{"id":"https://openalex.org/W1995140448","doi":"https://doi.org/10.1097/00005373-200105000-00010","title":"Outcome of the Current Management of Splenic Injuries","display_name":"Outcome of the Current Management of Splenic Injuries","publication_year":2001,"publication_date":"2001-05-01","ids":{"openalex":"https://openalex.org/W1995140448","doi":"https://doi.org/10.1097/00005373-200105000-00010","mag":"1995140448","pmid":"https://pubmed.ncbi.nlm.nih.gov/11371838"},"language":"en","primary_location":{"id":"doi:10.1097/00005373-200105000-00010","doi":"https://doi.org/10.1097/00005373-200105000-00010","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00005373-200105000-00010","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Trauma: Injury, Infection, and Critical Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052962751","display_name":"Jeffrey A. Nix","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802076678","display_name":"University of Tennessee Medical Center","ror":"https://ror.org/0277n1841","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802076678"]},{"id":"https://openalex.org/I4210112170","display_name":"Eastern Association for the Surgery of Trauma","ror":"https://ror.org/023j15x08","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210112170"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeffrey A. Nix","raw_affiliation_strings":["Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, TN 37920, USA","Accepted for publication January 25, 2001","Address for reprints: Brian J. Daley, MD, Department of Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Box U-11, Knoxville, TN 37920","From the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","Presented at the 13th Annual Meeting of the Eastern Association for the Surgery of Trauma, January 12\u201315, 2000, Sanibel, Florida","Submitted for publication February 10, 2000"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, TN 37920, USA","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"Accepted for publication January 25, 2001","institution_ids":[]},{"raw_affiliation_string":"Address for reprints: Brian J. Daley, MD, Department of Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Box U-11, Knoxville, TN 37920","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"From the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"Presented at the 13th Annual Meeting of the Eastern Association for the Surgery of Trauma, January 12\u201315, 2000, Sanibel, Florida","institution_ids":["https://openalex.org/I4210112170"]},{"raw_affiliation_string":"Submitted for publication February 10, 2000","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027831685","display_name":"Michael J. Costanza","orcid":"https://orcid.org/0000-0002-0793-2172","observed_orcids":["https://orcid.org/0000-0002-0793-2172"]},"institutions":[{"id":"https://openalex.org/I2802076678","display_name":"University of Tennessee Medical Center","ror":"https://ror.org/0277n1841","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802076678"]},{"id":"https://openalex.org/I4210112170","display_name":"Eastern Association for the Surgery of Trauma","ror":"https://ror.org/023j15x08","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210112170"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Costanza","raw_affiliation_strings":["Submitted for publication February 10, 2000","the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","Accepted for publication January 25, 2001","Address for reprints: Brian J. Daley, MD, Department of Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Box U-11, Knoxville, TN 37920","From the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","Presented at the 13th Annual Meeting of the Eastern Association for the Surgery of Trauma, January 12\u201315, 2000, Sanibel, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Submitted for publication February 10, 2000","institution_ids":[]},{"raw_affiliation_string":"the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"Accepted for publication January 25, 2001","institution_ids":[]},{"raw_affiliation_string":"Address for reprints: Brian J. Daley, MD, Department of Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Box U-11, Knoxville, TN 37920","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"From the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"Presented at the 13th Annual Meeting of the Eastern Association for the Surgery of Trauma, January 12\u201315, 2000, Sanibel, Florida","institution_ids":["https://openalex.org/I4210112170"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075283435","display_name":"Brian James Daley","orcid":"https://orcid.org/0000-0002-4996-1502","observed_orcids":["https://orcid.org/0000-0002-4996-1502"]},"institutions":[{"id":"https://openalex.org/I2802076678","display_name":"University of Tennessee Medical Center","ror":"https://ror.org/0277n1841","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802076678"]},{"id":"https://openalex.org/I4210112170","display_name":"Eastern Association for the Surgery of Trauma","ror":"https://ror.org/023j15x08","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210112170"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Brian J. Daley","raw_affiliation_strings":["Address for reprints: Brian J. Daley, MD, Department of Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Box U-11, Knoxville, TN 37920","Submitted for publication February 10, 2000","the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","Accepted for publication January 25, 2001","From the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","Presented at the 13th Annual Meeting of the Eastern Association for the Surgery of Trauma, January 12\u201315, 2000, Sanibel, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Address for reprints: Brian J. Daley, MD, Department of Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Box U-11, Knoxville, TN 37920","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"Submitted for publication February 10, 2000","institution_ids":[]},{"raw_affiliation_string":"the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"Accepted for publication January 25, 2001","institution_ids":[]},{"raw_affiliation_string":"From the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"Presented at the 13th Annual Meeting of the Eastern Association for the Surgery of Trauma, January 12\u201315, 2000, Sanibel, Florida","institution_ids":["https://openalex.org/I4210112170"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020718423","display_name":"Melissa A. Powell","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802076678","display_name":"University of Tennessee Medical Center","ror":"https://ror.org/0277n1841","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802076678"]},{"id":"https://openalex.org/I4210112170","display_name":"Eastern Association for the Surgery of Trauma","ror":"https://ror.org/023j15x08","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210112170"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Melissa A. Powell","raw_affiliation_strings":["Submitted for publication February 10, 2000","the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","Accepted for publication January 25, 2001","Address for reprints: Brian J. Daley, MD, Department of Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Box U-11, Knoxville, TN 37920","From the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","Presented at the 13th Annual Meeting of the Eastern Association for the Surgery of Trauma, January 12\u201315, 2000, Sanibel, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Submitted for publication February 10, 2000","institution_ids":[]},{"raw_affiliation_string":"the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"Accepted for publication January 25, 2001","institution_ids":[]},{"raw_affiliation_string":"Address for reprints: Brian J. Daley, MD, Department of Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Box U-11, Knoxville, TN 37920","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"From the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"Presented at the 13th Annual Meeting of the Eastern Association for the Surgery of Trauma, January 12\u201315, 2000, Sanibel, Florida","institution_ids":["https://openalex.org/I4210112170"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5108192011","display_name":"Blaine L. Enderson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802076678","display_name":"University of Tennessee Medical Center","ror":"https://ror.org/0277n1841","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802076678"]},{"id":"https://openalex.org/I4210112170","display_name":"Eastern Association for the Surgery of Trauma","ror":"https://ror.org/023j15x08","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210112170"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Blaine L. Enderson","raw_affiliation_strings":["Submitted for publication February 10, 2000","the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","Accepted for publication January 25, 2001","Address for reprints: Brian J. Daley, MD, Department of Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Box U-11, Knoxville, TN 37920","From the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","Presented at the 13th Annual Meeting of the Eastern Association for the Surgery of Trauma, January 12\u201315, 2000, Sanibel, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Submitted for publication February 10, 2000","institution_ids":[]},{"raw_affiliation_string":"the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"Accepted for publication January 25, 2001","institution_ids":[]},{"raw_affiliation_string":"Address for reprints: Brian J. Daley, MD, Department of Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Box U-11, Knoxville, TN 37920","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"From the Department of Surgery, Division of Trauma and Critical Care, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee","institution_ids":["https://openalex.org/I2802076678"]},{"raw_affiliation_string":"Presented at the 13th Annual Meeting of the Eastern Association for the Surgery of Trauma, January 12\u201315, 2000, Sanibel, Florida","institution_ids":["https://openalex.org/I4210112170"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5075283435"],"corresponding_institution_ids":["https://openalex.org/I2802076678","https://openalex.org/I4210112170"],"apc_list":null,"apc_paid":null,"fwci":4.6663,"has_fulltext":false,"cited_by_count":123,"citation_normalized_percentile":{"value":0.94315736,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"50","issue":"5","first_page":"835","last_page":"842"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11951","display_name":"Trauma Management and Diagnosis","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/blunt-splenic-injury","display_name":"blunt splenic injury","score":0.8949999809265137},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.9800000190734863},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.7009999752044678},{"id":"https://openalex.org/keywords/nonoperative-management-failure","display_name":"nonoperative management failure","score":0.6740000247955322},{"id":"https://openalex.org/keywords/trauma-outcomes","display_name":"trauma outcomes","score":0.4690000116825104}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9280091524124146},{"id":"https://openalex.org/C105698618","wikidata":"https://www.wikidata.org/wiki/Q886371","display_name":"Blunt","level":2,"score":0.7092176079750061},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6386651992797852},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.5878171920776367},{"id":"https://openalex.org/C2776309230","wikidata":"https://www.wikidata.org/wiki/Q580383","display_name":"Splenectomy","level":3,"score":0.5636812448501587},{"id":"https://openalex.org/C2776619665","wikidata":"https://www.wikidata.org/wiki/Q9371","display_name":"Splenic