Sports-related genitourinary injuries presenting to United States emergency departments.

TitleSports-related genitourinary injuries presenting to United States emergency departments.
Publication TypeJournal Article
Year of Publication2015
AuthorsBagga HS, Fisher PB, Tasian GE, Blaschko SD, McCulloch CE, McAninch JW, Breyer BN
JournalUrology
Volume85
Issue1
Pagination239-44
Date Published01/2015
ISSN1527-9995
KeywordsAdolescent, Adult, Aged, Athletic Injuries, Child, Child, Preschool, Emergency Service, Hospital, Humans, Middle Aged, Risk Assessment, United States, Urogenital System, Young Adult
Abstract

OBJECTIVE: To describe epidemiologic features of sports-related genitourinary (GU) injuries and determine patient cohorts and particular sporting activities associated with increased GU injury risk.

MATERIALS AND METHODS: The National Electronic Injury Surveillance System, a data set validated to provide a probability sample of injury-related US emergency department (ED) presentations, was analyzed to characterize GU injuries between 2002 and 2010. A total of 13,851 observations were analyzed to derive national estimates.

RESULTS: Between 2002 and 2010, an estimated 137,525 individuals (95% confidence interval, 104,490-170,620) presented to US EDs with GU injuries sustained during sporting activities. Nearly three-quarters of injuries occurred in the pediatric population. The most common product involved was a bicycle, representing approximately one-third of injuries in both adult and pediatric populations. Injuries related to team sports such as football, baseball or softball, basketball, and soccer were also common, particularly among boys where they represented a combined third of all injuries. Eighty-nine percent of all patients were evaluated and treated in the ED without inpatient admission. The large majority of injuries involved the external genitalia (60%), and significant injuries of paired GU organs (kidneys and testicles) requiring inpatient admission were rare (8.5%).

CONCLUSION: Sports-related GU injuries are most commonly sustained during the use of a bicycle. However, there are other associated activities with identifiable high-risk cohorts, products, and situations. Consumers, practitioners, and injury-prevention experts can use our epidemiologic data to prioritize and develop strategies aimed at the prevention and limitation of such injuries, particularly when counseling at-risk cohorts, such as those with solitary kidneys or testicles.

DOI10.1016/j.urology.2014.07.075
Alternate JournalUrology
PubMed ID25530389
Grant ListK12DK083021 / DK / NIDDK NIH HHS / United States
T32HD060550 / HD / NICHD NIH HHS / United States
UL1 RR024131 / RR / NCRR NIH HHS / United States