Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Trauma. 2006 May;60(5):1083-6.

Novel computed tomography scan scoring system predicts the need for intervention after splenic injury.

Author information

  • 1Department of Central Carolina Surgery, Moses Cone Health System, Greensboro, North Carolina, USA.

Erratum in

  • J Trauma. 2006 Jul;61(1):167. Thompson, Burke T [corrected to Thompson, Burke E].

Abstract

BACKGROUND:

The purpose of this study was to develop a computed tomography (CT) scan screening test to predict the need for intervention in patients with splenic injury.

METHODS:

CT scans of 20 patients with blunt injury to the spleen were reviewed to identify findings that correlated with the need for intervention (surgery or embolization). A screening test was created and then validated in CT scans from 56 consecutive patients.

RESULTS:

Three findings correlated with the need for intervention: 1) devascularization or laceration involving 50% or more of the splenic parenchyma, 2) contrast blush greater than one centimeter in diameter (from active extravasation of intravenous contrast material or pseudoaneurysm formation), and 3) a large hemoperitoneum. The sensitivity of the screening test was 100%, specificity was 88%, and overall accuracy was 93%.

CONCLUSIONS:

These CT scan grading criteria appears to reliably predict the need for invasive management in patients with blunt injury to the spleen.

PMID:
16688074
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins
    Loading ...
    Write to the Help Desk