1199 PEDIATRIC GENITOURINARY INJURIES TREATED IN US EMERGENCY DEPARTMENTS FROM 2002 – 2010: RESULTS FROM THE NATIONAL ELECTRONIC INJURY SURVEILLANCE SYSTEM DATABASE

Abstract

You have accessJournal of UrologyPediatrics: Reconstructive Surgery - Diversion, Endourology & Transplantation, Trauma1 Apr 20121199 PEDIATRIC GENITOURINARY INJURIES TREATED IN US EMERGENCY DEPARTMENTS FROM 2002 – 2010: RESULTS FROM THE NATIONAL ELECTRONIC INJURY SURVEILLANCE SYSTEM DATABASE Gregory Tasian, Herman Bagga, Patrick Fisher, Nadya Cinman, Charles McCulloch, Jack McAninch, and Benjamin Breyer Gregory TasianGregory Tasian Philadelphia, PA More articles by this author , Herman BaggaHerman Bagga San Francisco, CA More articles by this author , Patrick FisherPatrick Fisher San Francisco, CA More articles by this author , Nadya CinmanNadya Cinman San Francisco, CA More articles by this author , Charles McCullochCharles McCulloch San Francisco, CA More articles by this author , Jack McAninchJack McAninch San Francisco, CA More articles by this author , and Benjamin BreyerBenjamin Breyer San Francisco, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1466AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The epidemiology of pediatric genitourinary injuries in the United States (US) is unknown. We describe the epidemiologic features of genitourinary injuries sustained by children that presented to US emergency departments (EDs). METHODS We analyzed the National Electronic Injury Surveillance System (NEISS) to identify and characterize genitourinary injuries sustained by children 18 years and younger from 2002 to 2010 (n = 10,130). Estimates and standard errors were calculated using data included in NEISS, which is a stratified probability sample of hospital EDs in the United States and its territories validated to produce national estimates of all patients who present to US EDs with an injury. RESULTS Between 2002 and 2010, an estimated 252,392 children (95% CI 205,579 – 299,194) presented to US EDs with genitourinary injuries. These children had a mean age of 7.4 years (median 6 years, IQR 4 – 10 years). Forty-five percent of the injured children were boys. The yearly incidence of genitourinary injuries was stable across the time period studied. The most commonly injured organs were female external genitalia (37.7%), penises (21.6%), and testicles (12%). The rates of female external genitalia, penile, and testicular injuries per 1000 person years of follow-up were 0.13, 0.08, and 0.04, respectively. The most common diagnoses were contusions (35.5%) and lacerations (32.9%). Fall was the most common mechanism of injury (n=114,017), accounting for 45.2% of the reported injuries. Genitourinary injuries were most commonly associated with sporting and exercise equipment (35.7%), clothing items (15.5%), and playground equipment (6%). Ninety-one percent of patients were treated in the ED and then discharged. CONCLUSIONS Genitourinary injuries are an important cause of pediatric morbidity. The stability of the injuries across the time period studied suggests that potential preventative measures to decrease risk of genitourinary injury have not been identified or implemented. Further studies should be conducted to identify which products pose the greatest hazard to children in hopes of increasing awareness and developing safety mechanisms to decrease risk of traumatic genitourinary injury. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e485-e486 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Gregory Tasian Philadelphia, PA More articles by this author Herman Bagga San Francisco, CA More articles by this author Patrick Fisher San Francisco, CA More articles by this author Nadya Cinman San Francisco, CA More articles by this author Charles McCulloch San Francisco, CA More articles by this author Jack McAninch San Francisco, CA More articles by this author Benjamin Breyer San Francisco, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...