Outcomes of Isolated Severe Blunt Splenic Injury
In this retrospective cohort study, nonoperative management (SAE or observation) was associated with favorable outcomes when compared with OS in isolated severe blunt splenic injury, even in patients with hypotension on admission. Failure of nonoperative management, however, risked higher morbidity without associated increase in mortality. With careful patient selection, splenic salvage may be possible and preferred even in severely injured patients.
Authors
- Wei Huang (ORCID: https://orcid.org/0000-0003-4157-9218)
- Meghan Lewis (ORCID: https://orcid.org/0000-0002-3200-7771)
- Feifei Jin (ORCID: https://orcid.org/0000-0002-4991-0158)
- Caitlyn Braschi (ORCID: https://orcid.org/0000-0003-4321-9734)
- Demetrios Demetriades
Institutions
- LAC+USC Medical Center (US)
- Peking University (CN)
- Los Angeles Medical Center (US)
- Peking University People's Hospital (CN)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-09-23
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.33266
- Citations
- 3
- Primary Topic
- Abdominal Trauma and Injuries
- Type
- article
- Field-Weighted Citation Impact
- 6.02