  • Male
  • Injury Severity Score
  • Infant, Newborn
  • Infant
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Rialon, K. L., Englum, B. R., Gulack, B. C., Guevara, C. J., Bhattacharya, S. D., Shapiro, M. L., … Adibe, O. O. (2016). Comparative effectiveness of treatment strategies for severe splenic trauma in the pediatric population. Am J Surg, 212(4), 786–793. https://doi.org/10.1016/j.amjsurg.2015.06.009
Rialon, Kristy L., Brian R. Englum, Brian C. Gulack, Carlos J. Guevara, Syamal D. Bhattacharya, Mark L. Shapiro, Henry E. Rice, John E. Scarborough, and Obinna O. Adibe. “Comparative effectiveness of treatment strategies for severe splenic trauma in the pediatric population.Am J Surg 212, no. 4 (October 2016): 786–93. https://doi.org/10.1016/j.amjsurg.2015.06.009.
Rialon KL, Englum BR, Gulack BC, Guevara CJ, Bhattacharya SD, Shapiro ML, et al. Comparative effectiveness of treatment strategies for severe splenic trauma in the pediatric population. Am J Surg. 2016 Oct;212(4):786–93.
Rialon, Kristy L., et al. “Comparative effectiveness of treatment strategies for severe splenic trauma in the pediatric population.Am J Surg, vol. 212, no. 4, Oct. 2016, pp. 786–93. Pubmed, doi:10.1016/j.amjsurg.2015.06.009.
Rialon KL, Englum BR, Gulack BC, Guevara CJ, Bhattacharya SD, Shapiro ML, Rice HE, Scarborough JE, Adibe OO. Comparative effectiveness of treatment strategies for severe splenic trauma in the pediatric population. Am J Surg. 2016 Oct;212(4):786–793.
Journal cover image

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

October 2016

Volume

212

Issue

4

Start / End Page

786 / 793

Location

United States

Related Subject Headings

  • United States
  • Surgery
  • Splenectomy
  • Spleen
  • Postoperative Complications
  • Male
  • Injury Severity Score
  • Infant, Newborn
  • Infant
  • Humans