{"title":"交通事故后泌尿生殖系统损伤的发生率:系统回顾","authors":"Reza Aletaha, Amin Abbasi, Hamidreza Ashayeri, Raana Zakeri, Homayoun Sadeghi-Bazargani, Kavous Shahsavrinia, Ehsan Sepehran, Amirmohammad Navali, Hanieh Salehi-Pourmehr, Sakineh Hajebrahimi","doi":"10.1007/s00192-024-05870-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalence of Urogenital Injury following Road Accident: A Systematic Review.\",\"authors\":\"Reza Aletaha, Amin Abbasi, Hamidreza Ashayeri, Raana Zakeri, Homayoun Sadeghi-Bazargani, Kavous Shahsavrinia, Ehsan Sepehran, Amirmohammad Navali, Hanieh Salehi-Pourmehr, Sakineh Hajebrahimi\",\"doi\":\"10.1007/s00192-024-05870-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction and hypothesis: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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. 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引用次数: 0
摘要
导言和假设: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)见于约 10%的成年外伤患者和不到 3%的腹部或骨盆多发/严重外伤儿童。交通事故是导致 UGI 的最常见原因。本研究的目的是系统地确定车祸后 UGI 的发生率和类型:搜索策略旨在查找 2023 年 10 月的相关研究。对语言和日期没有限制。以下标准被视为合格标准:至少报道了道路交通伤害(RTI)患者 UGI 的一个流行病学方面,以及对 UGI 中 RTI 的单独流行病学分析(我们还纳入了那些指出所有 RTI 但单独提及 UGI 的文章)。两位专家使用乔安娜-布里格斯研究所(Joanna Briggs Institute)提供的标准化批判性评估工具对文章的报告质量进行了评估。本研究使用 CMA 统计软件 3.2.0 版进行统计分析:我们的研究共纳入了 107 项研究中的 1,466,024 例 RTI 病例。其中,29 项研究涉及儿童(20,036 例),其他研究报告了成人的 RTI(1,445,988 例)。总发病率为 4.7%,36 项研究中的肇事者为汽车事故,25 项研究中的肇事者为摩托车事故,17 项研究中的肇事者为自行车,23 项相关研究中的肇事者为汽车与行人碰撞。根据受损器官进行分组分析,膀胱损伤率为 3.5%。结论:本系统综述和荟萃分析发现,RTI 后的 UGI 发生率为 4.7%,车祸是最常见的原因。成人尿路感染的发病率高于儿童,膀胱和肾脏损伤是最常见的报告类型。尿路感染的发生率因国家和研究设计而异。
Prevalence of Urogenital Injury following Road Accident: A Systematic Review.
Introduction and hypothesis: 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.
Methods: 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.
Results: 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.
Conclusion: 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.
期刊介绍:
The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion