Pediatric Genitourinary Injuries in the United States from 2002 to 2010

Tasian, Gregory E.; Bagga, Herman S.; Fisher, Patrick B.; McCulloch, Charles E.; Cinman, Nadya M.; McAninch, Jack W.; Breyer, Benjamin N.

doi:10.1016/j.juro.2012.09.003

Cited by 36 publications

(22 citation statements)

References 22 publications

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“…This was similar to our observations in the pediatric population, in which 92% of patients were treated on an outpatient basis and internal GU organ injury was specified in less than 4% of all injury presentations. 19 We observed that older patients had the highest inpatient admission rates, possibly due to comorbidities that make this cohort more vulnerable after injury. GU internal organ injury also increased admission with traumatic injury to the kidney carrying a 55.2% inpatient admission rate.…”

Section: Discussionmentioning

confidence: 70%

Product Related Adult Genitourinary Injuries Treated at Emergency Departments in the United States from 2002 to 2010

et al. 2013

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Purpose We describe the epidemiological features of adult genitourinary injuries related to consumer products and determined the patient cohorts, products and situations associated with increased genitourinary injury risk. Materials and Methods The National Electronic Injury Surveillance System, a data set validated to provide a probability sample of injury related emergency department presentations in the United States, was analyzed to characterize genitourinary injuries from 2002 to 2010. We analyzed 3,545 observations to derive national estimates. Results An estimated 142,144 adults (95% CI 115,324–168,964) presented to American emergency departments with genitourinary injuries from 2002 to 2010. Of the injuries 69% occurred in men. A large majority of injuries involved the external genitalia. The most common categories of products involved were sporting items in 30.2% of cases, clothing articles in 9.4% and furniture in 9.2%. The highest prevalence of injury was at ages 18 to 28 years (37.5%), which was most often related to sports equipment, such as bicycles. Older cohorts (age greater than 65 years) more commonly sustained injuries during falls and often in the bathroom during use of a shower or tub. Of all patients 88% were evaluated and treated in the emergency department without inpatient admission, although the admission rate increased with increasing patient age. Conclusions Acute genitourinary injury is often associated with common consumer items and with identifiable high risk cohorts, products and situations. Consumers, practitioners and safety champions can use our epidemiological data to prioritize and develop strategies aimed at the prevention, limitation and informed treatment of such injuries.

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Section: Discussionmentioning

confidence: 70%

Product Related Adult Genitourinary Injuries Treated at Emergency Departments in the United States from 2002 to 2010

et al. 2013

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“…Although renal injuries accounted for only 3.5% of all pediatric GU injuries, it was responsible for 25.7% of hospital admissions in this cohort. [26]…”

Section: Organsmentioning

confidence: 99%

Current Epidemiology of Genitourinary Trauma

McGeady

Breyer

2013

Urologic Clinics of North America

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118

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Synopsis This article reviews recent publications evaluating the current epidemiology of urologic trauma. It begins by providing a brief explanation of databases that have been recently used to study this patient population, then proceeds to discuss each genitourinary organ individually, discussing the most relevant and up to date information published for each one. The conclusion of the article briefly discusses possible future research and development areas pertaining to the topic.

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“…Prior studies have noted that sporting injuries in particular are a common source of genitourinary (GU) injury, especially among pediatric and young adult cohorts. 1,2 In particular, current investigations have provided some important insights into the nature and likelihood of such injuries by focusing on specific sporting activities 3–11 and isolated GU organs. 12–21 However, the overall epidemiology of sporting GU injury remains unknown.…”

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confidence: 99%

Sports-related Genitourinary Injuries Presenting to United States Emergency Departments

Bagga

Fisher

Tasian

et al. 2015

Urology

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OBJECTIVE To describe epidemiologic features of sports-related genitourinary (GU) injuries and determine patient cohorts and particular sporting activities associated with increased GU injury risk. MATERIALS AND METHODS The National Electronic Injury Surveillance System, a data set validated to provide a probability sample of injury-related US emergency department (ED) presentations, was analyzed to characterize GU injuries between 2002 and 2010. A total of 13,851 observations were analyzed to derive national estimates. RESULTS Between 2002 and 2010, an estimated 137,525 individuals (95% confidence interval, 104,490–170,620) presented to US EDs with GU injuries sustained during sporting activities. Nearly three-quarters of injuries occurred in the pediatric population. The most common product involved was a bicycle, representing approximately one-third of injuries in both adult and pediatric populations. Injuries related to team sports such as football, baseball or softball, basketball, and soccer were also common, particularly among boys where they represented a combined third of all injuries. Eighty-nine percent of all patients were evaluated and treated in the ED without inpatient admission. The large majority of injuries involved the external genitalia (60%), and significant injuries of paired GU organs (kidneys and testicles) requiring inpatient admission were rare (8.5%). CONCLUSION Sports-related GU injuries are most commonly sustained during the use of a bicycle. However, there are other associated activities with identifiable high-risk cohorts, products, and situations. Consumers, practitioners, and injury-prevention experts can use our epidemiologic data to prioritize and develop strategies aimed at the prevention and limitation of such injuries, particularly when counseling at-risk cohorts, such as those with solitary kidneys or testicles.

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Pediatric Genitourinary Injuries in the United States from 2002 to 2010

Cited by 36 publications

References 22 publications

Product Related Adult Genitourinary Injuries Treated at Emergency Departments in the United States from 2002 to 2010

Product Related Adult Genitourinary Injuries Treated at Emergency Departments in the United States from 2002 to 2010

Current Epidemiology of Genitourinary Trauma

Sports-related Genitourinary Injuries Presenting to United States Emergency Departments

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