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Straddle Injury in Girls. A Pilot Study Testing Potential for an InjurySurveillance Registry

机译:女孩跨骑受伤。潜在的伤害监测注册表测试研究

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Objectives: Straddle injury represents a rare and complex injury to the female genito - urinary tract (GUT). Overall prevention would be the ultimate goal, but due to persistent inhomogenity and inconsistency in definitions and guidelines, or suboptimal coding, the optimal study design for a prevention programme is still missing. Thus, medical records data were tested for their potential use for an injury surveillance registry and their impact on future prevention programmes.Design: Retrospective record analysis out of a 3 - year - period.Setting: All patients were treated exclusively by the first author.Patients: Six girls, median age 7 years, range 3.5 to 12 years with classical straddle injury.Interventions: Medical treatment and recording according to National and International Standards. Main Outcome Measures: All records were analyzed for accuracy in diagnosis and coding, surgical procedure, time and location of incident and examination findings.Results: All registration data sets were complete. A specific code for “straddle injury” in International Classification of Diseases (ICD) did not exist. Coding followed mainly reimbursement issues and specific information about the injury was usually expressed in an individual style. Conclusions: As demonstrated in this pilot, population based medical record data collection can play a substantial part inlocal injury surveillance registry and prevention initiatives planning.
机译:目的:跨骑损伤是对女性生殖泌尿系统(GUT)的罕见而复杂的损伤。全面预防将是最终目标,但由于持续存在的不均一性和定义和指导方针的不一致,或编码不够理想,预防方案的最佳研究设计仍未得到实现。因此,对病历数据进行了测试,以检查其可能用于伤害监测注册表以及对未来预防计划的影响。设计:三年期间的回顾性记录分析背景:所有患者均由第一作者独家治疗。患者:6名女孩,中位年龄7岁,范围3.5至12岁,患有经典跨骑。干预措施:根据国家和国际标准进行医疗和记录。主要结果指标:分析所有记录的诊断和编码,手术程序,事件的时间和位置以及检查结果的准确性。结果:所有登记数据集均完整。国际疾病分类(ICD)中没有针对“跨界伤害”的特定代码。编码之后主要是报销问题,有关伤害的具体信息通常以个人形式表示。结论:如该试验所示,基于人群的病历数据收集可以在本地伤害监测登记和预防措施计划中发挥重要作用。

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