Grade III blunt splenic injury without contrast extravasation - World Society of Emergency Surgery Nijmegen consensus practice

Francesco Amico, Rebecca Anning, Cino Bendinelli, Zsolt J. Balogh, Ari Leppäniemi, Daniel Aparicio-Sánchez, Erik Hermans, Federico Coccolini, Fikri M. Abu-Zidan, Massimo Chiarugi, Catherine Arvieux, Giovanni Pirozzolo, Vladimir Khokha, Matti Tolonen, Tan Edward, Michael Sugrue, Marco Ceresoli, Måns Muhrbeck, Rajashekar Mohan, Frank PiscioneriGiuseppe Ietto, Osvaldo Chiara, Fausto Catena

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Background: Recent trauma guidelines recommend non-operative management for grade III splenic injury without contrast extravasation on computed tomography. Nevertheless, such recommendations rely on low-quality evidence, and practice variation characterizes clinical management for this type of injury. We aimed to identify the role of eleven selected clinical factors influencing the management of grade III splenic injury without contrast extravasation by expert consensus and a modified Delphi approach. Methods: A questionnaire was developed with the endorsement of the World Society of Emergency Surgery (WSES). This was delivered and answered live by acute care surgeons attending the 6th WSES congress in Nijmegen in 2019. A dedicated mobile phone application was utilized to collect the answers. All answers were evaluated for areas of discrepancy with an 80% threshold for consensus between respondents. Results: Three factors generated discrepancy in opinion for managing this pattern of injury: the patients' injury severity, the presence of a bleeding diathesis, and an associated intra-abdominal injury. Agreement was obtained for the other eight factors. Conclusion: Researchers should focus their efforts on the identified area of discrepancy. Clinicians should use additional care in the presence of the three factors for which discordant opinions were found.

Original languageEnglish
Article number46
JournalWorld Journal of Emergency Surgery
Volume15
Issue number1
DOIs
Publication statusPublished - Aug 3 2020

Keywords

  • Blunt
  • Consensus
  • Grade III
  • Injury
  • Practice variation
  • Questionnaire
  • Spleen
  • Trauma
  • WSES

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine

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