In conclusion, NOM has been accepted as standard treatment for AAST grades I and II BST, whereas this was not found to be safe in higher grades of splenic trauma.
Furthermore, there were no significant differences in the grade of intracochlear trauma in each segment between the two groups (P > 0.05; Table 1).
It was reported that junior staff or health professionals without current perineal assessment skills, may incorrectly diagnose the grade of perineal trauma, this may result in an inadequate repair being performed: If the midwife is in there and she doesn't recognise that it's a third degree tear, that's not going to get picked up…she's not going to get anybody in there to do it.
In addition, anatomic injury scoring systems grading the severity of trauma patients have predictive value for complications such as acute respiratory syndrome and multiple organ failure [ 24].
Experimental studies on the repair of fractures with different grades of bone marrow trauma showed retardation of osteoreparative processes in cases of bone cavity content removal or its severe damage [74, 75].
NOM of BST, preserving the spleen, is the treatment of choice for the American Association for the Surgery of Trauma grades I and II.
We developed a data collection sheet, including names of authors, type of study, number of patients, type of treatment (NOM vs. OM) and the number of patients per treatment arm, mean age, Injury Severity Score (ISS), blood pressure, gender, American Association for the Surgery of Trauma (AAST) grade of splenic injury.
The traditional American Association for the Surgery of Trauma (AAST) grading of renal injury does not adequately identify the subset of patients who are most likely to require intervention for bleeding.
To assess whether the American Association for the Surgery of Trauma (AAST) grading system accurately corresponds with appendicitis outcomes in a US pediatric population.
