Blunt XXXX : are early adverse events related to @entity130 , nonoperative management, or surgery?

@entity1 @entity788 @entity174 @entity548 @entity1416 @entity764 @entity1576 @entity810 @entity9007 @entity204 @entity130 @entity456
PURPOSE: We aimed to compare clinical outcomes and early adverse events of operative management (OM), nonoperative management (NOM), and NOM with @entity1416 ( @entity1416 ) in blunt @entity130 (BSI) and identify the prognostic factors. METHODS: Medical records of 136 consecutive @entity1 with BSI admitted to a @entity130 center from 2005 to 2010 were retrospectively reviewed. @entity1 were separated into three groups: OM, NOM, and @entity1416 . We focused on associated injuries and early adverse events. Multivariate analysis was performed on 23 prognostic factors to find predictors. RESULTS: The total survival rate was 97.1%, with four @entity204 all occurred in the OM group. The spleen salvage rate was 91% in NOM and @entity1416 . At least one adverse event was observed in 32.8%, 62%, and 96% of @entity1 in NOM, @entity1416 , and OM groups, respectively (P < 0.001). We found significantly more @entity204 , infectious complications, @entity456 , @entity810 , and @entity788 in OM and more @entity9007 in @entity1416 . Six prognostic factors were statistically significant for one or more adverse events: simplified acute physiology score 2 >= 25 for almost all adverse events, age >= 50 years for acute @entity1576 , @entity174 for @entity548 , @entity764 for @entity456 , and at least one associated injury for @entity9007 . Adverse events were not related to the type of BSI management. CONCLUSION: @entity1 with BSI present worse outcome and more adverse events in OM, but this is related to the severity of injury. The main predictor of adverse events remains the severity of injury.
