Nonoperative management of blunt liver and spleen injury in children: Evaluation of the ATOMAC guideline using GRADE.

@article{Notrica2015NonoperativeMO,
  title={Nonoperative management of blunt liver and spleen injury in children: Evaluation of the ATOMAC guideline using GRADE.},
  author={David M. Notrica and James Wallace Eubanks and David William Tuggle and Robert T. Maxson and Robert W. Letton and N. M. Puente Garc{\'i}a and Alfredo C. Alder and Karla A. Lawson and Shawn David St. Peter and Steve Megison and Pamela Garcia-Filion},
  journal={The journal of trauma and acute care surgery},
  year={2015},
  volume={79 4},
  pages={
          683-93
        }
}
BACKGROUND Nonoperative management of liver and spleen injury should be achievable for more than 95% of children. Large national studies continue to show that some regions fail to meet these benchmarks. Simultaneously, current guidelines recommend hospitalization for injury grade + 2 (in days). A new treatment algorithm, the ATOMAC guideline, is in clinical use at many centers but has not been prospectively validated. METHODS A literature review conducted through MEDLINE identified… CONTINUE READING
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