- Use of Angioembolization to Replace Operative Management for Blunt Splenic Injury
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Yu jeong Song, Ka Jeong Kim, Sang Ho Jeong, Chi Young Jeong, Young Tae Ju, Eun Jung Jung, Young Joon Lee, Sang Kyung Choi, Woo Song Ha, Soon Tae Park, Soon Chan Hong
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J Korean Soc Traumatol. 2010;23(1):43-48.
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 Abstract
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- PURPOSE
Over the past few decades, the treatment of traumatic splenic injuries has shifted to nonoperative management from surgical intervention. Although some nonoperative management failure have been reported, in most trauma centers, nonoperative management is now believed to be the treatment of choice in hemodynamically stable patients. Then, in this study, we have retrospectively evaluated our experience with traumatic splenic injury.
METHODS
From January 2005 to July 2009, 150 patients with blunt splenic injuries were managed in our hospital. Patients' charts were retrospectively reviewed to analyze their treatment, the patients were grouped according to those who had been admitted before October 2006, defined as the "early group", and those who had been admitted after October 2006, defined as the "late group". After the patients had been divided into two group, physiologic parameters and differences between the treatments were compared.
RESULTS
150 patients were admitted to our hospital with blunt splenic trauma. In late group, both the surgical management rate and the nonoperative management failure rate were lower than they were in the early group.
CONCLUSION
We expect angioembolization to effectively replace surgery for the treatment of selected patients with blunt splenic injury and to result in fewer complications.
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Summary
- The Prognostic Significance of Injury Severity Score and Height of Fall in Free Fall Patients
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Kyung Su Seo, Soon Tae Park, Woo Song Ha, Sang Kyung Choi, Soon Chan Hong, Young Joon Lee, Eun Jung Jung, Chi Young Jeong, Sang Ho Jeong, Young Tae Ju
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J Korean Soc Traumatol. 2009;22(1):12-17.
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Abstract
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- PURPOSE
In this study, the prognostic significance of the Injury Severity Score (ISS) and the height of fall in free-fall patients were investigated.
METHODS
The medical records of 179 victims of falls from a height who were brought alive to the Emergency Department of Gyeongsang National University Hospital between January 2003 and December 2007 were analyzed. The age, the sex of the patients, the rate of admission, the hospital stay, the site of injury, the severity of injury, the rate of surgery, the site of the fall and the presence of alcohol intoxication were evaluated by using a retrospective review of the medical records. Injury severity was measured by using the ISS. Patients were categorized into four subgroups according to the height from where they had fallen. The data were statistically analyzed with using SPSS ver. 10.0.
RESULTS
The admission rates for the subgroups with falls of less than 3 stories were significantly lower than those for the subgroups with higher heights of falls (70.7% vs. 100%, p<0.05). These two subgroups showed statistically significant differences in mean hospital stay (17.11+/-24.88 vs. 56.73+/-49.21, p<0.05), rate of operation (30.6% vs. 53.8%, p<0.05), and mean ISS (6.86+/-4.97 vs. 13.96+/-9.14, p<0.05). In the correlation analysis, the ISS and the mean hospital stay showed the highest correlation with correlation coefficient of 0.666.
CONCLUSION
In this retrospective analysis of 179 free-fall patients, we evaluated the prognostic factors affecting the outcomes for the free-fall patients. The patients who had fallen from heights of 3 stories or higher showed statistically significant higher rates of admission, longer durations of hospital stay, higher ISSs, and higher operation rates. The most accurate factor in predicting the length of hospital stay was the ISS.
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Summary
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