Evidence map›Paper›PMID 38464553›Full record

ArticleTrauma surgery & acute care open2024

Failure rates of nonoperative management of low-grade splenic injuries with active extravasation: an Eastern Association for the Surgery of Trauma multicenter study.

Kristen Spoor, John David Cull, Banan W Otaibi, Joshua P Hazelton, John Chipko, Jessica Reynolds, Sam Fugate, Claire Pederson, Linda B Zier, Lewis E Jacobson and 31 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Trauma surgery & acute care open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Splenic lacerations: a retrospective analysis of management strategies and clinical outcomes.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    Article
  2. Article
  3. 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

41 authors.

Kristen SpoorPrisma Health Upstate, Greenville, South Carolina, USA.
John David CullSurgery, Prisma Health Upstate, Greenville, South Carolina, USA.ORCID 0000-0003-4397-7244
Banan W OtaibiPennsylvania State University, Hershey, Pennsylvania, USA.
Joshua P HazeltonPennsylvania State University, Hershey, Pennsylvania, USA.
John ChipkoResearch Medical Center, Kansas City, Missouri, USA.
Jessica ReynoldsUniversity of Kentucky, Lexington, Kentucky, USA.ORCID 0000-0001-9507-590X
Sam FugateUniversity of Kentucky HealthCare, Lexington, Kentucky, USA.
Claire PedersonMedical Center of the Rockies, Loveland, Colorado, USA.
Linda B ZierMedical Center of the Rockies, Loveland, Colorado, USA.
Lewis E JacobsonTrauma Department, St. Vincent Indianapolis Hospital, Indianapolis, Indiana, USA.
Jamie M WilliamsTrauma Department, St. Vincent Indianapolis Hospital, Indianapolis, Indiana, USA.
Thomas S EasterdayUniversity of Tennessee Health Science Center, Memphis, Tennessee, USA.
Saskya ByerlySurgery, UTHSC COM, Memphis, Tennessee, USA.ORCID 0000-0002-1467-2380
Caleb MentzerDepartment of Surgery, University of Texas McGovern Medical School, Houston, Texas, USA.
Edward HawkeSpartanburg Regional Health System, Spartanburg, South Carolina, USA.
Daniel C CullinaneMaine Medical Center, Portland, Maine, USA.
Julianne B OntengcoSurgery, Maine Medical Center, Portland, Maine, USA.
Nikolay BugaevTufts Medical Center, Boston, Massachusetts, USA.ORCID 0000-0001-6325-6837
Madison LeClairTufts Medical Center, Boston, Massachusetts, USA.
Pascal UdekwuSurgery, WakeMed Health and Hospitals, Raleigh, North Carolina, USA.ORCID 0000-0002-7724-8034
Cooper JosephsWakeMed Health, Raleigh, North Carolina, USA.
Matthew NoorbakshSurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
James BabowiceAllegheny Health Network, Pittsburgh, Pennsylvania, USA.
Catherine Garrison VelopulosUniversity of Colorado, Denver, Colorado, USA.
Shane UrbanDepartment of Surgery, University of Colorado, Aurora, Colorado, USA.
Anna GoldenbergTrauma, Acute Care Surgery, and Surgical Critical Care, Cooper University Hospital Regional Trauma Center, Camden, New Jersey, USA.
Gaby GhobrialCooper University Hospital, Camden, New Jersey, USA.
John M PickeringErlanger Health System, Chattanooga, Tennessee, USA.
Steven D QuarfordtErlanger Health System, Chattanooga, Tennessee, USA.
Alia F AunchmanUniversity of Vermont Medical Center, Burlington, Vermont, USA.
Aimee K LaRicciaUniversity of Vermont Medical Center, Burlington, Vermont, USA.
Chance SpaldingTrauma and Acute Care Surgery, Grant Medical Center, Columbus, Ohio, USA.
Richard D CatalanoLoma Linda University Adventist Health Sciences Center, Loma Linda, California, USA.
Jordan E BashamLoma Linda University, Loma Linda, California, USA.
Philip M EdmundsonTexas Health Presbyterian Hospital, Dallas, Texas, USA.
Jeffry NahmiasTexas Health Presbyterian Hospital, Dallas, Texas, USA.
Erika TayTexas Health Presbyterian Hospital, Dallas, Texas, USA.
Scott H NorwoodUT Health East Texas, Tyler, Texas, USA.
Katelyn MeadowsUT Health East Texas, Tyler, Texas, USA.
Yee WongPremier Health Partners Inc, Dayton, Ohio, USA.
Claire HardmanWright State Physicians, Department of Surgery, Dayton, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: There is little evidence guiding the management of grade I-II traumatic splenic injuries with contrast blush (CB). We aimed to analyze the failure rate of nonoperative management (NOM) of grade I-II splenic injuries with CB in hemodynamically stable patients. Methods: A multicenter, retrospective cohort study examining all grade I-II splenic injuries with CB was performed at 21 institutions from January 1, 2014, to October 31, 2019. Patients >18 years old with grade I or II splenic injury due to blunt trauma with CB on CT were included. The primary outcome was the failure of NOM requiring angioembolization/operation. We determined the failure rate of NOM for grade I versus grade II splenic injuries. We then performed bivariate comparisons of patients who failed NOM with those who did not. Results: A total of 145 patients were included. Median Injury Severity Score was 17. The combined rate of failure for grade I-II injuries was 20.0%. There was no statistical difference in failure of NOM between grade I and II injuries with CB (18.2% vs 21.1%, p>0.05). Patients who failed NOM had an increased median hospital length of stay (p=0.024) and increased need for blood transfusion (p=0.004) and massive transfusion (p=0.030). Five patients (3.4%) died and 96 (66.2%) were discharged home, with no differences between those who failed and those who did not fail NOM (both p>0.05). Conclusion: NOM of grade I-II splenic injuries with CB fails in 20% of patients. Level of evidence: IV.

Indexed as

abdominal injuriesspleentreatment outcome

Identifiers

PMID38464553
PMCPMC10921525

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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.