Table 1 Baseline characteristics
Total high grade (N = 28) | High grade splenic injuries | |||
|---|---|---|---|---|
Group A: Initially no splenectomy (N = 13) | Group B: Initial splenectomy (N = 15) | P-value | ||
Age at trauma, years | 39 (25–52) | 40 (29–51) | 37 (23–55) | 0.580 |
Gender (M/F) | 25/3 | 11/2 | 14/1 | 0.457 |
Injury Severity Score | 34 (27–44) | 29 (23–35) | 34 (29–57) | 0.096 |
AIS spleen | ||||
Grade 4 | 20 | 13 | 7 | na |
Grade 5 | 8 | 0 | 8 | |
Hemodynamically stable (N/Y) | 18/10 | 3/10 | 15/0 | < 0.001 |
Blush on CT | 7 | 3 | 4 | 0.827 |
Treatment | ||||
Conservative | 5 | 5 | 0 | na |
Embolization | 7 | 7 | 0 | |
Hemostatic agent + lap. | 1 | 1 | 0 | |
Splenectomy | 15 | 0 | 15 | |
Mechanism of injury | ||||
Motor cyclist | 11 | 5 | 6 | na |
Pedal cyclist | 4 | 2 | 2 | |
Pedestrian | 0 | 0 | 0 | |
Car occupant | 8 | 6 | 2 | |
Fall | 3 | 0 | 3 | |
Other | 2 | 0 | 2 | |
Transfer from other hospital | 5 | 3 | 2 | 0.502 |
Glasgow Coma Scale | 15 (9–15) | 15 (14–15) | 15 (3–15) | 0.019 |
Total blood transfusion | ||||
Erythrocyte concentrate | 4 (0–6) | 1 (0–4) | 5 (2–8) | 0.005 |
Fresh frozen plasma | 3 (0–5) | 0 (0–4) | 4 (2–9) | 0.014 |
Thrombocytes | 0 (0–1) | 0 (0–1) | 1 (0–2) | 0.013 |
Pulse rate | 89 (78–114) | 81 (69–110) | 90 (82–129) | 0.240 |
Systolic blood pressure | 107 (95–127) | 112 (95–132) | 103 (95–121) | 0.279 |
Respiratory rate | 20 (17–23) | 20 (17–22) | 19 (17–25) | 0.699 |
Serum Hemoglobin | 7.7 (7.0–8.7) | 8.7 (7.5–9.1) | 7.2 (6.5–8.2) | 0.019 |
Platelets | 206 (168–271) | 204 (169–284) | 208 (160–254) | 0.696 |
Lactate | 2.9 (2.1–4.7) | 2.1 (1.7–3.6) | 4.1 (2.7–5.4) | 0.016 |
Leukocytes | 15.8 (11.4–20.9) | 14.1 (9.8–21.2) | 17.3 (12.7–20.9) | 0.558 |