Spleen_Injury_Scale_guideline v.1
Spleen Injury Scale evaluates traumatic splenic injury based on degree of laceration and hematoma.
To evaluate traumatic splenic injury based on degree of laceration and hematoma.
The grading was created with findings from CT scans, operative notes and autopsy results. There are five grades of spleen injury, from the least severe (I) to the most severe (V): AAST spleen injury grading, Injury severity, Description Grade I=Minor injury=Subcapsular haematoma <10% of surface area;Capsular laceration. Grade II=Minor injury=Subcapsular haematoma 10-50% of surface area; Intraparenchymal haematoma; Laceration 1-3 cm depth not involving trabecular vessels. Grade III= Moderate injury= Subcapsular haematoma >50% of surface area or expanding; Intraparenchymal haematoma >5 cm or expanding; Laceration >3 cm depth or involving trabecular vessels; Ruptured subcapsular or parenchymal haematoma. Grade IV=Severe injury=Laceration involving segmental or hilar vessels with major devascularisation (>25% of spleen). Grade V=Severe injury= Shattered spleen; Hilar vascular injury with devascularised spleen.
Moore EE, Cogbill TH, Jurkovich GJ, Shackford SR, Malangoni MA, Champion HR. Organ injury scaling: spleen and liver (1994 revision). J Trauma. 1995 Mar;38(3):323-4. doi: 10.1097/00005373-199503000-00001. PMID: 7897707. Aubrey-Bassler FK, Sowers N. 613 cases of splenic rupture without risk factors or previously diagnosed disease: a systematic review. BMC Emerg Med. 2012 Aug 14;12:11. doi: 10.1186/1471-227X-12-11. PMID: 22889306; PMCID: PMC3532171. Harbrecht BG, Zenati MS, Ochoa JB, Townsend RN, Puyana JC, Wilson MA, Peitzman AB. Management of adult blunt splenic injuries: comparison between level I and level II trauma centers. J Am Coll Surg. 2004 Feb;198(2):232-9. doi: 10.1016/j.jamcollsurg.2003.10.007. PMID: 14759780.
openEHR-EHR-OBSERVATION.spleen_injury
