144 GENITOURINARY INJURY PRESENTING TO US EMERGENCY DEPARTMENTS ACROSS AGE RANGES

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Cost Effectiveness (II)1 Apr 2013144 GENITOURINARY INJURY PRESENTING TO US EMERGENCY DEPARTMENTS ACROSS AGE RANGES Herman Bagga, Gregory Tasian, James McGeady, Sarah Blaschko, Charles McCulloch, Jack McAninch, and Benjamin Breyer Herman BaggaHerman Bagga San Francisco, CA More articles by this author , Gregory TasianGregory Tasian Philadelphia, PA More articles by this author , James McGeadyJames McGeady San Francisco, CA More articles by this author , Sarah BlaschkoSarah Blaschko 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.2013.02.1524AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The epidemiology of acute genitourinary (GU) injury in the U.S. is poorly characterized, particularly in outpatient populations. We studied the characteristics of patients presenting to US emergency departments (ED) with GU injury stratified across differing age ranges. METHODS We used the National Electronic Injury Surveillance System, a dataset validated to provide a probability sample of US ED injury presentations, to analyze patients who sustained product-related GU injuries from 2002-2010. RESULTS An estimated 394,536 (95% CI 320,903-468,158) individuals presented to US EDs with GU injury. 64% of patients were children (under age 18), and most injuries involved external genitalia (73%). 93% of children were managed in the ED without inpatient admission. Children 4-7 years old were most frequently injured, with 37% of pediatric GU injuries. These children presented after falls from furniture (20%), use of sporting equipment such as bicycles (20%), or use of playground equipment (16%). One third of injuries in children under 1 year of age occurred in the bathroom: due to trauma with a tub or sink (42%), or from hot water scalds (13%). Most injuries for children over 8 were associated with sporting equipment (40%) or at a playground (12%). Common sources of penile injury in children included crush from a toilet seat (20%) or zipper injury (17%). The majority of all adults with GU injuries were managed and discharged from the ED (88%), however, 33% of those aged 65+ years required inpatient admission. The highest proportion of adult GU injuries occurred to those 18-28 years of age (38%). These injuries occurred as a result of bicycle and other sporting injuries (33%), genital grooming injuries from razor or scissor use (9%), or falls from furniture (7%). Zipper injuries were the most common source of injury to the penis (33%). As individuals aged, GU injuries resulting from falls in the bathroom (in showers and tubs) and from climbing fixtures (stairs and ladders) steadily increased. Specifically, these injuries represented a quarter of injuries for those aged 65+ years, in comparison to less than 10% of those 18-28 years and 29-45 years of age. CONCLUSIONS Our results suggest that GU injuries are a significant health concern resulting in nearly 45,000 ED presentations each year. We were able to identify specific etiologies of injury across differing age ranges. An understanding of such associations may be helpful in prevention of injury via product and behavior modification. Furthermore, this information may be useful in directing the education of practitioners evaluating and treating GU injuries. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e58-e59 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Herman Bagga San Francisco, CA More articles by this author Gregory Tasian Philadelphia, PA More articles by this author James McGeady San Francisco, CA More articles by this author Sarah Blaschko 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 ...