Could the Injury Severity Score be a new indicator for surgical treatment in patients with traumatic splenic injury?
Purpose The purpose of this study was to determine whether a higher Injury Severity Score (ISS) could serve as an indicator of splenectomy in patients with traumatic splenic lacerations. Methods A total of 256 cases of splenic laceration were collected from January 1, 2005 to December 31, 2018. Afte...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2022-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0065.pdf |
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| author | HyeJeong Jeong SungWon Jung Tae Gil Heo Pyong Wha Choi Jae Il Kim Sung Min Jung Heungman Jun Yong Chan Shin Eunhae Um |
| author_facet | HyeJeong Jeong SungWon Jung Tae Gil Heo Pyong Wha Choi Jae Il Kim Sung Min Jung Heungman Jun Yong Chan Shin Eunhae Um |
| author_sort | HyeJeong Jeong |
| collection | DOAJ |
| description | Purpose The purpose of this study was to determine whether a higher Injury Severity Score (ISS) could serve as an indicator of splenectomy in patients with traumatic splenic lacerations. Methods A total of 256 cases of splenic laceration were collected from January 1, 2005 to December 31, 2018. After the application of exclusion criteria, 105 were eligible for this study. Charts were reviewed for demographic characteristics, initial vital signs upon presentation to the emergency room, Glasgow Coma Scale, computed tomography findings, ISS, and treatment strategies. The cases were then divided into nonsplenectomy and splenectomy groups for analysis. Results When analyzed with the chi-square test and t-test, splenectomy was associated with a systolic blood pressure lower than 90 mmHg, a Glasgow Coma Scale score lower than 13, active bleeding found on computed tomography, a splenic laceration grade greater than or equal to 4, and an ISS greater than 15 at presentation. However, in multivariate logistic regression analysis, only active bleeding on computed tomography showed a statistically significant relationship (P=0.014). Conclusions Although ISS failed to show a statistically significant independent relationship with splenectomy, it may still play a supplementary role in traumatic splenic injury management. |
| format | Article |
| id | doaj-art-4806ff1397494f80999e0dca0c867488 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-4806ff1397494f80999e0dca0c8674882025-01-16T04:54:41ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-09-0135318919410.20408/jti.2021.00651185Could the Injury Severity Score be a new indicator for surgical treatment in patients with traumatic splenic injury?HyeJeong Jeong0SungWon Jung1Tae Gil Heo2Pyong Wha Choi3Jae Il Kim4Sung Min Jung5Heungman Jun6Yong Chan Shin7Eunhae Um8 Department of Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea Department of Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea Department of Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea Department of Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea Department of Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea Department of Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea Department of Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea Department of Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea Department of Surgery, Inje University Ilsan Paik Hospital, Goyang, KoreaPurpose The purpose of this study was to determine whether a higher Injury Severity Score (ISS) could serve as an indicator of splenectomy in patients with traumatic splenic lacerations. Methods A total of 256 cases of splenic laceration were collected from January 1, 2005 to December 31, 2018. After the application of exclusion criteria, 105 were eligible for this study. Charts were reviewed for demographic characteristics, initial vital signs upon presentation to the emergency room, Glasgow Coma Scale, computed tomography findings, ISS, and treatment strategies. The cases were then divided into nonsplenectomy and splenectomy groups for analysis. Results When analyzed with the chi-square test and t-test, splenectomy was associated with a systolic blood pressure lower than 90 mmHg, a Glasgow Coma Scale score lower than 13, active bleeding found on computed tomography, a splenic laceration grade greater than or equal to 4, and an ISS greater than 15 at presentation. However, in multivariate logistic regression analysis, only active bleeding on computed tomography showed a statistically significant relationship (P=0.014). Conclusions Although ISS failed to show a statistically significant independent relationship with splenectomy, it may still play a supplementary role in traumatic splenic injury management.http://jtraumainj.org/upload/pdf/jti-2021-0065.pdfspleen lacerationinjury severity scoretraumasplenectomy |
| spellingShingle | HyeJeong Jeong SungWon Jung Tae Gil Heo Pyong Wha Choi Jae Il Kim Sung Min Jung Heungman Jun Yong Chan Shin Eunhae Um Could the Injury Severity Score be a new indicator for surgical treatment in patients with traumatic splenic injury? Journal of Trauma and Injury spleen laceration injury severity score trauma splenectomy |
| title | Could the Injury Severity Score be a new indicator for surgical treatment in patients with traumatic splenic injury? |
| title_full | Could the Injury Severity Score be a new indicator for surgical treatment in patients with traumatic splenic injury? |
| title_fullStr | Could the Injury Severity Score be a new indicator for surgical treatment in patients with traumatic splenic injury? |
| title_full_unstemmed | Could the Injury Severity Score be a new indicator for surgical treatment in patients with traumatic splenic injury? |
| title_short | Could the Injury Severity Score be a new indicator for surgical treatment in patients with traumatic splenic injury? |
| title_sort | could the injury severity score be a new indicator for surgical treatment in patients with traumatic splenic injury |
| topic | spleen laceration injury severity score trauma splenectomy |
| url | http://jtraumainj.org/upload/pdf/jti-2021-0065.pdf |
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