Clinical and Epidemiological Characteristics of Patients with Splenic Trauma
Keywords:
spleen; splenic trauma; epidemiologyAbstract
Introduction: Splenic trauma is the result of an incident caused by an event capable of generating an injury that affects the structure and functionality of the spleen.
Objective: To describe the clinical and epidemiological characteristics of patients with splenic trauma.
Methods: A descriptive, ambispective, cross-sectional study was conducted with 65 patients treated in the general surgery department of the Dr. Miguel Enríquez University Hospital between January 2019 and December 2024.
Results: Forty percent of patients were between 30 and 39 years old, and 84.6% were male. Traffic accidents accounted for 80% of the mechanisms of trauma. Sixty percent of the injured patients presented with tachycardia, and 38.4% had grade III injuries, according to the American Association for the Surgery of Trauma's splenic injury scale.
Conclusions: Splenic trauma requires multidisciplinary treatment and is constantly changing, which is why protocols are needed in every institution. Although hospital stay indicators are standardized, the authors believe that using a general indicator as a reference is not an accurate measure of resource use for making patient care more efficient, as the priority is the patient's recovery.
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References
1. Berger LR, Mohan D. Injury control: A global view. New Delhi, India: Oxford University Press; 2016.
2. Baker SP, O′Neil B, Ginsburg MJ, Li G. The injury fact book. 3rd edition. New York: Oxford University Press; 2022.
3. Hemmila MR, Wahl WL. Management of injured patient. In: Dorethy GM, editor. Current surgical diagnosis and treatment. N.York: McGraw-Hill Medical;2023 p 227-8.
4. Costa G, Tierno SM, Tomassini F, Venturini L, Frezza B, Cancrini G, et al. The epidemiology and clinical evaluation of abdominal trauma. An analysis of a multidisciplinary trauma registry. Ann Ital Chir. 2010 [acceso 25/01/25];81:95-102. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20726387/
5. Akoury T, Whetstone DR. Splenic rupture. In: StatPearls. StatPearls Publishing. 2020 [acceso 12/12/2021]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK525951
6. Pastor SA, Villacres WO, Maldonado MN, Medina PA, Monar EP, Díaz CV, et al. Trauma esplénico: diagnostico, clasificación y tratamiento. Una revisión de la literatura actual. Vive Rev Salud. 2021;4(11):266-74. DOI: https://doi.org/10.33996/revistavive.v4i11.100
7. Moore EE, Cogbill TH, Jurkovich GJ, Jurkovich GJ, Shackford SR, Malangoni MA, et al. Organ injury scaling: spleen and liver (1994 revision). J Trauma. 1995; 38:323-4. DOI: https://doi.org/10.1097/00005373-199503000-00001
8. Coccolini F, Montori G, Catena F, Kluger Y, Biffl W, Moore WW, et al. Splenic trauma: WSES classification and guidelines for adult and pediatric patients. World Journal of Emergency Surgery. 2017;12:40. DOI: https://doi.org/10.1186/s13017-017-0151-4
9. Villarreal EI, Armijos JA, Ludeña LD, Guerra TM. Trauma esplénico, manejo quirúrgico y conservador, artículo de revisión. Pol Con. 2022;7(12):391-402. DOI: https://doi.org/10.23857/pc.v7i12
10. El-Matbouly M, Jabbour G, El-Menyar A, Peralta R, Abdelrahman H, Zarour A, et al. Blunt splenic trauma: Assessment, management and outcomes. Surg J R Coll Surg Edinb Irel. 2016;14(1):52-8. DOI: https://doi.org/10.1016/j.surge.2015.08.001
11- Gill S, Hoff J, Mila A, Sánchez C, McKenney M, Elkbuli A. Post-traumatic splenic injury outcomes for nonoperative and operative management: a systematic review. World J Surg. 2021;45(7):2027-36. DOI: https://doi.org/10.1007/s00268-021-06063-x
12. Yildiz A, Özpek A, Topçu A, Yücel M, Ezberci F. Blunt splenic trauma: Analysis of predictors and risk factors affecting the non-operative management failure rate. Ulus Travma Acil Cerrahi Derg. 2022;28:1428-36. DOI: https://doi.org/10.14744/tjtes.2022.95476
13. Acosta D. Manejo de traumatismo esplénico en el Hospital Nacional de Itauguá. Med Clín Soc. 2023;7(2):48. DOI: https://doi.org/10.52379/mcs.v7i2.277
