کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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5730967 | 1611467 | 2017 | 5 صفحه PDF | دانلود رایگان |
BackgroundThere is continued debate regarding the optimal period of bed-rest and in-hospital monitoring for non-operative management of solid organ injury following blunt trauma.MethodsSingle center, prospective, observational study of blunt solid organ injuries from 07/2014-02/2016, managed initially without surgical or angiographic intervention. Early ambulation was defined as â¤24 h.Results79 patients met inclusion criteria, with 36 (45.6%) in the early ambulation group and 43 (54.4%) in the late ambulation group. There were zero complications in the early ambulation group, and three complications in the late ambulation group (complications, p = 0.246; further interventions, p = 0.498). Median ICU LOS was zero days and three days for early vs. late ambulation, p = 0.001. Median total LOS was two days and five days for early vs. late ambulation, p < 0.001.ConclusionEarly ambulation is safe in patients undergoing non-operative management of their solid organ injury, and may result in a reduced length of stay.
Journal: The American Journal of Surgery - Volume 214, Issue 3, September 2017, Pages 402-406