OBJECTIVE: The current study was undertaken to examine how concomitant @entity99 and spleen after blunt @entity1661 affects management and outcomes. METHODS: This study was a retrospective chart review of all blunt @entity1661 @entity1 admitted with a diagnosis of liver or @entity130 at two Level I @entity130 centers over a 4-year period. Presentation, injury grade, management, and outcomes were analyzed. @entity1 with @entity130 (liver or spleen) were compared with @entity1 having @entity130 (liver and spleen). Significance was set at 95% confidence intervals. RESULTS: Of 1,288 @entity1 who met entry criteria, 1,125 had single (spleen, 573; liver, 552) organ injury (group S) and 163 had @entity130 (group B). Group B @entity1 had significantly higher Injury Severity Score, higher admission @entity880 , and lower admission systolic blood pressure and base excess. Eighty-one percent (915 of 1,125) of group S and 69% (112 of 163) of group B @entity1 were managed nonoperatively (p < 0.05). Of the nonoperatively managed @entity1 , 5.8% (53 of 915) in group S and 11.6% (13 of 112) in group B failed this form of therapy (p < 0.05). Higher failure rate in group B was because of @entity548 from injured solid organ(s), and not non-solid organ related failures. Mortality, intensive care unit and hospital lengths of stay, and transfusion requirements were all significantly higher in group B. CONCLUSION: @entity130 @entity1 with concomitant @entity99 and spleen have higher Injury Severity Score, mortality, lengths of stay, and transfusion requirements. There is a higher failure rate with nonoperative management, and therefore extra vigilance is warranted when choosing this form of therapy in the presence of @entity130 .

Multiplicity of solid organ injury: influence on management and outcomes after blunt XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity1661 :: ('MESH:D000008', 'Disease') :: ['abdominal trauma'] @entity880 :: ('MESH:D019344', 'Chemical') :: ['lactate'] @entity99 :: ('MESH:D056486', 'Disease') :: ['injury to liver'] @entity130 :: ('MESH:D014947', 'Disease') :: ['spleen injury', 'single-organ injury', 'trauma', 'injury to both organs', 'Blunt trauma']
@entity1661 :: (MESH:D000008,Disease) :: ['abdominal trauma']
