Evolution, not revolution: splenic salvage for blunt trauma in a statewide voluntary trauma system—a 10-year experience

Background State-legislated trauma systems have been enacted in an attempt to improve trauma care. Blunt splenic injury incidence without a legislated trauma system was examined for changes in care with a hypothesis that a voluntary system may perform equally with a legislated system. Methods Data from a statewide discharge database for the years 1993 to 2002 were examined. Results There were 276,425 trauma admissions overall, with blunt splenic...