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Table 2 Comparison of the characteristics of splenic injury patients by hospital level and year of injury (n = 11,551)

From: Hospital level variations in the trends and outcomes of the nonoperative management of splenic injuries – a nationwide cohort study

 

2002–2005

2006–2009

2010–2013

 

2002–2005

2006–2009

2010–2013

 

Tertiary Center

p value

Non-center

p value

Gender

      

0.106

      

0.081

 Male

1057

(73.0%)

1070

(70.4%)

1056

(69.6%)

 

1631

(71.2%)

1696

(71.5%)

1652

(68.8%)

 

 Female

391

(27.0%)

450

(29.6%)

461

(30.4%)

 

660

(28.8%)

677

(28.5%)

750

(31.2%)

 

Age group

      

0.262

      

0.079

 18–40

862

(59.5%)

850

(55.9%)

854

(56.3%)

 

1236

(54.0%)

1205

(50.8%)

1203

(50.1%)

 

 40–65

452

(31.2%)

517

(34.0%)

521

(34.3%)

 

797

(34.8%)

868

(36.6%)

896

(37.3%)

 

 > 65

134

(9.3%)

153

(10.1%)

142

(9.4%)

 

258

(11.3%)

300

(12.6%)

303

(12.6%)

 

Management

      

< 0.001*

      

< 0.001*

 Non-operative

816

(56.4%)

987

(64.9%)

1101

(72.6%)

 

994

(43.4%)

1207

(50.9%)

1392

(58.0%)

 

 Surgical

632

(43.6%)

533

(35.1%)

416

(27.4%)

 

1297

(56.6%)

1166

(49.1%)

1010

(42.0%)

 

Associated injury

              

 Traumatic brain injury

248

(17.1%)

279

(18.4%)

248

(16.3%)

0.337

421

(18.4%)

360

(15.2%)

388

(16.2%)

0.011*

 Cardiopulmonary injury

63

(4.4%)

118

(7.8%)

165

(10.9%)

< 0.001*

57

(2.5%)

106

(4.5%)

130

(5.4%)

< 0.001*

 Hemothorax

245

(16.9%)

288

(18.9%)

305

(20.1%)

0.08

260

(11.3%)

377

(15.9%)

433

(18.0%)

< 0.001*

 Gastrointestinal injury

147

(10.2%)

122

(8.0%)

91

(6.0%)

< 0.001*

238

(10.4%)

183

(7.7%)

179

(7.5%)

< 0.001*

 Kidney injury

168

(11.6%)

192

(12.6%)

186

(12.3%)

0.687

225

(9.8%)

222

(9.4%)

252

(10.5%)

0.417

 Liver injury

179

(12.4%)

211

(13.9%)

170

(11.2%)

0.082

304

(13.3%)

288

(12.1%)

268

(11.2%)

0.086

 Pelvic fracture

70

(4.8%)

76

(5.0%)

63

(4.2%)

0.503

71

(3.1%)

87

(3.7%)

84

(3.5%)

0.551

 Femoral fracture

80

(5.5%)

71

(4.7%)

68

(4.5%)

0.376

79

(3.4%)

82

(3.5%)

103

(4.3%)

0.214

 Spinal fracture

51

(3.5%)

65

(4.3%)

86

(5.7%)

0.016*

46

(2.0%)

57

(2.4%)

89

(3.7%)

0.001*

Hospital length of stay days (median [IQR])

10

[6, 15]

9

[6, 16]

9

[6, 15]

0.005*

9

[6, 14]

9

[6, 14]

9

[6, 13]

0.116

ICU length of stay days (median [IQR])

2

[1, 4]

2

[1, 4]

2

[1, 4]

0.029*

2

[0, 4]

2

[1, 4]

2

[1, 4]

0.001*

Ventilator support days(median [IQR])

0

[0, 2]

0

[0, 2]

0

[0, 2]

0.002*

0

[0, 1]

0

[0, 2]

0

[0, 2]

0.03*

In-hospital mortality

129

(8.9%)

143

(9.4%)

109

(7.2%)

0.071

172

(7.5%)

208

(8.8%)

184

(7.7%)

0.221

ISS ≥ 16

192

(13.3%)

398

(26.2%)

547

(36.1%)

< 0.001*

224

(9.8%)

328

(13.8%)

520

(21.6%)

< 0.001*

  1. COPD chronic obstructive pulmonary disease, IQR interquartile range
  2. *Statistically significant difference
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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

ISSN: 1757-7241