Table 3

Comparison of NOM and OM patients with liver OIS grades 4 and 5 injuries

NOM
n=103
OM
n=46
P values
SBP (mm Hg)118 (100–135)85 (70–100)<0.001
GCS score15 (13–15)8 (5–14)<0.001
BD (mmol/L)2.6 (1.4–5.1)9.1 (5.4–14.5)<0.001
ISS33 (21–42)43 (29–52)0.002
Transfusions first 24 hours
 RBCs, units5 (4–8)17 (8–31)<0.001
 Plasma, units4 (2–10)11 (5–20)0.011
 Platelets*, units2 (0–3)4 (1–8)0.004
 Plasma:RBC ratio0.60 (0.31–1.64)0.68 (0.38–1.02)0.755
Angiography, n (%)47 (46)15 (33)0.136
AE liver, n (%)19 (18)11 (24)0.442
30-day mortality, n (%)2 (2)†21 (46)<0.001
Death from hemorrhage, n (%)014 (30)<0.001
  • Values are given as median (IQR) where not stated otherwise.

  • *Each unit of platelets contains platelets from four donors.

  • †Traumatic brain injury as main cause of death.

  • AE, angioembolization; BD, base deficit; GCS, Glasgow Coma Scale; ISS, Injury Severity Score; NOM, non-operative management; OIS, Organ Injury Scale; OM, operative management; RBCs, red blood cells; SBP, systolic blood pressure.