Authors: Richard R W Brady Mark Bandari Jan J Kerssens Simon PatersonBrown Rowan W Parks
Publish Date: 2007/09/12
Volume: 31, Issue: 11, Pages: 2111-2116
Abstract
Splenic trauma is a common organ injury following blunt abdominal trauma In order to establish the contemporary epidemiology of blunt splenic trauma in Scotland and to detect risk factors associated with patient outcomes analysis of a multicenter database of trauma patients was performed672 13 patients 530 males 142 females with splenic trauma were identified of them 579 862 had blunt trauma and 93 138 had penetrating trauma The mean age of patients with blunt splenic trauma was 357 years 338 years for males 420 years for females Increasing age and female sex was significantly associated with mortality The most common mechanism for injury was road traffic accidents 71 In the series 938 of patients had concomitant injuries including head injuries 465 thoracic injuries 377 and liver injuries 30 A total of 299 516 patients proceeded to laparotomy and 256 442 patients required ICU support The overall mortality was 335 and the median Injury Severity Score was 48 in patients who died compared to 22 in those who survived Increased mortality was associated with concomitant aortic cardiac or abdominal injuries A number of independent risk factors were associated with increased risk of mortality including concomitant injuries increased age and increased Injury Severity Score
Keywords: