Hospital level variations in the trends and outcomes of the nonoperative management of splenic injuries - a nationwide cohort study.

ABSTRACT:

Background

The long-term treatment trends of splenic injuries can provide guidance when treating trauma patients. The nonoperative management (NOM) of splenic injuries was introduced in early 1989. After decades of development, it has proven to be safe and is now the primary treatment choice worldwide. However, there remains a lack of nationwide registry data to support the feasibility and efficiency of NOM.

Methods

We used the Taiwan National Health Insurance Research Database to conduct a whole population-based cohort study. Patients admitted with blunt splenic injuries from 2002 to 2013 were identified. Demographic data, management methods, associated injuries, comorbidities and outcome parameters were collected. Patients were divided into 2 groups by the type of admittin

SUBMITTER: Liao CA 

PROVIDER: S-EPMC6329069 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature