Skip to main content

Table 2 Trauma characteristics

From: Non-operative management of blunt hepatic and splenic injury: a time-trend and outcome analysis over a period of 17 years

 

Overall cohort (2000–2016)

n = 731

Early period (2000–2008)

n = 372

Late period (2009–2016)

n = 359

Difference between periods

P

a. Trauma mechanism injury data

Trauma cause (missing = 2)

 Car collision

156 (21.4%)

101 (27.3%)

55 (15.3%)

< 0.001

 Motorcycle collision

87 (11.9%)

46 (12.4%)

41 (11.4%)

 Pedestrian or comparable occupational collision

35 (4.8%)

26 (7%)

9 (2.5%)

 Cycling collision

62 (8.5%)

24 (6.5%)

38 (10.6%)

 Winter sports

242 (33.2%)

92 (24.9%)

150 (41.8%)

 Fall from heights

76 (10.4%)

49 (13.2%)

27 (7.5%)

 Trauma in homely environment

47 (6.4%)

20 (5.4%)

27 (7.5%)

 Personal assault

3 (0.4%)

1 (0.3%)

2 (0.6%)

 Horse riding collision (and other animal associated injuries)

21 (2.9%)

11 (3.0%)

10 (2.8%)

b. Organ injury data

Injured organ

 Spleen

280 (38.3%)

123 (33.1%)

157 (43.7%)

0.001

 Liver

368 (50.3%)

192 (51.6%)

176 (49%)

 Combined liver and spleen injury

83 (11.4%)

57 (15.3%)

26 (7.2%)

AAST (Moore) Injury Score (according to admission CT scan; no CT, n = 9)

 Spleen

  No spleen injury

367 (50.8%)

192 (52.7%)

175 (48.9%)

0.008

  I

40 (5.5%)

22 (6%)

18 (5%)

  II

66 (9.1%)

40 (11%)

26 (7.3%)

  III

173 (24.0%)

76 (20.9%)

97 (27.1%)

  IV

47 (6.5%)

15 (4.1%)

32 (8.9%)

  V

29 (4.0%)

19 (5.2%)

10 (2.8%)

Liver

 No liver injury

277 (38.4%)

120 (33.0%)

157 (43.9%)

0.096

 I

43 (6%)

21 (5.8%)

22 (6.1%)

 II

97 (13.4%)

52 (14.3%)

45 (12.6%)

 III

221 (30.6%)

124 (34.1%)

97 (27.1%)

 IV

66 (9.1%)

37 (10.2%)

29 (8.1%)

 V

17 (2.4%)

9 (2.5%)

8 (2.2%)

 VI

1 (0.1%)

1 (0.3%)

0 (0%)

Associated extra-abdominal injuries (AIS ≥ 1)

 Head or neck

267 (36.5%)

173 (46.5%)

94 (26.2%)

< 0.001

 Face

101 (13.8%)

52 (14%)

49 (13.6%)

0.897

 Chest

463 (63.3%)

270 (72.6%)

193 (53.8%)

< 0.001

 Extremities or pelvic girdle

342 (46.8%)

203 (54.6%)

139 (38.7%)

< 0.001

 External (skin and soft tissue)

457 (62.5%)

291 (78.2%)

166 (46.2%)

< 0.001

  1. ISS Injury Severity Score, AAST American Association for the Surgery of Trauma, AIS Abbreviated Injury Score