{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:49:54Z","timestamp":1777448994546,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T00:00:00Z","timestamp":1711670400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>The presence of a splenic subcapsular hematoma (SCH) has been associated with higher rates of failure of nonoperative management (FNOM) in patients with blunt splenic injury (BSI), with rates up to 80%. We hypothesized that contemporary rates are lower. A retrospective review was conducted of patients admitted with BSI to a level I trauma center (2016-2021). Patients with SCH who had FNOM were compared to those who did not. There were 661 BSI patients, of which 102 (15.4%) had SCH. Among the SCH patients, 8 (7.8%) had FNOM. Failure of nonoperative management was higher in patients who had a SCH measuring 15\u00a0mm or greater. To the best of our knowledge, this is the largest study to date examining the relationship between SCH and FNOM. The presence of a SCH alone is not associated with a high risk for FNOM contrary to previous literature. However, SCH thickness was larger in those who failed.<\/jats:p>","DOI":"10.1177\/00031348241241734","type":"journal-article","created":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T00:38:45Z","timestamp":1711759125000},"page":"2070-2072","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Size of Splenic Subcapsular Hematoma Is Associated With Varying Outcomes of Nonoperative Management"],"prefix":"10.1177","volume":"90","author":[{"given":"Navpreet K.","family":"Dhillon","sequence":"first","affiliation":[{"name":"Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9555-5698","authenticated-orcid":false,"given":"Melike N.","family":"Harfouche","sequence":"additional","affiliation":[{"name":"Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph J.","family":"DuBose","sequence":"additional","affiliation":[{"name":"Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosemary A.","family":"Kozar","sequence":"additional","affiliation":[{"name":"Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas M.","family":"Scalea","sequence":"additional","affiliation":[{"name":"Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,29]]},"reference":[{"key":"bibr1-00031348241241734","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.133.6.619"},{"key":"bibr2-00031348241241734","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2013.10.035"},{"key":"bibr3-00031348241241734","unstructured":"Esposito TJ, Garnelli RL, Moore EE, Mattox KL, Trauma. Injury to the Spleen. Feliciano DV. 3rd ed. Stamford, CT: Appleton and Lange; 1996:531."},{"key":"bibr4-00031348241241734","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000854"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241241734","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348241241734","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241241734","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:39:41Z","timestamp":1777379981000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348241241734"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,29]]},"references-count":4,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1177\/00031348241241734"],"URL":"https:\/\/doi.org\/10.1177\/00031348241241734","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,29]]}}}