小儿生殖器损伤：国家电子伤害监测系统分析。
Pediatric genital injury: an analysis of the National Electronic Injury Surveillance System.
机构信息
Department of Urology, Northwestern University, Chicago, IL.
出版信息
Urology. 2013 Nov;82(5):1125-30. doi: 10.1016/j.urology.2013.05.042. Epub 2013 Aug 14.
OBJECTIVE
To describe the characteristics of pediatric genital injuries presenting to United States emergency departments (EDs).
METHODS
A retrospective cohort study utilizing the U.S. Consumer Product Safety Commission (CPSC) National Electronic Injury Surveillance System (NEISS) from 1991-2010 to evaluate pediatric genital injuries was performed.
RESULTS
Pediatric genital injuries represented 0.6% of all pediatric injuries with the incidence of injuries rising through the period studied, 1991-2010. The mean age at injury was 7.1 years old and was distributed 56.6% girls and 43.4% boys. A total of 43.3% had lacerations and 42.2% had contusions/abrasions. The majority of injuries occurred at home (65.9%), and the majority of patients (94.7%) were treated and released from the hospital. The most common consumer products associated with pediatric genital trauma were: bicycles (14.7% of all pediatric genital injuries), bathtubs (5.8%), daywear (5.6%), monkey bars (5.4%), and toilets (4.0%).
CONCLUSION
Although pediatric genital injuries represent a small proportion of overall injuries presenting to the emergency department, genital injuries continue to rise despite public health measures targeted to decrease childhood injury. Our results can be used to guide further prevention strategies for pediatric genital injury.
目的
描述美国急诊部（ED）接诊的小儿生殖器损伤的特点。
方法
采用美国消费品安全委员会（CPSC）1991-2010 年全国电子伤害监测系统（NEISS）进行回顾性队列研究，评估小儿生殖器损伤。
结果
小儿生殖器损伤占所有小儿损伤的 0.6%，损伤发生率呈上升趋势，1991-2010 年。受伤时的平均年龄为 7.1 岁，女童占 56.6%，男童占 43.4%。共有 43.3%有裂伤，42.2%有挫伤/擦伤。大多数损伤发生在家庭（65.9%），大多数患者（94.7%）在医院接受治疗并出院。与小儿生殖器创伤相关的最常见消费品为：自行车（占所有小儿生殖器损伤的 14.7%）、浴缸（5.8%）、日常穿着（5.6%）、猴架（5.4%）和马桶（4.0%）。
结论
尽管小儿生殖器损伤在急诊部就诊的所有损伤中占比较小，但尽管有针对减少儿童伤害的公共卫生措施，生殖器损伤仍在不断增加。我们的研究结果可用于指导小儿生殖器损伤的进一步预防策略。
Zotero 插件