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Purpose: The aim of this study was to determine if variation in the management of pediatric splenic injuries occurs among hospitals in New Hampshire.

Methods: Data accrued for each patient less than 18 years of age discharged from an acute care hospital in New Hampshire with a splenic injury diagnosis code or splenic procedure code were analyzed for the years 1991 through 1994. The splenectomy, splenorrhaphy, and nonoperative management rates of each hospital were analyzed and adjusted for case mix using direct standardization.

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