Blood transfusion requirements in children with blunt spleen and liver injuries

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dc.contributor.authorAvanoglu, A
dc.contributor.authorUlman, I
dc.contributor.authorErgun, O
dc.contributor.authorOzcan, C
dc.contributor.authorDemircan, M
dc.contributor.authorOzok, G
dc.contributor.authorErdener, A
dc.date.accessioned2019-10-27T11:51:24Z
dc.date.available2019-10-27T11:51:24Z
dc.date.issued1998
dc.departmentEge Üniversitesien_US
dc.description.abstractThe records of 174 children sustaining blunt spleen and liver injuries in a 16-year period were analyzed retrospectively to determine blood transfusion requirements in surgically versus conservatively managed patients. The whole study group consisted of 97 spleen, 70 liver, and 7 combined spleen and liver injuries respectively. Seventy-eight patients were managed conservatively while 96 children had undergone various operative procedures. The hematocrit (Hct) values, transfused blood volumes (ml/kg), and length of hospital stay were compared between the non-operative and operative treatment groups. Although the initial Hct values were found to be similar in non-operative versus operative groups (26.7 % +/- 2.7 % vs. 24.8 % +/- 3.5 %), transfused blood volumes were significantly higher in the surgically treated group respectively (20.9 ml/kg vs. 39.5 ml/kg) (p < 0.05). Similarly, mean length of hospital stay was longer in the surgical groups. Associated injuries were seen in 105 (60.3%) patients distributed randomly among two study groups. Twelve patients in the series died of other system/organ involvement. There were no deaths in isolated spleen and/or liver injuries. Increased blood transfusion requirement in surgical groups may be due to excessive bleeding prior to the operation which virtually provides the indication for laparotomy. Manipulation and suturing enhances additional bleeding to elevate the total volume to be delivered. Operative choice should be spared for very selected cases, and conservative management is safe; procedures such as splenorrhaphy are not superior to observation therapy as a means of controlling intraabdominal bleeding.en_US
dc.identifier.doi10.1055/s-2008-1071224en_US
dc.identifier.endpage325en_US
dc.identifier.issn0939-7248
dc.identifier.issue6en_US
dc.identifier.pmid9926297en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage322en_US
dc.identifier.urihttps://doi.org/10.1055/s-2008-1071224
dc.identifier.urihttps://hdl.handle.net/11454/34549
dc.identifier.volume8en_US
dc.identifier.wosWOS:000078155100001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherHippokrates Verlag Gmbhen_US
dc.relation.ispartofEuropean Journal of Pediatric Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectblood transfusionen_US
dc.subjectspleenen_US
dc.subjectliveren_US
dc.subjectblunt injuryen_US
dc.titleBlood transfusion requirements in children with blunt spleen and liver injuriesen_US
dc.typeArticleen_US

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