Factors affecting mortality in patients with splenic injuries

Area of Science:

• Trauma Surgery
• Emergency Medicine
• Surgical Outcomes

Background:

• Splenic injuries are common in trauma.
• Factors influencing mortality in splenic injuries require further investigation.
• Limited research exists on predictors of death in splenic trauma patients.

Purpose of the Study:

• To identify factors affecting mortality in patients with splenic injuries.
• To analyze predictors of survival and non-survival in splenic trauma.
• To inform clinical management strategies for splenic injuries.

Main Methods:

• Retrospective analysis of 237 patients with splenic injury (2005-2014).
• Comparison of survivors and non-survivors based on demographics, injury characteristics, and clinical parameters.
• Univariate and multivariate analyses to determine independent risk factors for mortality.

Main Results:

• Overall mortality rate was 7.6%.
• Isolated splenic injury was associated with significantly lower mortality.
• Independent risk factors for mortality included high number of transfusions, high Injury Severity Score (ISS), and low Revised Trauma Score (RTS).

Conclusions:

• High transfusion requirements, elevated ISS, and low RTS are significant independent predictors of mortality in splenic trauma.
• These findings highlight critical indicators for assessing prognosis and guiding treatment in splenic injury patients.