Lippincott

Tatebe, Leah C. MD; Kaufman, Elinore J. MD, MSHP; Nappi, Tina MSW, LICSW; Dennis, Andrew J. DO; Neely, Kathy J. MD; Hall, Erin C.

From the Department of Pharmacy (A.J.W., H.J.O., C.A.B.), Oregon Health and Science University, Portland, Oregon; Department of Pharmacy (A.J.W.), Massachusetts General Hospital, Boston, Massachusetts; Department of Pharmacy (A.J.P.), University Hospital, Newark, New Jersey; Department of Surgery (C.K., E.G., M.S.), Oregon Health and Science University; and Department of Neurosurgery (D.N.M.), Oregon Health and Science University, Portland, Oregon.

From the Georgia Trauma Commission (E.V.A.), Madison; John D. Archbold Memorial Hospital (K.A.V.), Thomasville; Augusta University Health (R.S.M.), Augusta; Archbold Memorial Hospital (G.K.P.), Thomasville; Crisp Regional Medical Center (A.R.R.), Cordele; and Department of Surgery (D.W.A.), Atrium Health Navicent, Macon, Georgia. Submitted: July 29, 2022, Revised: November 4, 2022, Accepted: November 8, 2022, Published online: November 14, 2022.

From the Division of Trauma, Burns and Surgical Critical Care, Department of Surgery (A.G., M.L., J.N.), Irvine Medical Center, University of California, Orange; and Department of Surgery (A.G., M.S., K.I., M.M., K.M.), University of Southern California, Los Angeles, California. Submitted: August 3, 2022, Revised: September 29, 2022, Accepted: October 25, 2022, Published online: November 8, 2022.

BACKGROUND The feasibility of nonoperative management for high-grade blunt splenic injuries (BSIs) has been suggested in recent studies. The purpose of this study was to assess nationwide trends in the management of isolated high-grade BSIs. We hypothesized that isolated high-grade BSIs are more frequently being managed nonoperatively.

From the Department of Surgery (M.R.P., M.Y.N., A.L., L.A., K.M.K., T.D.), Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts; and Institute for Cancer Outcomes and Survivorship (K.M.K.), University of Alabama—Birmingham, Birmingham, Alabama. Submitted: December 12, 2021, Revised: July 14, 2022, Accepted: July 26, 2022, Published online: August 5, 2022. Supplemental digital content is available for this article.

From the Department of Emergency Medicine (T.M., J.H., E.H., S.T.), Denver Health Medical Center, Denver; Department of Emergency Medicine (T.M., J.H., S.T.), University of Colorado School of Medicine; Department of Epidemiology (J.H.), Colorado School of Public Health; Section of Emergency Medicine, Department of Pediatrics (K.A.), Department of Surgery (M.C.), University of Colorado School of Medicine, Aurora, Colorado; Department of Emergency Medicine (M.G.-H.), David Geffen School of...

From the Division of General and Trauma Surgery, Department of Surgery (S.A.C.), University of Pittsburgh Medical Center, Pittsburg, Pennsylvania; Program for the Advancement of Surgical Equity, Division of General Surgery, Department of Surgery, (D.Z., M.M., R.D., C.J.), University of California, Los Angeles, California; Littoral Regional Delegation (F.D.-D.), Ministry of Public Health, Douala; Hospital Administration (T.K.), The Limbe Regional Hospital, Limbe; Hospital Administration...

From the Department of Surgery University of Colorado School of Medicine and Department of Trauma Service, University of Colorado Hospital, Anschutz Medical Campus (J.M.S., H.C., R.M.J., S.U., C.V.), Aurora, CO; Department of Surgery, UCSF-Fresno (S.B., R.C.D.), Fresno, CA; Trauma, Critical Care and Acute Care Surgery, Grant Medical Center (M.C.S., A.L.R.), Columbus, OH; Department of Surgery, University of California, San Francisco (M.S.F.), San Francisco, CA; Departments of Emergency...

From the Department of Emergency Medicine (C.C.D.E.), Kingston Health Sciences Centre, ICES (C.C.D.E., W.L., S.B.B.), School of Medicine (G.J., C.M., R.N.), and Department of Surgery (S.B.B.), Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada. Submitted: September 16, 2022, Revised: October 13, 2022, Accepted: October 17, 2022, Published online: November 4, 2022. Supplemental digital content is available for this article.