Genitourinary injuries in pediatric all-terrain vehicle trauma--a mechanistic relationship?

Urology
Chase KluemperAndrew C Bernard

Abstract

To define and discuss the characteristics of all-terrain vehicle (ATV)-related pediatric (<16 years) genitourinary (GU) trauma. ATV collisions represent a significant and growing portion of trauma cases in rural America. ATV-related renal injuries have been reported in adults but a comprehensive review of ATV-related pediatric GU trauma cases is needed. A retrospective analysis of admissions to 2 trauma centers in Kentucky between 1997 and 2007 was performed, identifying youth who presented with ATV-related GU injuries. Demographics, injury data, and treatment records for children with GU trauma in this study population were recorded and analyzed. A total of 429 youth were admitted after ATV injuries during the study period. Of these, 13 (7 boys, 6 girls) had GU injuries (3%) and the average age was 10.7 years. Of 13 patients, 12 (92%) were unhelmeted and the mean injury severity score was 10.3. Twelve of 13 (92%) suffered renal injuries (7 contusions, 5 lacerations) and 1 (8%) had an extraperitoneal bladder rupture. Renal lacerations were grade I-V. Hematuria was very common (10/12, 83%) and intensive care unit care was required in 5 of 12 (42%) patients. Mean length of stay was 5 days and 12 of 13 (92%) were discharged home. ...Continue Reading

References

Mar 3, 2005·Pediatrics·Jeffrey B KillingsworthMary E Aitken
Sep 20, 2007·Journal of Pediatric Orthopedics·Richard KirkpatrickJ Andy Sullivan

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Citations

Sep 1, 2015·Injury·Cassandra V VillegasAdil H Haider
Aug 3, 2013·The Urologic Clinics of North America·James B McGeady, Benjamin N Breyer
Feb 23, 2019·Emergency Radiology·Kelly N HagedornSean K Johnston

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