Successful Nonoperative Management of the Most Severe Blunt Liver Injuries: A Multicenter Study of the Research Consortium of New England Centers for Trauma
van der Wilden GM, Velmahos GC, Emhoff T, Brancato S, Adams C, Georgakis G, Jacobs L, Gross R, Agarwal S, Burke P, Maung AA, Johnson DC, Winchell R, Gates J, Cholewczynski W, Rosenblatt M, Chang Y. Successful Nonoperative Management of the Most Severe Blunt Liver Injuries: A Multicenter Study of the Research Consortium of New England Centers for Trauma. JAMA Surgery 2012, 147: 423-428. PMID: 22785635, DOI: 10.1001/archsurg.2012.147.Peer-Reviewed Original ResearchConceptsBlunt liver injurySuccessful nonoperative managementFailure of NOMNonoperative managementLiver injuryF-NOMIndependent predictorsSevere blunt liver injuryTrial of NOMGrade 4Level II trauma centerLiver-specific complicationsLife-threatening complicationsAbdominal organ injuriesRetrospective case seriesSystolic blood pressureLife-threatening eventsHemodynamic instabilityAdult patientsMajor sequelaeBlood pressureOrgan injuryCase seriesTrauma centerMulticenter study