Factors affecting mortality in patients with splenic injuries

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dc.contributor.authorUslukaya, Omer
dc.contributor.authorBozdag, Zubeyir
dc.contributor.authorGumus, Metehan
dc.contributor.authorTurkoglu, Ahmet
dc.contributor.authorBoyuk, Abdullah
dc.contributor.authorYilmaz, Edip Erdal
dc.contributor.authorGunduz, Ercan
dc.date.accessioned2024-04-24T17:47:37Z
dc.date.available2024-04-24T17:47:37Z
dc.date.issued2018
dc.departmentDicle Üniversitesien_US
dc.description.abstractAIM: Mortality in splenic injuries can create medico-legal problems. Though many studies exist regarding splenic injuries, there are not a sufficient number investigating the factors in splenic injuries influencing mortality. In this study, we aimed to investigate the factors affecting mortality in splenic injuries. MATERIALS AND METHODS: All 237 patients with splenic injury between 2005 to 2014 were retrospectively analyzed. The patients were divided into two groups, survivors and non-survivors. Age, gender, mechanism of injury, grade of splenic injury, pulse, respiratory rate, systolic blood pressure, hemoglobin levels, number of transfusions, surgical procedure, ISS, RTS and hospitalization period were recorded. Univariate and multivariate analysis were used to compare survivors and non-survivors. RESULTS: The average age of the patients was 32 and most (82.7%) were male. Mortality was observed in 18 patients (7.6%). Mortality was found significantly lower in patients who had isolated splenic injury (p=0.048). In univariate analyses, decreased RTS (p<0.001), increased number of blood transfusion (p<0.001), decreased hemoglobin level (p=0, 025) and increased ISS (p<0.001) were found significant in non-survivors. In multivariate analysis; number of transfusions, ISS and RTS were found as independent risk factors for mortality. CONCLUSIONS: We found high number of transfusions, high ISS and low RTS as independent risk factors for mortality in patients with splenic injury.en_US
dc.identifier.endpage55en_US
dc.identifier.issn0003-469X
dc.identifier.issn2239-253X
dc.identifier.issue1en_US
dc.identifier.pmid29629883
dc.identifier.startpage51en_US
dc.identifier.urihttps://hdl.handle.net/11468/22645
dc.identifier.volume89en_US
dc.identifier.wosWOS:000445319200008
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherEdizioni Luigi Pozzien_US
dc.relation.ispartofAnnali Italiani Di Chirurgia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMortalityen_US
dc.subjectIssen_US
dc.subjectRtsen_US
dc.subjectSplenic Traumaen_US
dc.titleFactors affecting mortality in patients with splenic injuriesen_US
dc.titleFactors affecting mortality in patients with splenic injuries
dc.typeArticleen_US

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