2020
The effect of anticoagulation on outcomes after liver and spleen injuries: A research consortium of New England centers for trauma (ReCONECT) study
Bhattacharya B, Askari R, Davis KA, Dorfman J, Eid AI, Elsharkawy AE, Kasotakis G, Mackey S, Odom S, Okafor BU, Rosenblatt M, Ruditsky A, Velmahos G, Maung AA. The effect of anticoagulation on outcomes after liver and spleen injuries: A research consortium of New England centers for trauma (ReCONECT) study. Injury 2020, 51: 1994-1998. PMID: 32482426, DOI: 10.1016/j.injury.2020.05.002.Peer-Reviewed Original ResearchConceptsNon-ACS patientsEffect of anticoagulationNon-operative managementSpleen injurySplenic injuryLiver injuryInitial non-operative managementSignificant differencesUse of anticoagulationBlood product transfusionMulticenter retrospective studyAC drugsMore PRBCsInjury gradeProduct transfusionCommon indicationAC patientsAtrial fibrillationRetrospective studyAnticoagulationSolid organsPatientsInjuryStudy periodLiver
2017
Natural history of splenic vascular abnormalities after blunt injury
Zarzaur BL, Dunn JA, Leininger B, Lauerman M, Shanmuganathan K, Kaups K, Zamary K, Hartwell JL, Bhakta A, Myers J, Gordy S, Todd SR, Claridge JA, Teicher E, Sperry J, Privette A, Allawi A, Burlew CC, Maung AA, Davis KA, Cogbill T, Bonne S, Livingston DH, Coimbra R, Kozar RA. Natural history of splenic vascular abnormalities after blunt injury. Journal Of Trauma And Acute Care Surgery 2017, 83: 999-1005. PMID: 28570347, DOI: 10.1097/ta.0000000000001597.Peer-Reviewed Original ResearchConceptsBlunt splenic injurySplenic vascular injuryVascular injuryVascular abnormalitiesSplenic injuryTomography scanNatural historyRisks of splenectomyOutcomes of patientsComputed tomography scanNonoperative failureAdult patientsBlunt injuryEarly splenectomyUnderwent splenectomyInjury characteristicsMultivariable analysisTrauma centerTrauma radiologistSplenectomyHigh riskPrognostic studiesPatientsAppropriate managementLevel IIISplenic trauma: WSES classification and guidelines for adult and pediatric patients
Coccolini F, Montori G, Catena F, Kluger Y, Biffl W, Moore E, Reva V, Bing C, Bala M, Fugazzola P, Bahouth H, Marzi I, Velmahos G, Ivatury R, Soreide K, Horer T, ten Broek R, Pereira B, Fraga G, Inaba K, Kashuk J, Parry N, Masiakos P, Mylonas K, Kirkpatrick A, Abu-Zidan F, Gomes C, Benatti S, Naidoo N, Salvetti F, Maccatrozzo S, Agnoletti V, Gamberini E, Solaini L, Costanzo A, Celotti A, Tomasoni M, Khokha V, Arvieux C, Napolitano L, Handolin L, Pisano M, Magnone S, Spain D, de Moya M, Davis K, De Angelis N, Leppaniemi A, Ferrada P, Latifi R, Navarro D, Otomo Y, Coimbra R, Maier R, Moore F, Rizoli S, Sakakushev B, Galante J, Chiara O, Cimbanassi S, Mefire A, Weber D, Ceresoli M, Peitzman A, Wehlie L, Sartelli M, Di Saverio S, Ansaloni L. Splenic trauma: WSES classification and guidelines for adult and pediatric patients. World Journal Of Emergency Surgery 2017, 12: 40. PMID: 28828034, PMCID: PMC5562999, DOI: 10.1186/s13017-017-0151-4.Peer-Reviewed Original ResearchConceptsWorld Society of Emergency SurgerySplenic traumaPediatric patientsManagement of splenic traumaBlunt splenic traumaSplenic trauma patientsOptimal treatment strategyManagement of adultsPediatric trauma centerEmergency surgeryAnatomic derangementsBleeding managementNon-operativelyHemodynamic statusTrauma-related injuriesAssociated lesionsSpleen injuryTrauma patientsTreatment strategiesPatientsTrauma centerFrequent trauma-related injuriesManagement guidelinesInjuryTrauma
2010
Management of the Most Severely Injured Spleen: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCONECT)
Velmahos GC, Zacharias N, Emhoff TA, Feeney JM, Hurst JM, Crookes BA, Harrington DT, Gregg SC, Brotman S, Burke PA, Davis KA, Gupta R, Winchell RJ, Desjardins S, Alouidor R, Gross RI, Rosenblatt MS, Schulz JT, Chang Y. Management of the Most Severely Injured Spleen: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCONECT). JAMA Surgery 2010, 145: 456-460. PMID: 20479344, DOI: 10.1001/archsurg.2010.58.Peer-Reviewed Original ResearchConceptsBlunt splenic injuryFailure of NOMNonoperative managementGrade IVF-NOMBrain injurySevere blunt splenic injuryTrial of NOMOverall high success rateMortality of patientsRetrospective case seriesSuccessful nonoperative managementPredictors of failureRequire surgerySplenic injuryAdult patientsIndependent predictorsCase seriesTrauma centerMulticenter studyHigh success ratePatientsMultivariate analysisInjurySuccess rate
2006
Trauma Surgeons Practice What They Preach: The NTDB Story on Solid Organ Injury Management
Hurtuk M, Reed RL, Esposito TJ, Davis KA, Luchette FA. Trauma Surgeons Practice What They Preach: The NTDB Story on Solid Organ Injury Management. Journal Of Trauma And Acute Care Surgery 2006, 61: 243-255. PMID: 16917435, DOI: 10.1097/01.ta.0000231353.06095.8d.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankSplenic traumaRenal injurySplenic injuryOverall mortalitySurgeons National Trauma Data BankSolid abdominal organ injuriesStudy periodNonoperative management ratesRenal trauma managementAbdominal organ injuriesTrauma Data BankICD-9 codesStandard of careOrgan injuryHepatic injuryNonoperative approachAdmission dateInjury managementImproved outcomesTrauma careTrauma surgeonsAmerican CollegeChi analysisSurgical practice
2004
Splenic Embolization Revisited: A Multicenter Review
Haan JM, Biffl W, Knudson MM, Davis KA, Oka T, Majercik S, Dicker R, Marder S, Scalea TM. Splenic Embolization Revisited: A Multicenter Review. Journal Of Trauma And Acute Care Surgery 2004, 56: 542-547. PMID: 15128125, DOI: 10.1097/01.ta.0000114069.73054.45.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal InjuriesAdultAneurysm, FalseArteriovenous FistulaEmbolization, TherapeuticExtravasation of Diagnostic and Therapeutic MaterialsFemaleHemoperitoneumHumansMaleOutcome Assessment, Health CareRadiographyRetrospective StudiesSalvage TherapySpleenSplenectomySplenic RuptureTrauma CentersTreatment FailureTreatment OutcomeUnited StatesWounds, NonpenetratingConceptsSplenic salvage rateSplenic embolizationSalvage rateMulticenter reviewModerate injury severity scoreRetrospective multicenter reviewHigh-grade injuriesRetrospective chart reviewInjury Severity ScoreYoung male patientTomographic scan resultsYears of ageMotor vehicle crashesSignificant hemoperitoneumTomographic gradeEmbolization groupInjury gradeSplenic injuryChart reviewPatient demographicsSplenic abscessYounger patientsArterial injuryGrade injuriesMajor complications
1998
Improved Success in Nonoperative Management of Blunt Splenic Injuries
Davis K, Fabian T, Croce M, Gavant M, Flick P, Minard G, Kudsk K, Pritchard F. Improved Success in Nonoperative Management of Blunt Splenic Injuries. Journal Of Trauma And Acute Care Surgery 1998, 44: 1008-1015.. PMID: 9637156, DOI: 10.1097/00005373-199806000-00013.Peer-Reviewed Original ResearchConceptsInjury Severity ScoreSplenic injury gradeBlunt splenic injuryBlunt splenic traumaNonoperative managementSplenic artery pseudoaneurysmTomographic scanSplenic injuryArtery pseudoaneurysmSplenic traumaTrauma splenic injury gradeFollow-up computed tomographyEvidence of pseudoaneurysmNonoperative failure rateSuccessful nonoperative managementPredictors of failureOutcome of managementContrast blushEmbolization attemptsHemodynamic instabilityInjury gradeConsecutive patientsUrgent operationVascular blushMean age