KMID : 0385920230340040323
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Journal of the Korean Society of Emergency Medicine 2023 Volume.34 No. 4 p.323 ~ p.329
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Characteristics of pediatric genital injuries: a 10-year, single-emergency center, retrospective study
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Choi Soo-Bok
Kim Chong-Myeong
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Abstract
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Objective: This 10-year, single-center, retrospective study was conducted to examine the characteristics of pediatric genital injuries in a Korean emergency department (ED) setting.
Methods: The current study was conducted on 96 children (n=96) with genital injuries who presented to the ED of our medical institution during a 10-year period between July 16, 2013, and June 15, 2022. The diverse factors associated with the patients¡¯ outcomes were examined. Logistic regression analysis was performed, for which the odds ratio (OR) and 95% confidence interval (CI) were calculated to identify factors contributing to complications.
Results: Outdoors were more prevalent places of genital injuries than indoors in both boys and girls (64.3% and 48.5%, respectively). Straddle injury was the most common injury in boys and girls (35.7% and 64.7%, respectively). The penis and labia were the most prevalent injured organs in boys and girls-53.6% (15/28) and 60.3% (41/68), respectively. Of the patients, 7.3% (7/96) presented with wound infection. Multivariate logistic regression analysis showed that a delay to surgery >8 hours (OR, 0.74; 95% CI, 0.10-0.86; P=0.026) and the presence of wound contamination (OR, 3.76; 95% CI, 1.01-13.94; P=0.048) contributed to the occurrence of complications.
Conclusion: The results showed that the age of 4-5 years, female sex, and straddle injury were closely associated with a relatively higher prevalence of pediatric genital injuries. In addition, a delay to surgery >8 hours and wound contamination contributed to complications. Nevertheless, further large-scale studies will be needed to establish the results.
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KEYWORD
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Wounds and injuries, Pediatric emergency medicine, Genitalia, Risk factors, Complications
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