Meta-analysis of predictive factors and outcomes for failure of non-operative management of blunt splenic trauma
Evidence Based Medicine
Bhangu A et al. – Failed non–operative management (fNOM) leads to increased resource use and increased mortality. Methods of preventing fNOM, such as angioembolisation, warrant further assessment. Patients with increasing age, AAST scores and moderate or large haemoperitoneums may benefit from closer monitoring.