Table 3 Comparison of the characteristics of splenic injury patients by management
Non-operative management n = 6497 | Surgical management n = 5054 | p value | |||
|---|---|---|---|---|---|
Gender | 0.031* | ||||
Male | 4538 | (69.8%) | 3624 | (71.7%) | |
Female | 1959 | (30.2%) | 1430 | (28.3%) | |
Age group | 0.003* | ||||
18–40 | 3538 | (54.5%) | 2672 | (52.9%) | |
40–65 | 2290 | (35.2%) | 1761 | (34.8%) | |
> 65 | 669 | (10.3%) | 621 | (12.3%) | |
Hospital level | < 0.001* | ||||
Tertiary center | 2904 | (44.7%) | 1581 | (31.3%) | |
Non-center | 3593 | (55.3%) | 3473 | (68.7%) | |
Associated injury | |||||
Traumatic brain injury | 1029 | (15.8%) | 915 | (18.1%) | 0.001* |
Cardiopulmonary injury | 388 | (6.0%) | 251 | (5.0%) | 0.021* |
Hemothorax | 1091 | (16.8%) | 817 | (16.2%) | 0.382 |
Gastrointestinal injury | 265 | (4.1%) | 695 | (13.8%) | < 0.001* |
Kidney injury | 812 | (12.5%) | 433 | (8.6%) | < 0.001* |
Liver injury | 729 | (11.2%) | 691 | (13.7%) | < 0.001* |
Pelvic fracture | 279 | (4.3%) | 172 | (3.4%) | 0.016* |
Femoral fracture | 227 | (3.5%) | 256 | (5.1%) | < 0.001* |
Spinal fracture | 281 | (4.3%) | 113 | (2.2%) | < 0.001* |
Total blood transfusion (unit)a median [IQR] | |||||
PRBC | 0 | [0, 4] | 8 | [4, 14] | < 0.001* |
FFP | 0 | [0, 0] | 4 | [0, 12] | < 0.001* |
Platelet | 0 | [0, 0] | 0 | [0, 0] | < 0.001* |
WB | 0 | [0,0] | 0 | [0, 0] | < 0.001* |
Hospital stay (days) median [IQR] | 8 | [5, 12] | 11 | [8, 17] | < 0.001* |
ICU stay (days) median [IQR] | 2 | [0, 3] | 3 | [1, 5] | < 0.001* |
Ventilator support days median [IQR] | 0 | [0, 0] | 1 | [0, 4] | < 0.001* |
Complications | |||||
Pneumonia | 94 | (1.4%) | 103 | (2.0%) | 0.018* |
Sepsis | 150 | (2.3%) | 109 | (2.2%) | 0.628 |
Wound infection | 23 | (0.4%) | 33 | (0.7%) | 0.031* |
Stroke | 13 | (0.2%) | 19 | (0.4%) | 0.108 |
Gastrointestinal bleeding | 119 | (1.8%) | 133 | (2.6%) | 0.004* |
In-hospital mortality | 350 | (5.4%) | 595 | (11.8%) | < 0.001* |
ISS > 16 | 954 | (14.7%) | 1255 | (24.8%) | < 0.001* |