disease","level":4,"score":0.5102698802947998},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4702802002429962},{"id":"https://openalex.org/C3019760618","wikidata":"https://www.wikidata.org/wiki/Q5144815","display_name":"Splenic flexure","level":5,"score":0.4540276825428009},{"id":"https://openalex.org/C2780931953","wikidata":"https://www.wikidata.org/wiki/Q9371","display_name":"Spleen","level":2,"score":0.18245169520378113},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.15788209438323975},{"id":"https://openalex.org/C526805850","wikidata":"https://www.wikidata.org/wiki/Q188874","display_name":"Colorectal cancer","level":3,"score":0.0},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.0},{"id":"https://openalex.org/C2778435480","wikidata":"https://www.wikidata.org/wiki/Q840387","display_name":"Colonoscopy","level":4,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013154","descriptor_name":"Spleen","qualifier_ui":"Q000293","qualifier_name":"injuries","is_major_topic":true},{"descriptor_ui":"D014949","descriptor_name":"Wounds, Nonpenetrating","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D014949","descriptor_name":"Wounds, Nonpenetrating","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/00005373-200105000-00010","doi":"https://doi.org/10.1097/00005373-200105000-00010","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00005373-200105000-00010","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Trauma: Injury, Infection, and Critical Care","raw_type":"journal-article"},{"id":"pmid:11371838","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/11371838","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of trauma","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9922999739646912}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W1542721111","https://openalex.org/W1968202357","https://openalex.org/W1971246269","https://openalex.org/W2032406032","https://openalex.org/W2039084463","https://openalex.org/W2058398916","https://openalex.org/W2065343587","https://openalex.org/W2257280022","https://openalex.org/W2400803021","https://openalex.org/W2468478771"],"related_works":["https://openalex.org/W2340909417","https://openalex.org/W1971246269","https://openalex.org/W4312812348","https://openalex.org/W2400803021","https://openalex.org/W7017277950","https://openalex.org/W2187834400","https://openalex.org/W2067103957","https://openalex.org/W1968202357","https://openalex.org/W2411942987","https://openalex.org/W2085047835"],"abstract_inverted_index":{"BACKGROUND:":[0],"For":[1],"patients":[2,40,59,70,85,104,112,121,126,151,200,216,246],">":[3,71,114,191,217,234,247],"55":[4,72,115,153,192,218,235,248],"years,":[5,102,116],"nonoperative":[6],"management":[7,239],"(NOM)":[8],"of":[9,17,29,39,47,69,83,119,137,150,160,183,202,212,225,240,261,270],"blunt":[10,87,108],"splenic":[11,53,88,109,187,228,243,262],"injury":[12,54,89,188,206],"remains":[13],"controversial.":[14],"Conflicting":[15],"reports":[16],"excessively":[18],"high":[19],"or":[20,223],"acceptably":[21,255],"low":[22,256],"failure":[23,135,140,148,165,185,224,257],"rates":[24],"have":[25,75],"discouraged":[26],"widespread":[27],"application":[28],"NOM":[30,128,184,222,231,271],"in":[31,41,56,79,215,232,245],"these":[32,42,120],"older":[33,125],"patients.":[34],"However,":[35],"the":[36,45,66,146,175,181,213,268],"small":[37],"number":[38],"studies":[43],"limits":[44],"impact":[46],"their":[48],"conclusions.":[49],"METHODS:":[50],"We":[51,64],"manage":[52],"nonoperatively":[55],"all":[57,84],"appropriate":[58],"without":[60],"regard":[61],"to":[62,91,145,162,170],"age.":[63],"present":[65],"largest":[67],"series":[68],"years":[73,193,219,249],"who":[74,220],"been":[76],"managed":[77],"nonsurgically,":[78],"a":[80,134,158,164,195],"retrospective":[81],"review":[82],"with":[86,107,253],"admitted":[90,106],"our":[92],"trauma":[93],"center":[94],"between":[95],"1996":[96],"and":[97,117,129],"1999.":[98],"RESULTS:":[99],"In":[100],"4":[101],"542":[103],"were":[105,113],"injury.":[110],"Eighty-three":[111],"61":[118],"underwent":[122],"NOM.":[123,226],"Seven":[124],"failed":[127],"required":[130],"delayed":[131],"splenectomy,":[132],"yielding":[133],"rate":[136,141,149,166],"11.4%.":[138],"This":[139,155],"was":[142,186],"statistically":[143],"equivalent":[144],"7%":[147,169],"<":[152],"years.":[154,236],"study":[156],"has":[157],"power":[159],"80%":[161],"detect":[163],"change":[167],"from":[168],"20%.":[171],"By":[172],"multivariate":[173],"analysis,":[174],"only":[176],"factor":[177],"that":[178],"significantly":[179],"increased":[180],"risk":[182,269],"grade.":[189],"Patients":[190],"had":[194,221],"higher":[196],"mortality":[197],"than":[198],"younger":[199],"regardless":[201],"NOM/operative":[203],"treatment.":[204],"Splenic":[205],"did":[207],"not":[208,264],"directly":[209],"cause":[210],"any":[211],"deaths":[214],"High-grade":[227],"injuries":[229,244],"fail":[230],"those":[233],"CONCLUSION:":[237],"Nonoperative":[238],"lower":[241],"grade":[242,260],"can":[250],"be":[251],"accomplished":[252],"an":[254],"rate.":[258],"Only":[259],"injury,":[263],"patient":[265],"age,":[266],"increases":[267],"failure.":[272]},"counts_by_year":[{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":5},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":7},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":8},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":7}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2016-06-24T00:00:00"}