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Date of Graduation

8-2000

Degree Type

Capstone Project (On-Campus Access Only)

Degree Name

Master of Science in Physician Assistant Studies

First Advisor

Judy A. Ortiz, PA-C, MHS, MS

Abstract

OBJECTIVE: To determine whether initial nonoperative management (NOM) of hemodynamically stable splenic injured adult patient can be safely conducted on the ward. DESIGN: Retrospective medical record and Trauma Registry review. SETTING: Level one trauma center. PATIENTS: One hundred thirty five patients, who had been admitted, over five years, and initially managed nonoperatively for splenic injury were selected for this study. Nonety-five of these patients were male and 40 female. The mean (+/- SD) age was 29 +/- 18 years and the mean (+/- SD) Injury Severity Score (ISS) was 17 +/- 10.6. There were 99 patients initially managed in teh ICU and an unexpected group of 36 patients who were managed on the ward. MEASURES: We examined ISS, AIS, length of stay (LOS), emergency department vital signs, transfusions, and outcome between the two groups. RESULTS: Patients selected for NOM on the ward had a statistically significant lower ISS scores (P

Comments

The digital version of this project is currently unavailable to off-campus users; however, it may be requested via interlibrary loan by eligible borrowers from Pacific University Library. Pacific University Library is a free lender. (Library Use: NL)

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