TY  - JOUR
PY  - 2017//
TI  - Ten-year experience of splenic trauma in New Zealand: the rise of non-operative management
JO  - New Zealand medical journal
A1  - Alamri, Yassar
A1  - Moon, Dana
A1  - Yen, Damien Ah
A1  - Wakeman, Chris
A1  - Eglinton, Tim
A1  - Frizelle, Frank
SP  - 11
EP  - 18
VL  - 130
IS  - 1463
N2  - AIM: The aim of this study was to describe the demographics, mechanisms of injury, management and outcomes in patients who suffered splenic trauma in Christchurch, New Zealand. <br><br>METHODS: A retrospective study included all splenic injury patients admitted to Christchurch Public Hospital between January 2005 and August 2015. <br><br>RESULTS: A total of 238 patients were included, with a median age of 26 years (4-88.7). Of these, 235 patients had blunt injuries. Eighty-nine had high-grade injuries. Yearly admissions of splenic trauma patients have gradually increased. A total of 173 (72.7%) patients were managed with observation; 28 patients (11.8%) had radiological intervention and 37 patients (15.5%) had splenectomy. Patients who died were significantly more likely to be older (median, 46.5 vs 25.2 years, p=0.04) and to have been admitted to ICU (100% vs 32%, p=<0.001). <br><br>CONCLUSION: Splenic injuries have shown a steady increase in the last decade. Splenectomy rates have decreased in favour of non-operative techniques. Radiological intervention with splenic artery embolisation was successful in all selected patients with high-grade injuries.<p />  <p>Language: en</p>
LA  - en
SN  - 0028-8446
UR  - http://dx.doi.org/
ID  - ref1
ER  -