Author:
Amico Francesco,Anning Rebecca,Bendinelli Cino,Balogh Zsolt J.,Leppäniemi Ari,Aparicio-Sánchez Daniel,Hermans Erik,Coccolini Federico,Abu-Zidan Fikri M.,Chiarugi Massimo,Arvieux Catherine,Pirozzolo Giovanni,Khokha Vladimir,Tolonen Matti,Edward Tan,Sugrue Michael,Ceresoli Marco,Muhrbeck Måns,Mohan Rajashekar,Piscioneri Frank,Ietto Giuseppe,Chiara Osvaldo,Catena Fausto,
Abstract
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.
Publisher
Springer Science and Business Media LLC
Subject
Emergency Medicine,Surgery
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