Pediatr Emerg Med J.  2021 Dec;8(2):87-94. 10.22470/pemj.2021.00276.

Epidemiologic features of pediatric genital injury in emergency departments in Korea

• Jung JY
• Park K
• Lee SU
• Park JW
• Kwak YH
• Kim DK
• Lee JH
• Kwon H
• Jung JH
• Suh D
• Hwang S
• Lee HN

• KMID: 2524000
• DOI: http://doi.org/10.22470/pemj.2021.00276

Abstract

Purpose
Genital injury is a common pediatric injury. Given the lack of nationwide data, the authors aimed to show age group-related epidemiologic features of genital injury in Korea.
Methods
We reviewed the data from 2011-2016 Emergency Department-based Injury In-depth Surveillance registry, which involves 23 emergency departments in Korea. From the dataset, we included children (< 18 years) with the International Classification of Diseases, 10th Revision codes related to genital injury as the final diagnosis with excluding those with other codes or combined injuries. Age groups were defined as follows; infants (< 1 year), toddlers (1-3), preschoolers (4-6), schoolers (7-12), and adolescents (13-17). The clinical features and outcomes were analyzed.
Results
A total of 3,030 children were included with the median age of 6 years (interquartile range, 4-10) and the proportion of girls of 53.0%. Only 144 children (4.8%) were transported by the emergency medical service providers. The most common mechanism and place were blunt injury (1,826 [60.3%]) and home (1,535 [50.7%]), respectively. Of the codes, “Contusion of external genital organs (S30.2)” was most common (1,574 [51.9%]). As for outcomes, 2,770 children (91.4%) were discharged, 252 (8.3%) were hospitalized (intensive care units, 1 child [0.03%]), and 108 (3.6%) underwent surgery. Severe injury occurred in 111 children (3.7%) without a mortality. With increasing age in the age groups, non-accidental injury, school and sports-related injuries, hospitalization, and surgery (All Ps < 0.001).
Conclusion
Genital injury may occur at evening, in spring and summer, at home, and in the form of accidental or blunt injury. Most children are discharged. Contrary to these general features, older children tend to undergo more frequently non-accidental injury, school and sports-related injuries, hospitalization, and surgery. Thus, we need age-specific strategies for injury prevention.

Keyword

Age Groups; Contusions; Epidemiology; Genitalia; Pediatrics; Wounds, Nonpenetrating

Figure

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  Fig. 1. Flowchart of the study population. ICD: International Classification of Diseases.

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  Fig. 2. Annual, seasonal, and temporal trends of emergency department visits. (A) The annual visits were 493, 553, 503, 522, 492, and 487 in the order of years. (B) The seasonal visits were 856, 884, 819, and 471 in the order from spring to winter. (C) The temporal visits were 117, 29, 16, 172, 310, 533, 979, and 874 in the order from 0:00-2:59 to 21:00-23:59. All y axes denote the “number of emergency department visits.”

Reference

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