Evaluation of Genital and Urinary Tract Injuries in Patients with Pelvic Fractures Referring to a Referral Trauma Hospital in Northern Iran; a Cross-sectional Study
Iranian Journal of Emergency Medicine,
Vol. 8 No. 1 (2021),
23 Azar 2020
,
Page e30
https://doi.org/10.22037/ijem.v8i1.34587
Abstract
Introduction: Pelvic fracture is the second most common cause of death in patients with multiple trauma, after head trauma. The present study was performed with the aim of determining the frequency of genitourinary tract injuries in patients with pelvic fractures referring to Poursina Hospital, Rasht, Iran, so that the initial steps required for treating patients (with pelvic fractures) in the emergency department can be specified.
Methods: In this retrospective study, the records of 170 patients with pelvic fractures, who referred to Poursina Hospital in Rasht from the beginning of January 2018 until the beginning of January 2019 were reviewed. Using the prepared checklist and based on the patient's clinical examination by the resident, information including age, sex, level of education, presence or absence of hematuria, type of trauma, and type of pelvic fracture were collected. Data were analyzed using STATA - Se v 13.1 software.
Results: Out of the 170 patients referring to the hospital due to pelvic fracture, 70% were male. The patients’ mean age was 45.02 ± 20.10 years and their mean length of hospital stay was 8.11 ± 7.13 days. Motor vehicle accidents were the most important cause of pelvic fractures and urethral injury. Fifty-five patients (33.4%) with pelvic fractures had a genitourinary tract injury. Hematuria was present in 48 of them, and blood at the tip of the meatus and perineal hematoma were symptoms that were significantly associated with genitourinary tract injury following pelvic fracture.
Conclusion: Considering the relatively high prevalence of genitourinary tract injury in pelvic trauma, it is best to perform a complete examination in all patients who present with high-energy trauma, especially in people with pelvic fractures; and if any of the above-mentioned symptoms are observed, genitourinary tract injuries should be suspected and the location of the injury should be further investigated and treated.
- hematuria, Pelvic fracture, Trauma, urogenital tract injury
- Urinary Tract
- Urogenital System
- Pelvic Bones
- Fractures, Bone
- Wounds and Injuries
- Hematuria
How to Cite
References
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