CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S6-S7
DOI: 10.1055/s-0041-1730663
Abstract

An Audit of a Major Trauma Center's Use of Splenic Embolization in Blunt Splenic Trauma: Are we Matching National Practice?

Eamon Lagha
St Mary’s Hospital, Imperial College Healthcare Trust, London, UK
,
Mohamad Hamady
St Mary’s Hospital, Imperial College Healthcare Trust, London, UK
› Author Affiliations

Background: The spleen is one of the most commonly injured organs associated with blunt abdominal trauma. Traditionally, the management of blunt splenic injury has involved either splenectomy or conservative management. Advances in interventional radiology (IR) have seen embolization, and subsequent splenic salvage becomes an attractive alternative to traditional management; however, the appropriate selection of patients remains varied worldwide. Since the introduction of regional trauma networks, there has been a transition toward increased utilization of splenic artery embolization. This audit compared St. Mary's Hospital's experience of splenic artery embolization with national practice. Methods: A retrospective analysis of major trauma patients with splenic injuries admitted to St. Mary's Hospital, from April 2012 to February 2015, were drawn from the prospectively collated TARN database. Data collected included demographics, injury severity, treatments, and outcomes in terms of mortality and length of stay. The management categories were grouped into IR, surgical, and conservative management and the data were compared against national practice. Results: Sixty-one blunt splenic injuries were treated at St. Mary's Hospital between April 2012 and February 2015; 13.1% were treated by Interventional Radiology VS 7.6% by IR in the rest of England and Wales (P = 0.14); Mortality rate for Interventional Radiology was 0% VS 6% for rest of England and Wales. Conclusion: This audit demonstrated that IR at St. Mary's Hospital performed better than the rest of England and Wales in the management of blunt splenic trauma. A higher proportion of splenic injuries were managed by IR at St. Mary's Hospital compared with the rest of England and Wales. Mortality rates and length of stay for IR were lower at St. Mary's hospital compared to the rest of England and Wales.



Publication History

Article published online:
11 May 2021

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