14. Evers G, Medina R, Sanjuán J, Serrano S, Rodríguez MA, Sánchez G. Caracterización de pacientes con trauma esplénico atendidos en un hospital de tercer nivel entre enero de 2000 y diciembre de 2017. Rev Colomb Cir. 2020 35:464-71. DOI: https://doi.org/10.30944/20117582.729
15. Thakur S, Awan NA, Mushtaq U, Jeelani S, Attri MR, Gilkar IA, et al. Non operative management of isolated traumatic splenic injury. Int Surg J. 2021;8:1101-8. DOI: https://dx.doi.org/10.18203/2349-2902.isj20211006
16. Mohamed M, Kabbash M, El-Ziat I, Talha K. Outcome of management of splenic injury in Aswan University Hospital. Aswan University Med Journal. 2022;2(2):186-201. DOI: https://doi.org/10.21608/aumj.2022.167687.1026
17. Rode A, Bansod PY, Gaikwad U, Pind VR, Kulkarni TV, Mandhare AV, et al. Clinical review of splenic trauma in central India: a prospective observational study. Int Surg J. 2021;8:2951-5. DOI: https://dx.doi.org/10.18203/2349-2902.isj20213975
18. Ogbuanya AU, Ajuluchuku UE, Nnadozie UU, Otuu O, Umezurike DA, Kwento N. Splenic injuries in native Africans: Presentation, limitations of management, and treatment outcomes in a civilian trauma service in Southeast Nigeria. Ann Afr Med. 2022;21:327-38. DOI: https://doi.org/10.4103/aam.aam_53_21
19. Spittle A, Britcliffe A, Hamilton MJ. Splenic trauma in the Northern Territory; the impact of an interventional radiology service on splenic trauma management and outcomes. Heliyon. 2023;9:e16993. DOI: https://doi.org/10.1016/j.heliyon.2023.e16993
20. Kumar S, Katiyar V, Sharma S, Srivastava VP, Bhartiya SK, Mishra SP. A clinical review and experience of splenic trauma in North India: A retrospective observational study. Cureus. 2024;16(3):e55384. DOI: https://doi.org/10.7759/cureus.5538
21. Alamri Y, Moon D, Yen DA, Wakeman C, Eglinton T, Frizelle F. Ten-year experience of splenic trauma in New Zealand: the rise of non-operative management. NZMJ. 2017 [acceso 25/01/25];130(1463):11-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28981490/
22. Su YC, Ou CY, Yang TH, Hung KS, Wu CH, Wang CJ, et al. Abdominal pain is a main manifestation of delayed bleeding after splenic injury in patients receiving non‑operative management. Scientific Reports. 2022;12:19871. DOI: https://doi.org/10.1038/s41598-022-24399-9
23. Waseem M, Bjerke S. Splenic injury (Presentation). NCBI Bookshelf. Weill Cornell Medicine New York and New York Medical College, University of Hawaii; 2024 [acceso 25/01/2025]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28723022
24. Gamberini L, Tartaglione M, Giugni A, Alban L, Allegri D, Coniglio C, et al. The role of prehospital ultrasound in reducing time to definitive care in abdominal trauma patients with moderate to severe liver and spleen injuries. Injury. 2022;53(5):1587-95. DOI: https://doi.org/10.1016/j.injury.2021.12.008
25. Nar AS, Lubana HS, Jabbal HS, Singh R, Mishra A, Birring CS, Outcomes in splenic injury at a high volume tertiary care centre. Int Surg J. 2019;6:4090-4. DOI: http://dx.doi.org/10.18203/2349-2902.isj20195128
26. Musetti S, Coccolini F, Tartaglia D, Cremonini C, Strambi S, Cicuttin E, et al. Non-operative management in blunt splenic trauma: A ten-years-experience at a level 1 Trauma Center. Emergency Care Journal. 2022;18:10339. DOI: https://doi.org/10.4081/ecj.2022.10339
27. Kasula J, Yerroju K, Masood SV, Pindicura CV, Quadri SS. A profi le of splenic trauma cases managed at a tertiary care center. J NTR Univ Health Sci. 2016;5:7-12. DOI: https://doi.org/10.4103/2277-8632.178947
28. Jesani H, Jesani L, Rangaraj A, Rasheed A. Splenic trauma, the way forward in reducing splenectomy: our 15-year experience. Ann R Coll Surg Engl. 2020;102:263-70. DOI: https://doi.org/10.1308/rcsann.2019.016
29. Lin BC, Wu CH, Wong YC, Chen·HW, Fu CJ, Huang CC, et al. Splenic artery embolization changes the management of blunt splenic injury: an observational analysis of 680 patients graded by the revised 2018 AAST‑OIS. Surgical Endoscopy 2023;37:371-81. DOI: https://doi.org/10.1007/s00464-022-09531-0
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