Evidence map›Paper›PMID 37674958›Full record

ArticleCureus2023

Conservative Management of Splenic Injury in Blunt Abdominal Trauma: A Single Center Experience.

Muhammad Osman, Muhammad Alam, Muhammad Iftikhar, Ali Gohar Khan

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 2 countries.

Muhammad OsmanDepartment of General, Benign Upper GI & Colorectal Surgery, Royal Bolton Hospital, Manchester, GBR.
Muhammad AlamDepartment of General Surgery, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Muhammad IftikharDepartment of General Surgery, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Ali Gohar KhanDepartment of General Surgery, Fauji Foundation Hospital, Peshawar, PAK.
Hayatabad Medical Complex · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoad traffic accidents are the greatest cause of death worldwide. Most intra-abdominal injuries caused by blunt abdominal trauma have been treated surgically for a very long period. Over the past few decades, conservative care has gained in popularity and effectiveness as a treatment choice for blunt abdominal trauma.

objectiveTo determine the efficacy of conservative management in patients suffering from splenic injury in blunt abdominal trauma.

methodsThe study included 62 cases of blunt abdominal trauma treated non-operatively in the general surgery department of the Hayatabad Medical Complex Peshawar between June 2021 and December 2022.

resultsMinimal hemoperitoneum was observed in 47 (75.8%) cases, moderate hemoperitoneum was noted in 11 (17.7%) cases, and 4 (6.4%) patients didn't have free fluid in the abdomen. There was no massive hemoperitoneum among the study patients. No major complications were observed during the study period. Only 7 (11.3%) cases develop minimal pleural effusion while 2 (3.2%) patients developed splenic abscess. Mortality was observed in only 1 (1.6%) case.

conclusionsConservative management is a safe and efficient strategy and should be considered as a first line of treatment for all hemodynamically stable patients who suffered blunt splenic injury.

Indexed as

conservative managementnon-operativelyrtasplenic injurytrauma

Identifiers

PMID37674958
PMCPMC10479248
OpenAlexW4385610331

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.