Splenic injury severity, not admission hemodynamics, predicts need for surgery in pediatric blunt splenic trauma.

The spleen is the most frequently injured organ in blunt abdominal trauma and blunt abdominal trauma is a frequent cause of childhood injuries [[1]]. Further, this study is to the first to demonstrate that pediatric splenic injury severity, rather than other trauma or patient specific admission parameters, predicts persistent hemodynamic instability after trauma and therefore the need for early surgical intervention. Adding to APSA-recommendations, the current study demonstrates that splenic injury severity/grade seems to affect treatment decision-making and is predictive for NOM success not only in isolated splenic injuries, but also in patients with multiple injuries. [Extracted from the article]