St. Peter, Shawn; Sharp, Susan W.; Snyder, Charles L.; Sharp,
Ronald J.; Andrews, Walter S.; Murphy, Patrick J.; Islam, Saleem;
Holcomb III, George W.; Ostlie Daniel J. "Prospective Validation of
an Abbreviated Bedrest Protocol in the Management of Blunt Spleen
and liver Injury in Children." Journl of Pediatric
Surgery. 46, (2011): 173-177.
The current management for blunt spleen/liver injury in children
is based upon a retrospective review of a large trauma database
with no prospectively evaluated data points.
Historically, a child that sustains a blunt injury to these
organs that is admitted to Children's Mercy Hospitals and
Clinics spent two-to-six days in the hospital at bed
rest, with a subsequent six-to-eight weeks of activity
restriction, depending on the degree of injury (Grades 1-4).
We have retrospectively reviewed our experience and question
this length of bed rest and hospitalization. Therefore, in this
prospective consecutive series, we are monitoring patients for one
night with Grade 1 or 2 injuries and two nights for
Grade 3 to 5 injuries.