ArticleWorld journal of surgery2017
Single Versus Multiple Solid Organ Injuries Following Blunt Abdominal Trauma.
Article in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 38 citations in OpenAlex.
- Prognostic Factors of Mortality and Clinical Characteristics of Patients Surgically Treated for Blunt Liver Injury-A Single-Center Experience.Journal of clinical medicine · 2026Article
- Patterns, Severity, and Outcomes of Solid Organ Injuries in Abdominal Trauma: A Prospective Observational Study.Cureus · 2026Article
- Injury patterns and seat belt effectiveness in pregnant motor vehicle occupants: evidence from US crash data, 1998-2021.Injury epidemiology · 2025Article
- Kidneys on the Frontline: Nephrologists Tackling the Wilds of Acute Kidney Injury in Trauma Patients-From Pathophysiology to Early Biomarkers.Diagnostics (Basel, Switzerland) · 2025Review
- Evaluation of management of CT scan proved solid organ injury in blunt injury abdomen-a prospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- Article
- Predictive parameters for early detection of clinically relevant abdominal trauma in multiple-injury or polytraumatised patients: a retrospective analysis.European journal of medical research · 2024Article
- Deep Learning for Automated Detection and Localization of Traumatic Abdominal Solid Organ Injuries on CT Scans.Journal of imaging informatics in medicine · 2024Article
- The application of deep learning in abdominal trauma diagnosis by CT imaging.World journal of emergency surgery : WJES · 2024Article
- Successful nonoperative management of a simultaneous high-grade splenic injury and devascularized kidney in Australia: a case report.Journal of trauma and injury · 2023Article
- Article
- The Predictive Role of Systemic Inflammatory Markers in the Development of Acute Kidney Failure and Mortality in Patients with Abdominal Trauma.Journal of personalized medicine · 2022Article
- Non-operative management for abdominal solidorgan injuries: A literature review.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2022Review
- Blunt liver trauma: effectiveness and evolution of non-operative management (NOM) in 145 consecutive cases.Updates in surgery · 2020Article
- Article
- Contrast-enhanced ultrasound in the evaluation of splenic injury healing time and grade.La Radiologia medica · 2019Article
- Shock index in patients with traumatic solid organ injury as a predictor of massive blood transfusion protocol activation.Injury epidemiology · 2019Article
- Mortality in Patients with Splenic Injuries: The Role of Multi-Organ Failure.World journal of surgery · 2018Article
- Laparoscopic splenectomy after trauma: Who, when and how. A systematic review.Journal of minimal access surgeryReview
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe aimed to describe the pattern of solid organ injuries (SOIs) and analyze the characteristics, management and outcomes based on the multiplicity of SOIs.
methodsA retrospective study in a Level 1 trauma center was conducted and included patients admitted with blunt abdominal trauma between 2011 and 2014. Data were analyzed and compared for patients with single versus multiple SOIs.
resultsA total of 504 patients with SOIs were identified with a mean age of 28 ± 13 years. The most frequently injured organ was liver (45%) followed by spleen (30%) and kidney (18%). One-fifth of patients had multiple SOIs, of that 87% had two injured organs. Patients with multiple SOIs had higher frequency of head injury and injury severity scores (p < 0.05). The majority of SOIs were treated nonoperatively, whereas operative management was required in a quarter of patients, mostly in patients with multiple SOIs (p = 0.01). Blood transfusion, sepsis and hospital stay were greater in multiple than single SOIs (p < 0.05). The overall mortality was 11% which was comparable between the two groups. In patients with single SOIs, the mortality was significantly higher in those who had pancreatic (28.6%) or hepatic injuries (13%) than the other SOIs.
conclusionSOIs represent one-tenth of trauma admissions in Qatar. Although liver was the most frequently injured organ, the rate of mortality was higher in pancreatic injury. Patients with multiple SOIs had higher morbidity which required frequent operative management. Further prospective studies are needed to develop management algorithm based on the multiplicity of SOIs.
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