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The rate of success of the conservative management of liver trauma in a developing country

Overview of attention for article published in World Journal of Emergency Surgery, June 2017
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Title
The rate of success of the conservative management of liver trauma in a developing country
Published in
World Journal of Emergency Surgery, June 2017
DOI 10.1186/s13017-017-0135-4
Pubmed ID
Authors

S. Buci, M. Torba, A. Gjata, I. Kajo, Gj. Bushi, K. Kagjini

Abstract

The conservative treatment of liver trauma has made important progress over the last 10 years at the Trauma University Hospital in Tirana, Albania. The percentage of success was 58.7%. The aims of this study were to analyze the conservative treatment of liver trauma and to compare the results with those in the literature. This study was conducted prospectively from January 2009 to December 2012. We analyzed 173 patients admitted to our hospital with liver trauma. Liver injuries were evaluated according to the American Association for the Surgery of Trauma and the World Society of Emergency Surgery classification, while the anatomic gravity of the associated injuries was defined using the Injury Severity Score system. The potential mortality was estimated with the Revised Trauma Score. Out of the 173 patients with liver trauma, 83.2% were male. The main cause of liver trauma was motor vehicle crashes (50.9%). Blunt trauma was the cause of liver injury in 129 cases (74.6%), and penetrating trauma occurred in 44 cases (25.4%). Initially, the decision was to manage 88 cases (50.9%) via the conservative approach. Of these, 73 cases (42.2%) were successfully treated with conservative treatment, while in 15 cases (17.2%), this approach failed. The success rate of conservative treatment by grade of injuries was as follows: grade I (38.4%), grade II (30.1%), grade III (28.8%), and grade IV (2.7%). The likelihood of the success of conservative treatment had a significant correlation with the grade of the liver injury (p < 0.00001), associated intra-abdominal injuries (p = 0.00051), and complications (z = 2.3169, p = 0.02051). The overall mortality rate of liver trauma was 13.2%. The likelihood of success in using conservative treatment had a significant correlation with the grade of liver injury and associated intra-abdominal injuries. The limited hospital resources and low level of consensus on conservative treatment had a negative impact on the level of success.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 34 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 34 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 11 32%
Student > Postgraduate 7 21%
Other 3 9%
Student > Master 3 9%
Student > Doctoral Student 2 6%
Other 2 6%
Unknown 6 18%
Readers by discipline Count As %
Medicine and Dentistry 20 59%
Nursing and Health Professions 3 9%
Chemical Engineering 1 3%
Biochemistry, Genetics and Molecular Biology 1 3%
Psychology 1 3%
Other 1 3%
Unknown 7 21%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 June 2017.
All research outputs
#20,428,633
of 22,981,247 outputs
Outputs from World Journal of Emergency Surgery
#478
of 551 outputs
Outputs of similar age
#276,079
of 317,350 outputs
Outputs of similar age from World Journal of Emergency Surgery
#11
of 11 outputs
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