Variation in treatment of blunt splenic injury in Dutch academic trauma centers

Background The incidence of splenectomy after trauma is institutionally dependent and varies from 18% to as much as 40%. This is important because variation in management influences splenic salvage. The aim of this study was to investigate whether differences exist between Dutch level 1 trauma centers with respect to the treatment of these injuries, and if variation in treatment was related to splenic salvage, spleen-related reinterventions, and mortality. Methods Consecutive adult patients who were admitted between January 2009 and December 2012 to five academic level 1 trauma centers were id... Mehr ...