| Isolated blunt splenic injury: do we transfuse more in an attempt to operate less? | |
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MedLine Citation:
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PMID: 15646444 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine if blood transfusion requirements in patients with isolated blunt splenic injury (BSI) are greater if they are managed nonoperatively, we did a retrospective case study of patients with isolated BSI who were seen at a Canadian university teaching hospital over a 10-year period. METHOD: Data such as number of units of packed erythrocytes transfused and mortality in the 75 patients with isolated BSI seen from 1992 to 2002 were separated into operative and nonoperative management groups. RESULTS: In the operative management group (n = 10), patients received more transfused erythrocytes (3.0 v. 0.7 units), and a higher proportion of patients were transfused (80% v. 20%). There were no deaths in either group. CONCLUSION: In the management of isolated BSI, initial nonoperative management does not increase patients' requirements for blood transfusion. |
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Authors:
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Fady Balaa; Jean-Denis Yelle; Giuseppe Pagliarello; John Lorimer; Jo-Anne O'Brien |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Canadian journal of surgery. Journal canadien de chirurgie Volume: 47 ISSN: 0008-428X ISO Abbreviation: Can J Surg Publication Date: 2004 Dec |
Date Detail:
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Created Date: 2005-01-13 Completed Date: 2005-03-24 Revised Date: 2013-06-09 |
Medline Journal Info:
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Nlm Unique ID: 0372715 Medline TA: Can J Surg Country: Canada |
Other Details:
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Languages: eng Pagination: 446-50 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of Ottawa, Ottawa, Ont. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Erythrocyte Transfusion
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utilization* Humans Retrospective Studies Splenectomy Splenic Rupture / etiology, therapy* Wounds, Nonpenetrating / complications* |
| Comments/Corrections | |
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