{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T05:29:56Z","timestamp":1736400596652,"version":"3.32.0"},"reference-count":6,"publisher":"Public Library of Science (PLoS)","issue":"1","license":[{"start":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T00:00:00Z","timestamp":1736294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100023476","name":"British Society of Interventional radiology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100023476","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>The spleen is commonly injured in trauma and this may be managed with a conservative approach, embolisation or splenectomy. There is uncertainty how splenic embolisation fits into the treatment paradigm and the delivery of IR services remains variable.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Aims and objectives<\/jats:title>\n<jats:p>The primary objectives are to determine if service design significantly affects splenic embolisation (SE) rates in AAST grade 2\u20135 acute traumatic splenic injuries (ATSI) across the Major Trauma Centres (MTCs) in England and to determine if variation in treatment affects SE outcomes in ATSI.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We will include 5 years of data from traumatic splenic injury patients in the MTCs from 01\/01\/2016 to 31\/12\/2020 available from the Trauma Audit and Research Network (TARN) database. Inclusion Criteria will be all patients with ATSI registered with TARN. Those without a CT available to grade radiologically will be excluded. Data available from the TARN database and then correlated with data that will be collected at each MTC, where detail as to the embolisation technique, specific injury pattern, imaging based follow up and patient survival will be available. A short service-based questionnaire will be sent to each centre to establish centre-specific details such as on call rota, IR response activation, reporting practices and capture data around routine decision-making at that site. Data will be collected on an anonymised (REDCap) database. This project will evaluate the impact of service design on embolisation rates and outcomes, as well as evaluating the impact of the variation upon treatment selection and outcomes. Logistic regression will be used to identify factors associated with treatment selection and mortality at 30 days.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0313138","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T19:19:13Z","timestamp":1736363953000},"page":"e0313138","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["SPEED (SPlEnic Embolisation Decisions) study\u2014Decision to treat acute traumatic splenic artery injury in the context of trauma protocol"],"prefix":"10.1371","volume":"20","author":[{"given":"Paul","family":"Jenkins","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5325-3739","authenticated-orcid":true,"given":"Jim","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Harding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lexy","family":"Sorrell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5228-2623","authenticated-orcid":true,"given":"Victoria","family":"Allgar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl","family":"Roobottom","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,1,8]]},"reference":[{"key":"pone.0313138.ref001","unstructured":"CIRSE Guidelines: Quality Improvement Guidelines for Endovascular Treatment of Traumatic Hemorrhage, https:\/\/www.cirse.org\/wp-content\/uploads\/2018\/11\/2012_Endovascular-Treatment-of-Traumatic-Hemorrhage_Chakraverty.pdf"},{"issue":"6","key":"pone.0313138.ref002","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1097\/TA.0000000000002058","article-title":"Organ Injury Scaling 2018 Update: Spleen, Liver, and Kidney","volume":"85","author":"R Kozar","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"issue":"1","key":"pone.0313138.ref003","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1308\/rcsann.2016.0325","article-title":"A review of the management of blunt splenic trauma in England and Wales: have regional trauma networks influenced management strategies and outcomes?","volume":"99","author":"P. Yiannoullou","year":"2017","journal-title":"Annals of the Royal College of Surgeons of England"},{"key":"pone.0313138.ref004","unstructured":"RCR 2015 \u2013Standards for practice and guidance for trauma radiology in the severely injured patient. https:\/\/www.rcr.ac.uk\/system\/files\/publication\/field_publication_files\/bfcr155_traumaradiol.pdf"},{"issue":"2","key":"pone.0313138.ref005","doi-asserted-by":"crossref","first-page":"e85","DOI":"10.1016\/j.crad.2022.09.123","article-title":"Splenic embolisation practices within the UK: a national survey","volume":"78","author":"P Jenkins","year":"2023","journal-title":"Clinical Radiology"},{"issue":"1","key":"pone.0313138.ref006","first-page":"252","article-title":"Outcomes of proximal versus distal splenic artery embolisation after trauma: a systematic review and meta-analysis","volume":"70","author":"B Schnuriger","year":"2011","journal-title":"J Trauma"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0313138","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T19:19:20Z","timestamp":1736363960000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0313138"}},"subtitle":[],"editor":[{"given":"Ey\u00fcp Serhat","family":"\u00c7al\u0131k","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,1,8]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,8]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0313138","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,8]]}}}