論文

査読有り 国際誌
2021年2月1日

The Management of Pediatric Genital Injuries at a Pediatric Emergency Department in Japan.

Pediatric emergency care
  • Hirokazu Takei
  • ,
  • Osamu Nomura
  • ,
  • Yusuke Hagiwara
  • ,
  • Nobuaki Inoue

37
2
開始ページ
73
終了ページ
76
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1097/PEC.0000000000001489

OBJECTIVES: Genital injuries among children are often associated with consumer products or specific activities. There are few descriptive studies from Asia on pediatric genital injuries seen in the emergency department (ED). The aim of this study was to describe the characteristic features of accidental genital injuries among children. METHODS: A retrospective chart review of children aged 15 years or younger who visited our ED for genital injuries between March 2010 and November 2014 was conducted. Data on age, arrival time at the ED, location of the incident, mechanism of injury, objects, injured organ, consultation with specialists, emergency operation, sedation at the ED, and outcomes were collected and analyzed. RESULTS: One hundred seventy-nine patients were included in this analysis. Girls comprised 71% of the subject pool. The median age was 6 years (interquartile range, 4-9 years). Straddle injuries were the most common form of injury (56%). Male genital injuries occurred mostly outdoors (64%). Common consumer products associated with pediatric genital injuries were furniture (21%), exercise equipment (17%), and bicycles (15%). Thirty-two patients were examined by a surgeon, gynecologist, or urologist. The most commonly injured organs were the penis (55%) in boys and the labia (60%) in girls. Most patients (93%) were treated at the ED and discharged. CONCLUSIONS: The characteristics of accidental genital injuries among Japanese children were similar to those of children in other countries. The strategy for preventing genital injuries used in the West might be applicable to the East Asian context.

リンク情報
DOI
https://doi.org/10.1097/PEC.0000000000001489
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/29698336

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