Changing trends in the management of XXXX .

@entity1 @entity130
BACKGROUND: A gradual change in the management of @entity130 has occurred at our institution. This study was therefore undertaken to determine whether changes in management of @entity130 influenced outcomes during the past 30 years. @entity1 AND METHODS: A retrospective study of @entity1 admitted with @entity130 between 1965 and 1994 was performed. Two hundred seven @entity1 were identified and demographic and outcome data were recorded. @entity1 were then grouped based upon the period in which they received treatment (ie, Period I [1965 to 1974], Period II [1975 to 1984], and Period III [1985 to 1994]), and the type of treatment received (ie, splenectomy, splenorrhaphy, or observation). RESULTS: More @entity1 were treated in Period III than in the other two periods, and Period III @entity1 had shorter hospital stays. Splenectomy was solely used during Period I; splenorrhaphy and observation were occasionally performed during Period II; and splenectomy, splenorrhaphy, and observation were performed in near-equal numbers during Period III. Mortality was similar for each period, though Injury Severity Scores (ISS) were higher during later years. When compared by treatment modality, @entity1 receiving splenectomy had higher ISS and @entity130 classifications. CONCLUSION: @entity1 treated by splenorrhaphy and observation for @entity130 have markedly increased over the past 30 years without adverse outcome.
