Genitourinary injuries following road traffic collisions: a population-based study from the Middle East

BACKGROUND
The epidemiology of trauma to genitourinary (GU) organs following Road Traffic Collisions (RTC) is not well-studied, especially in the Middle East.
METHODS
The data of the RTC Injury Registry in Al-Ain City were collected prospectively from April 2006-October 2007.
RESULTS
Of the 1,008 patients in the registry, there were 23 GU injuries. Renal injuries accounted for 74% of injuries. Of these, 35% were severe (grade IV-V). There were two extraperitoneal bladder injuries and two membranous urethral injuries, all of which were associated with pelvic fractures. In addition, there were two asymptomatic adrenal injuries. The mean Injury Severity Score, mean total hospital stay and percentage of patients who required intensive care unit (ICU) admission were higher in patients with GU injuries compared to non-GU patients (24.9 vs. 9.0 (p<0.0001), 24.1 vs. 8.9 days (p<0.0001) and 67% vs. 17% (p<0.0001), respectively). Side-angle collision was the primary crash mechanism in 39% of GU patients vs. 16% in non-GU patients (p=0.015).
CONCLUSION
This is the first population-based study of GU injuries following RTC from the Middle East. Patients with GU organ injury tend to have more severe trauma compared to other patients. The incidence of GU injuries following RTC in the current study appears to be higher than that reported in the West.

Karayolu trafik kazalarýna baðlý genitoüriner yaralanmalar: Orta Doðu’dan nüfusa dayalý bir çalýþma

AMAÇ
Karayolu trafik kazalarýný (KTK) takiben oluþan genitoüriner (GÜ) travmalarýn epidemiyolojisi, özellikle Orta Doðu’da üzerine eðilinmemiþ konulardan biridir.
GEREÇ VE YÖNTEM
Nisan 2006-Ekim 2007 tarihleri için Al-Ain þehri KTK yaralanma kayýtlarý geriye dönük olarak deðerlendirildi.
BULGULAR
GÜ yaralanma 1008 hastanýn 23’ünde vardý. Renal yaralanmalar, tüm yaralanmalarýn %74’ünü kapsýyordu. Bunlarýn %35’i þiddetli idi (evre IV-V). Hepsi de pelvis kýrýklarý ile birlikte olan 2 ekstraperitoneal mesane yaralanmasý ile 2 membranöz üretral yaralanma mevcuttu. Buna ek, 2 asemptomatik sürrenal yaralanmasý da vardý. Ortalama Yaralanma Þiddet Skoru, ortalama toplam hastanede kalma süresi ve yoðun bakým ünitesine yatýrýlmasý gereken hastalarýn yüzdesi, GÜ yaralanmasý olmayan hastalara kýyasla GÜ yaralanmasý olan hastalarda daha yüksekti (sýrasýyla, 9,0 ve 24,9 (p<0,0001), 8,9 ve 24,1 gün (p<0,0001), %17 ve %67, (p<0,0001). Yan açýlý çarpýþma, GÜ yaralanmasý olmayan hastalardaki %16’ya kýyasla GÜ yaralanmasý olan hastalarda %39 ile primer yaralanma mekanizmasý idi (p=0,015).
SONUÇ
Bu çalýþma, Orta Doðu’da KTK’yý takiben oluþan GÜ yaralanmalarý ile ilgili olarak gerçekleþtirilen ilk nüfus esaslý çalýþmadýr. GÜ organ yaralanan hastalar, diðer hastalara kýyasla daha þiddetli travmaya sahip olma eðilimindedirler. KTK’yý takiben oluþan GÜ yaralanmalarýnýn görülme sýklýðý, Batý’da rapor edilenlerden daha yüksek gibi görünmektedir.