Serial hemoglobin monitoring in adult patients with blunt solid organ injury: less is more

Article Figures & Data

Table 1

Demographic comparisons of patients with splenic injuries

	No intervention	Urgent or unplanned OR/IR for liver or spleen injury*	P value†
Age	39.3±17.5	41.4±16	0.51
Sex
Male	67	20	0.4
Female	36	15	0.4
ISS	22.1±14.0	26.7±15.5	0.12
Shock index	0.80±0.23	0.84±0.23	0.4
GCS	13.5±3.5	12.9±4.4	0.44
Admission Hb (mg/dL)	12.8±1.6	11.9±2.3	0.06
Liver grade	2.2±1.2	3±1.3	0.07
Spleen grade	2±1.1	3.5±1.4	<0.001
Mortality
Lived	100	32	0.16
Died	3	3	0.16
No of Hbs drawn	9.2±8.1	10±8.4	0.69
Change in Hb	3.7±2.5	3.5±2.3	0.71
Units transfused	1±2	3±6	0.09
ICU LOS	4.64±7.3	5.9±6.8	0.42
Hospital LOS	8.4±7.3	8.7±6.8	0.92

*20 patients underwent emergent exploratory laparotomy, 15 underwent emergent angiography, 3 patients underwent exploratory laparotomy with planned IR afterwards.
†P value results from Student’s t-test for continuous variables and Pearson’s χ² for categorical variables.
GCS, Glasgow Coma Scale; ICU, intensive care unit; ISS, injury severity score; LOS, length of stay.