首页> 美国卫生研究院文献>other >No small slam: increasing incidents of genitourinary injury from toilets and toilet seats
【2h】

No small slam: increasing incidents of genitourinary injury from toilets and toilet seats

机译:猛烈抨击:马桶和马桶座圈引发的泌尿生殖系统伤害事件不断增加

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务,本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文,但由于OA文献来源多样且变更频繁,仍可能出现获取不到、文献不完整或与标题不符等情况,如果获取不到我们将提供退款服务。请知悉。

摘要

Objective class="unordered" style="list-style-type:disc" id="L1">To describe the epidemiology of genitourinary (GU) injury from toilets that present to USA Emergency rooms (ERs).Materials and Methods class="unordered" style="list-style-type:disc" id="L2">The National Electronic Injury Surveillance System (NEISS) is a stratified probability sample of hospital ER visits for USA consumer product-related injuries.NEISS was used to estimate total toilet- and toilet seat-related GU injury for the years 2002–2010, as well as to describe demographics and injury characteristics.Analyses were performed using strata, primary sampling units and sample weights to accommodate the complex sample survey design.Data are reported as national estimates with 95% confidence intervals (CIs) provided.Results class="unordered" style="list-style-type:disc" id="L3">In all, 13 175 (95% CI 10 185–16 165) GU injuries related to toilets presented to ERs during 2002–2010.The most common mechanism involved crush from accidental fall of toilet seat, described in 9011 (68.4%, 95% CI 6907–11 115) cases.Most crush injuries were isolated to the penis (98.1%). Of crush injuries, 81.7% occurred in children aged 2–3 years and 99.3% occurred in the home. Crush injuries increased over the period 2002–2010 (P = 0.017) by ≈100 per year, ending with an estimated 1707 (95% CI 1011–2402) by 2010.Most patients who sustained toilet- and toilet seat-related GU injuries were treated in the ER and then discharged.Conclusion class="unordered" style="list-style-type:disc" id="L4">While penile crush injury related to a toilet seat is an uncommon mechanism of urological injury in children, the number of incidents appears to be rising.These findings support educational efforts and interventions, such as exchange of heavy toilet seats with slow-close toilet seat technology. class="kwd-title">Keywords: penile crush injury, toilet, toilet seat class="head no_bottom_margin" id="S5title">IntroductionPenile crush injury due to the accidental fall of a toilet seat is an uncommon cause of genitourinary (GU) trauma. However, recent reports suggest an increase in the number of these injuries in young boys, a population particularly vulnerable because of toilet training. In 2009, a 10-year study of non-sexual trauma of male children and adolescents from Graz, Austria identified accidental fall of toilet seats as the leading cause of injury to the penis in this cohort []. Tasian et al. [] recently reviewed the epidemiology of consumer product-related GU injuries in children and found that toilet seats were the most common product associated with penile injuries in children and the fourth most common product associated with paediatric GU injuries overall. Other reports on this specific type of injury exist only as case reports and small case series [–].Penile crush injuries in adults have been associated with penile fracture or urethral injury and carry the potential risks of penile curvature, stricture, or erectile dysfunction; however, the long-term sequelae of these injuries in children remain unknown [].The aim of the present study was to describe the demographic and injury characteristics of those who present to the Emergency Room (ER) with GU injury related to toilets or toilet seats. We hypothesised that a substantial number of the GU injuries seen in USA ERs result from toilet seat crush injuries, particularly in the paediatric population.
机译:Objective class =“ unordered” style =“ list-style-type:disc” id =“ L1”> <!-list-behavior = unordered prefix-word = mark-type = disc max-label-size = 0 -> 描述存在于美国急诊室(ER)的厕所对泌尿生殖道(GU)造成伤害的流行病学。 材料和方法 class =“ unordered” style =“ list -style-type:disc“ id =” L2“> <!-list-behavior = unordered prefix-word = mark-type = disc max-label-size = 0-> 国家电子伤害监测系统(NEISS)是针对美国消费品相关伤害的医院急诊就诊的分层概率样本。 NEISS用于估计2002-2010年与马桶和马桶座相关的GU损伤总数, 使用分层,主要抽样单位和样本权重进行分析,以适应复杂的样本调查设计。 数据以国家估算的形式报告,提供了95%的置信区间(CI)。 < / ul>结果 class =“ unordered” style =“ list-style-type:disc” id =“ L3”> <!-list-behavior = unordered prefix-word = mark-type = disc max-label- size = 0-> 在2002-2010年期间,共有13 175(95%CI 10 185–16 165)GU单位与ER上厕所有关的GU损伤。 最常见的机制涉及挤压9011年(68.4%,95%CI 6907-11115)描述了因马桶座意外摔倒造成的。 大多数挤压伤是由阴茎引起的(98.1%)。在挤压伤中,2至3岁的儿童占81.7%,家庭中占99.3%。在2002–2010年期间,挤压伤每年增加约100例(P = 0.017),到2010年估计达到1707(95%CI 1011–2402)。 大多数上厕所和上厕所的患者与马桶座相关的GU损伤在急诊室接受治疗,然后出院。 结论 class =“ unordered” style =“ list-style-type:disc” id =“ L4”> <! -list-behavior =无序前缀字=mark-type =光盘最大标签大小= 0-> 虽然马桶座引起的阴茎挤压伤是儿童泌尿系统伤害的罕见机制,但事件发生的数量似乎正在上升。 这些发现支持了教育方面的努力和干预措施,例如 class =“ kwd-title”>关键字:阴茎挤压伤,马桶,马桶座 class = “ head no_bottom_margin” id =“ S5title”>简介由于马桶座意外掉落而引起的阴茎挤压伤是泌尿生殖道(GU)损伤的常见原因。但是,最近的报告表明,男孩的受伤人数有所增加,而男孩由于上厕所训练而特别脆弱。 2009年,一项来自奥地利格拉茨的男孩和青少年的非性创伤十年研究表明,马桶座意外掉落是该人群阴茎受伤的主要原因[]。 Tasian等。 []最近回顾了与儿童消费品相关的GU损伤的流行病学,发现马桶座圈是儿童与阴茎损伤相关的最常见产品,而与小儿GU损伤相关的第四最常见的产品。关于这种特定类型伤害的其他报道仅以病例报告和小病例系列报道存在。成人的阴茎挤压伤与阴茎骨折或尿道损伤相关,并具有阴茎弯曲,狭窄或勃起功能障碍的潜在风险;然而,这些伤害在儿童中的长期后遗症仍然未知[]。本研究的目的是描述因急诊室(ER)出现与厕所或马桶相关的GU伤害的人的人口统计和伤害特征座位。我们假设在美国急诊室中看到的很多GU损伤是由马桶座压伤造成的,特别是在儿科人群中。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号