Contribution of age and gender to outcome of blunt splenic injury in adults: Multicenter study of the eastern association for the surgery of trauma

B. G. Harbrecht, A. B. Peitzman, L. Rivera, B. Heil, M. Croce, Jr Morris J.A., B. L. Enderson, S. Kurek, M. Pasquale, E. R. Frykberg, J. P. Minei, J. W. Meredith, J. Young, G. P. Kealey, S. Ross, F. A. Luchette, M. McCarthy, F. Davis, D. Shatz, G. TinkoffE. F J Block, J. B. Cone, L. M. Jones, T. Chalifoux, M. B. Federle, K. D. Clancy, J. B. Ochoa, S. M. Fakhry, R. Townsend, R. M. Bell, L. Weireter, M. B. Shapiro, F. Rogers, C. M. Dunham, C. E. McAuley

Research output: Contribution to journalArticlepeer-review

89 Scopus citations

Abstract

The purpose of this study was to examine the contribution of age and gender to outcome after treatment of blunt splenic injury in adults. Through the Multi-Institutional Trials Committee of the Eastern Association for the Surgery of Trauma (EAST), 1488 adult patients from 27 trauma centers who suffered blunt splenic injury in 1997 were examined retrospectively. Fifteen percent of patients were 55 years of age or older. A similar proportion of patients 55 went directly to the operating room compared with patients < 55 (41% vs. 38%) but the mortality for patients 55 was significantly greater than patients < 55 (43% vs. 23%). Patients 55 failed nonoperative management (NOM) more frequently than patients < 55 (19% vs. 10%) and had increased mortality for both successful NOM (8% vs. 4%, p < 0.05) and failed NOM (29% vs. 12%, p = 0.054). There were no differences in immediate operative treatment, successful NOM, and failed NOM between men and women. However, women 55 failed NOM more frequently than women < 55 (20% vs. 7%) and this was associated with increased mortality (36% vs. 5%) (both p < 0.05). Patients 55 had a greater mortality for all forms of treatment of their blunt splenic injury and failed NOM more frequently than patients < 55. Women 55 had significantly greater mortality and failure of NOM than women < 55.

Original languageEnglish (US)
Pages (from-to)887-895
Number of pages9
JournalJournal of Trauma
Volume51
Issue number5
DOIs
StatePublished - Nov 2001

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Fingerprint Dive into the research topics of 'Contribution of age and gender to outcome of blunt splenic injury in adults: Multicenter study of the eastern association for the surgery of trauma'. Together they form a unique fingerprint.

Cite this