NCT01965548

Treatment of Splenic Trauma: a Retrospective Cohort Study

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 109 (actual)
• Sponsor: University Hospital of North Norway · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

In blunt trauma, the spleen is most frequent injured organ in the abdomen and the most frequent source of bleeding in the abdomen. Historically, splenectomy was the treatment of choice for splenic bleeding. For exsanguinating patients, open splenectomy is still the proper choice of treatment if the spleen is a significant source of bleeding. However, for hemodynamic stable patients with splenic injury, non-operative management (NOM) is an alternative, assuming they have no other indication for surgery (peritonitis). Non-operative management includes observation and/or splenic artery embolisation (SAE), but the indications for observation and SAE varies between trauma centers. The greatest advantage of NOM is the preservation of splenic function. In the investigators hospital splenic artery embolisation was introduced in 2007. The investigators want to describe the treatment of splenic injuries in their hospital, to see if the number of splenectomies has been recduced after 2007, and to see if SAE has also been used in transferred trauma patients.

Conditions

• Splenic Injury

Interventions

Type	Name	Description
PROCEDURE	Treatment of splenic injury	There are four possible treatments of splenic injury in this study: * splenectomy * splenic artery embolisation * non-operative management * any combination of the three treatments mentioned

Timeline

• Start date: 2014-09-01
• Primary completion: 2015-10-01
• Completion: 2015-10-01
• First posted: 2013-10-18
• Last updated: 2016-01-11

Locations

1 site across 1 country: Norway