Matches in SemOpenAlex for { <https://semopenalex.org/work/W2073192968> ?p ?o ?g. }
Showing items 1 to 90 of
90
with 100 items per page.
- W2073192968 endingPage "842" @default.
- W2073192968 startingPage "836" @default.
- W2073192968 abstract "The literature on blunt splenic trauma provides little evidence-based direction for nonsurgical management. The appropriate role of computed tomography (CT) after initial diagnosis, activity restriction and follow-up are continuing controversies.Active EAST members were surveyed regarding in-hospital management and follow-up of patients with isolated and near-isolated blunt splenic injury. Analyses were performed using descriptive and correlational statistics.A 38.4% response rate was obtained. 82.6% of respondents practiced at a Level I trauma centers. 97% of respondents considered hemodynamic instability as the primary indication for immediate splenectomy. 71.6% of respondents preferred ultrasound for initial imaging in hemodynamically stable patients. One-third of respondents admitted stable Grade I patients to monitored settings. 85.5% would not routinely perform predischarge abdominal CT scan in the absence of clinical deterioration, extravasation on initial CT or high-grade injury. Activity restriction varied by grade (table). The majority of respondents (78.1%) relied on clinical judgment alone for activity recommendations in lower grades of injury while a higher reliance on CT was used for Grades IV and V (49.8%).Despite the lack of evidence-based guidelines, many in-hospital and follow-up practices were reasonably consistent. However, some important contradictions were noted (such as monitoring very low risk patients and not intervening in patients with contrast blush). Activity restrictions were usually based on clinical judgment supplemented by CT at the highest grades of injury. Lack of evidence-based guidelines and high reliance on clinical judgment underscore the need for a well-designed prospective study to define optimal management and follow-up." @default.
- W2073192968 created "2016-06-24" @default.
- W2073192968 creator A5051692957 @default.
- W2073192968 creator A5066262365 @default.
- W2073192968 creator A5089305977 @default.
- W2073192968 date "2005-10-01" @default.
- W2073192968 modified "2023-10-16" @default.
- W2073192968 title "A Survey of EAST Member Practices in Blunt Splenic Injury: A Description of Current Trends and Opportunities for Improvement" @default.
- W2073192968 cites W1974914509 @default.
- W2073192968 cites W1988962039 @default.
- W2073192968 cites W1994749594 @default.
- W2073192968 cites W2000823665 @default.
- W2073192968 cites W2008702943 @default.
- W2073192968 cites W2010632935 @default.
- W2073192968 cites W2019306886 @default.
- W2073192968 cites W2044736708 @default.
- W2073192968 cites W2045261776 @default.
- W2073192968 cites W2050171668 @default.
- W2073192968 cites W2058468708 @default.
- W2073192968 cites W2058769171 @default.
- W2073192968 cites W2063008834 @default.
- W2073192968 cites W2076376872 @default.
- W2073192968 cites W2106266446 @default.
- W2073192968 cites W2124090058 @default.
- W2073192968 doi "https://doi.org/10.1097/01.ta.0000187652.55405.73" @default.
- W2073192968 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/16374270" @default.
- W2073192968 hasPublicationYear "2005" @default.
- W2073192968 type Work @default.
- W2073192968 sameAs 2073192968 @default.
- W2073192968 citedByCount "57" @default.
- W2073192968 countsByYear W20731929682012 @default.
- W2073192968 countsByYear W20731929682013 @default.
- W2073192968 countsByYear W20731929682014 @default.
- W2073192968 countsByYear W20731929682015 @default.
- W2073192968 countsByYear W20731929682016 @default.
- W2073192968 countsByYear W20731929682017 @default.
- W2073192968 countsByYear W20731929682018 @default.
- W2073192968 countsByYear W20731929682019 @default.
- W2073192968 countsByYear W20731929682020 @default.
- W2073192968 countsByYear W20731929682021 @default.
- W2073192968 countsByYear W20731929682022 @default.
- W2073192968 countsByYear W20731929682023 @default.
- W2073192968 crossrefType "journal-article" @default.
- W2073192968 hasAuthorship W2073192968A5051692957 @default.
- W2073192968 hasAuthorship W2073192968A5066262365 @default.
- W2073192968 hasAuthorship W2073192968A5089305977 @default.
- W2073192968 hasConcept C105698618 @default.
- W2073192968 hasConcept C105795698 @default.
- W2073192968 hasConcept C126322002 @default.
- W2073192968 hasConcept C126838900 @default.
- W2073192968 hasConcept C194828623 @default.
- W2073192968 hasConcept C2776309230 @default.
- W2073192968 hasConcept C2780931953 @default.
- W2073192968 hasConcept C33923547 @default.
- W2073192968 hasConcept C39896193 @default.
- W2073192968 hasConcept C544519230 @default.
- W2073192968 hasConcept C71924100 @default.
- W2073192968 hasConceptScore W2073192968C105698618 @default.
- W2073192968 hasConceptScore W2073192968C105795698 @default.
- W2073192968 hasConceptScore W2073192968C126322002 @default.
- W2073192968 hasConceptScore W2073192968C126838900 @default.
- W2073192968 hasConceptScore W2073192968C194828623 @default.
- W2073192968 hasConceptScore W2073192968C2776309230 @default.
- W2073192968 hasConceptScore W2073192968C2780931953 @default.
- W2073192968 hasConceptScore W2073192968C33923547 @default.
- W2073192968 hasConceptScore W2073192968C39896193 @default.
- W2073192968 hasConceptScore W2073192968C544519230 @default.
- W2073192968 hasConceptScore W2073192968C71924100 @default.
- W2073192968 hasIssue "4" @default.
- W2073192968 hasLocation W20731929681 @default.
- W2073192968 hasLocation W20731929682 @default.
- W2073192968 hasOpenAccess W2073192968 @default.
- W2073192968 hasPrimaryLocation W20731929681 @default.
- W2073192968 hasRelatedWork W2006636155 @default.
- W2073192968 hasRelatedWork W2052777879 @default.
- W2073192968 hasRelatedWork W2130662854 @default.
- W2073192968 hasRelatedWork W2350928765 @default.
- W2073192968 hasRelatedWork W2383775094 @default.
- W2073192968 hasRelatedWork W2412786053 @default.
- W2073192968 hasRelatedWork W3091293703 @default.
- W2073192968 hasRelatedWork W3210549864 @default.
- W2073192968 hasRelatedWork W4233492667 @default.
- W2073192968 hasRelatedWork W4237205729 @default.
- W2073192968 hasVolume "59" @default.
- W2073192968 isParatext "false" @default.
- W2073192968 isRetracted "false" @default.
- W2073192968 magId "2073192968" @default.
- W2073192968 workType "article" @default.