Injury
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Review Meta Analysis
Meta-analysis of predictive factors and outcomes for failure of non-operative management of blunt splenic trauma.
This study aimed to analyse predictive factors and outcomes of failure of non-operative management (NOM) following blunt splenic trauma. ⋯ fNOM leads to increased resource use and increased mortality. Methods of preventing fNOM, such as angioembolisation, warrant further assessment. Patients with increasing age, AAST scores and moderate or large haemoperitoneums may benefit from closer monitoring.