Aletaha Reza, Abbasi Amin, Ashayeri Hamidreza, Zakeri Raana, Sadeghi-Bazargani Homayoun, Shahsavrinia Kavous, Sepehran Ehsan, Navali Amirmohammad, Salehi-Pourmehr Hanieh, Hajebrahimi Sakineh
Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
UNC Injury Prevention Research Center, Epidemiology Department, Gillings school of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Int Urogynecol J. 2024 Nov;35(11):2087-2096. doi: 10.1007/s00192-024-05870-9. Epub 2024 Aug 7.
Trauma complications have been one of the most serious public health concerns worldwide. In most reports, urogenital injuries (UGIs) are seen in approximately 10% of adult traumatic patients and less than 3% of children with multiple/severe trauma to the abdomen or pelvis. Traffic accidents are the most common cause of UGIs. The purpose of this study is to systematically determine the prevalence and types of UGIs after car accidents.
The search strategy was aimed at finding relevant studies in October 2023. No restrictions on language or date were applied. The following criteria were considered eligibility criteria: reporting at least one epidemiological aspect of UGIs in people with road traffic injury (RTI) and a separate epidemiological analysis of RTIs in UGI (we also included those articles that pointed out all RTIs but separately mentioned UGIs). Two experts assessed the reporting quality of articles using standardized critical appraisal instruments from the Joanna Briggs Institute. Statistical analysis for this study was conducted using the CMA statistical software version 3.2.0.
A total of 1,466,024 cases following RTIs through 107 studies were included in our review. Of these, 29 studies were related to children (20,036), and the others reported RTIs in adults (1,445,988). The total prevalence was 4.7%, and car accidents were responsible in 36 studies, followed by motorcycle accidents in 25, bicycles in 17 studies, and automobile-pedestrian collisions in 23 related studies. In subgroup analysis based on the damaged organ, the rate of bladder injury was 3.5%. This rate was 5.3% for kidneys.
This systematic review and meta-analysis found that the prevalence of UGI following RTIs was 4.7%, with car accidents being the most common cause. UGIs were more prevalent in adults than in children, and bladder and kidney injuries were the most commonly reported types. The prevalence of UGI varied by country and study design.
创伤并发症一直是全球最严重的公共卫生问题之一。在大多数报告中，泌尿生殖系统损伤（UGIs）在约10%的成年创伤患者中出现，而在腹部或骨盆遭受多处/严重创伤的儿童中比例不到3%。交通事故是UGIs最常见的原因。本研究的目的是系统地确定交通事故后UGIs的患病率和类型。
检索策略旨在查找2023年10月的相关研究。未对语言或日期设限。以下标准被视为纳入标准：报告道路交通伤（RTI）患者中UGIs的至少一个流行病学方面，以及对UGI中RTIs进行单独的流行病学分析（我们还纳入了那些指出所有RTIs但单独提及UGIs的文章）。两名专家使用乔安娜·布里格斯研究所的标准化批判性评价工具评估文章的报告质量。本研究的统计分析使用CMA统计软件3.2.0版进行。
我们的综述纳入了通过107项研究的总共1,466,024例RTIs病例。其中，29项研究与儿童相关（20,036例），其他研究报告了成人的RTIs（1,445,988例）。总患病率为4.7%，36项研究中交通事故是原因，其次是25项研究中的摩托车事故、17项研究中的自行车事故以及23项相关研究中的汽车与行人碰撞事故。在基于受损器官的亚组分析中，膀胱损伤率为3.5%。肾脏损伤率为5.3%。
这项系统综述和荟萃分析发现，RTIs后UGIs的患病率为4.7%，交通事故是最常见的原因。UGIs在成人中比在儿童中更普遍，膀胱和肾脏损伤是最常报告的类型。UGIs的患病率因国家和研究设计而异。
