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Article

Epidemiology and management of splenic injury: An analysis of a Chinese military registry

  • Authors:
    • Yong Chen
    • Jun Qiu
    • Ao Yang
    • Danfeng Yuan
    • Jihong Zhou
  • View Affiliations / Copyright

    Affiliations: State Key Laboratory of Trauma, Burns and Combined Injury, Department 4, Research Institute of Surgery, Daping Hospital, The Third Military Medical University, Chongqing 400042, P.R. China
  • Pages: 2102-2108
    |
    Published online on: March 9, 2017
       https://doi.org/10.3892/etm.2017.4208
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Abstract

In China, there have been few meta-analyses of the epidemiology and management of splenic injury. Due to the success of Chinese military hospitals in the domestic treatment of splenic injury, the present study conducted a systematic review of such cases, identifying a high occurrence rate of splenic trauma, as well as a number of strategies of managing splenic injury in China. Data were collected from sixteen Chinese military hospitals between July 2000 and March 2009, and retrospectively reviewed. It was observed that between July 2000 and March 2009 a total of 7,807 patients (84.32% male and 15.68% female) with splenic injury were admitted to hospital. The mean duration of hospital stay was 17.9±18.6 days and the gender distribution of splenic injury over the successive years did not differ significantly (P>0.05, c=0.034). However, there was a significant difference in the gender distribution of splenic injury patients in different months (P<0.05, c=0.063). In addition, admission numbers for splenic injury were highest in September, October and November. It was also found that splenic injury may occur at all ages, though patients of working age (20-50 years), which comprises 85.59% of patients, the highest proportion of all recorded cases. Associations between mortality rate and each management strategy were as follows: Operative management, 0.11% and non‑operative management, 0.15%. Furthermore, multivariate analysis demonstrated that transfusion, New Injury Severity Score and management strategies were all correlated with mortality rate. Thus, despite a lack of data for inpatients from civilian hospitals, the present study has, in part, identified the epidemiology and management strategies of splenic injury in China. These findings may supplement those from previous analyses of splenic injury in other countries and regions.
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Copy and paste a formatted citation
Spandidos Publications style
Chen Y, Qiu J, Yang A, Yuan D and Zhou J: Epidemiology and management of splenic injury: An analysis of a Chinese military registry. Exp Ther Med 13: 2102-2108, 2017.
APA
Chen, Y., Qiu, J., Yang, A., Yuan, D., & Zhou, J. (2017). Epidemiology and management of splenic injury: An analysis of a Chinese military registry. Experimental and Therapeutic Medicine, 13, 2102-2108. https://doi.org/10.3892/etm.2017.4208
MLA
Chen, Y., Qiu, J., Yang, A., Yuan, D., Zhou, J."Epidemiology and management of splenic injury: An analysis of a Chinese military registry". Experimental and Therapeutic Medicine 13.5 (2017): 2102-2108.
Chicago
Chen, Y., Qiu, J., Yang, A., Yuan, D., Zhou, J."Epidemiology and management of splenic injury: An analysis of a Chinese military registry". Experimental and Therapeutic Medicine 13, no. 5 (2017): 2102-2108. https://doi.org/10.3892/etm.2017.4208
Copy and paste a formatted citation
x
Spandidos Publications style
Chen Y, Qiu J, Yang A, Yuan D and Zhou J: Epidemiology and management of splenic injury: An analysis of a Chinese military registry. Exp Ther Med 13: 2102-2108, 2017.
APA
Chen, Y., Qiu, J., Yang, A., Yuan, D., & Zhou, J. (2017). Epidemiology and management of splenic injury: An analysis of a Chinese military registry. Experimental and Therapeutic Medicine, 13, 2102-2108. https://doi.org/10.3892/etm.2017.4208
MLA
Chen, Y., Qiu, J., Yang, A., Yuan, D., Zhou, J."Epidemiology and management of splenic injury: An analysis of a Chinese military registry". Experimental and Therapeutic Medicine 13.5 (2017): 2102-2108.
Chicago
Chen, Y., Qiu, J., Yang, A., Yuan, D., Zhou, J."Epidemiology and management of splenic injury: An analysis of a Chinese military registry". Experimental and Therapeutic Medicine 13, no. 5 (2017): 2102-2108. https://doi.org/10.3892/etm.2017.4208
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