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Table 5 Injury characteristics and outcome in operative and non-operative management

From: Blunt liver trauma: a descriptive analysis from a level I trauma center

 

Non-operative (n = 198)

Operative

(n = 59)

P

Age; mean±SD

31±12

32±16

0.74

Gender (male)

83.5%

86.4%

0.70

Glasgow coma scale < 8

37 (18.7%)

11 (19.3%)

0.91

Injury severity score

17(4–59)

17(5–50)

0.13

Systolic blood pressure < 90 mmHg

15 (7.6%)

7 (12.3%)

0.27

Injury severity score

18.9 ± 11.0

22.0 ± 12.4

0.11

Splenic injury

19 (9.6%)

9 (15.3%)

0.22

Kidney injury

13 (6.6%)

6 (10.2%)

0.35

Pelvic injury

34 (17.2%)

13 (22.0%)

0.39

Liver grade (I-III) AAST

190 (96.0%)

48 (81.4%)

0.001

Liver grade (IV-V) AAST

8 (4.0%)

11 (18.6%)

FAST

52(29.5%)

29(53.7%)

0.001

CT Abdomen

137(69.2%)

40(67.8%)

0.84

WSES classification

  

0.03 for all

I

147(74%)

27(46%)

II

43(22%)

7 (12%)

III

8 (4%)

6 (10%)

IV

19(32%)

Medications

 Tranexamic acid

4(3.1%)

1(2.8%)

0.91

 Factor VII

10(7.8%)

12(28.6%)

0.001

 Fibrinogen

19(14.5%)

17(38.6%)

0.001

 Inotropes

19(15.2%)

14(40%)

0.001

 Blood transfusion

36 (18.2%)

34 (57.6%)

0.001

 Hospital length of stay; median and range

7 (1–323)

13.5 (1–277)

0.23

 TICU stay (days);median and range

3(1–41)

7(1–39)

0.01

 Hospital mortality

13 (6.6%)

7 (12.1%)

0.17