ArticleEuropean surgery : ACA : Acta chirurgica Austriaca2018
Non-operative management of blunt hepatic and splenic injuries-practical aspects and value of radiological scoring systems.
Article in European surgery : ACA : Acta chirurgica Austriaca, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Value of repeat CT for nonoperative management of patients with blunt liver and spleen injury: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Pooled it
- Liver trauma: WSES 2020 guidelines.World journal of emergency surgery : WJES · 2020Guideline
- Spread and feasibility of non-operative management (NOM) of traumatic splenic injuries in adults: a national survey.Updates in surgery · 2024Article
- The predictive value of CTSI scoring system in non-operative management of patients with splenic blunt trauma: The experience of a level 1 trauma center.European journal of radiology open · 2023Article
- Severe liver trauma with complex portal and common bile duct avulsion: A case report and review of the literature.World journal of clinical cases · 2023Article
- Automated quantitative assessment of pediatric blunt hepatic trauma by deep learning-based CT volumetry.European journal of medical research · 2022Article
- Atraumatic splenic rupture in a child with COVID 19.BMC pediatrics · 2022Article
- Liver Trauma: Until When We Have to Delay Surgery? A Review.Life (Basel, Switzerland) · 2022Review
- Non-operative management of blunt splenic trauma: evolution, results and controversies.Revista do Colegio Brasileiro de Cirurgioes · 2021Review
- Contemporary Management of Hepatic Trauma: What IRs Need to Know.Seminars in interventional radiology · 2020Review
- Non-operative management of blunt hepatic and splenic injury: a time-trend and outcome analysis over a period of 17 years.World journal of emergency surgery : WJES · 2019Article
- In Solid Organ Injury Patients Requiring Blood Transfusion, Hemostatic Procedures are Associated with Improved Survival Over Observation.Journal of emergencies, trauma, and shockArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNon-operative management (NOM) of blunt hepatic and splenic injuries has become popular in haemodynamically stable adult patients, despite uncertainty about efficacy, patient selection, and details of management. Up-to-date strategies and practical recommendations are presented.
methodsA selective literature search was conducted in PubMed and the Cochrane Library (1989-2016).
resultsNo randomized clinical trial was found. Non-randomized controlled trials and large retrospective and prospective series dominate. Few systematic reviews and meta-analyses are available. NOM of selected patients with blunt liver and spleen injuries is associated with low morbidity and mortality. Only data of limited evidence are available on intensity and duration of patient monitoring, repeat imaging, antithrombotic prophylaxis and return to normal activity. There is high-level evidence on early mobilisation and post-splenectomy vaccination.
conclusionNOM of blunt liver or spleen injuries is a worldwide trend, but the literature does not provide high-grade evidence for this strategy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.