Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4)
Latest & greatest articles for Splenic Injury
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on Splenic Injury or other clinical topics then use Trip today.
This page lists the very latest high quality evidence on Splenic Injury and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.
What is Trip?
Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.
Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.
As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.
For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via firstname.lastname@example.org
Anesthesia Assistance in Outpatient Colonoscopy and Risk of Aspiration Pneumonia, Bowel Perforation, and SplenicInjury The increase in use of anesthesia assistance (AA) to achieve deep sedation with propofol during colonoscopy has significantly increased colonoscopy costs without evidence for increased quality and with possible harm. We investigated the effects of AA on colonoscopy complications, specifically bowel perforation, aspiration pneumonia, and splenic injury.In a population-based (...) cohort study using administrative databases, we studied adults in Ontario, Canada undergoing outpatient colonoscopy from 2005 through 2012. Patient, endoscopist, institution, and procedure factors were derived. The primary outcome was bowel perforation, defined using a validated algorithm. Secondary outcomes were splenicinjury and aspiration pneumonia. Using a matched propensity score approach, we matched persons who had colonoscopy with AA (1:1) with those who did not. We used logistic regression
Conservative Management of Combined Pleural and SplenicInjury During Percutaneous Nephrostolithotomy Splenicinjuries related to percutaneous nephrostolithotomy (PCNL) are infrequent. Herein, we report a combined splenic and pleural injury incurred during PCNL along with radiographic images documenting the complication. A review of management techniques for similar injuries is included.
in mortality of these injuries.  Pachter et al.,  in 1998, showed that 65% of all blunt splenicinjuries and could be managed nonoperatively with minimal transfusions, morbidity, or mortality, with a success rate of 98%. These issues were first addressed by the Eastern Association for the Surgery of Trauma (EAST) in the Practice Management Guidelines for Non-operative Management of Blunt Injury to the Liver and Spleen published online in 2003.  Since that time, a large volume of literature (...) normal blunt abdominal trauma patient without peritonitis, an abdominal CT scan with intravenous contrast should be performed to identify and assess the severity of injury to the spleen. Angiography should be considered for patients with American Association for the Surgery of Trauma (AAST) grade of greater than III injuries, presence of a contrast blush, moderate hemoperitoneum, or evidence of ongoing splenic bleeding. Nonoperative management of splenicinjuries should only be considered
Hospital characteristics associated with the management of pediatric splenicinjuries. Despite evidence that more than 90% of children with traumatic injuries to the spleen can be successfully managed nonoperatively, there is significant variation in the use of splenectomy. As asplenic children are at increased risk of overwhelming postsplenectomy infection, nonoperative management may be considered a quality of care indicator.To test the hypothesis that children are more likely to undergo (...) splenectomy in general hospitals than in children's hospitals.Retrospective cohort study using data from the Kid's Inpatient Database (KID) for the year 2000. Multivariable regression was used to control for patient and hospital characteristics.All children aged 0 to 16 years who were hospitalized with a traumatic (noniatrogenic) spleeninjury in nonfederal short-stay hospitals in any of the 27 states participating in KID (N = 2851).Splenectomy performed within 1 day of arrival.A total of 11 children (3
of clinical study was not clearly reported. The primary health outcomes were the frequency of use of different methods of management of splenicinjuries, and mortality. The nonoperative group had similar trauma scores but lower injury severity scores than the SP group. The latter group was twice as likely to be in shock on admission. The injury severity was similar between the no spleen operation (NO) and SPOR groups. The SPOR with SP group had in turn a higher rate of shock and mean injury severity score (...) at admission than the other groups. Effectiveness results Of 1255 patients who had splenicinjuries, 499 had no spleen operation (NO); 596 patients had splenectomy (SP) as initial therapy; 150 underwent splenorrhaphy (SPOR), with an additional 10 patients undergoing splenorrhaphy initially and later requiring splenectomy (SPOR/SP). Overall, the percentage of patients treated with NO was 40%. The rate of mortality by group was reported as follows: NO group, 12.7%; SPOR, 5%; SP only, 14.8%; SPOR/SP 20
. Bibliographic details Keller M S, Vane D W. Management of pediatric blunt splenicinjury: comparison of pediatric and adult trauma surgeons. Journal of Pediatric Surgery 1995; 30(2): 221-225 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Adolescent; Analysis of Variance; Blood Transfusion; Chi-Square Distribution; Child; Child, Preschool; Humans; Infant; Length of Stay; Outcome and Process Assessment (Health Care); Registries; Spleen /injuries /surgery; Splenectomy /adverse effects (...) Management of pediatric blunt splenicinjury: comparison of pediatric and adult trauma surgeons Management of pediatric blunt splenicinjury: comparison of pediatric and adult trauma surgeons Management of pediatric blunt splenicinjury: comparison of pediatric and adult trauma surgeons Keller M S, Vane D W Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results