Urethral injury in major trauma.

Battaloglu, Emir, Figuero, Marisol, Moran, Christopher, Lecky, Fiona and Porter, Keith (2019) Urethral injury in major trauma. Injury, 50 (5). pp. 1053-1057. ISSN 1879-0267. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: https://www.injuryjournal.com/article/S0020-1383(1...

Abstract

Urethral injury in major trauma is infrequent, with complex problems of diagnosis and treatment. The aims of this study are to determine the incidence and epidemiological factors relating to urethral injury in major trauma, as well as determine if any additional prognostic factors are evident within this cohort of patients. A retrospective review of patients sustaining urethral injury following major trauma was made over a 6-year period, from 2010 to 2015. Quantitative analysis was made using the national trauma registry for England and Wales, the Trauma Audit and Research Network (TARN) database, identifying all patients with injury codes for urethral injury. 165 patients with urethral injuries were identified, over 90% were male, most commonly injured during road traffic accidents and with an associated overall mortality of 12%. Urethral injury in association with pelvic fracture occurred in 136 patients (82%), representing 0.6% of all pelvic fractures, and was associated with double the rate of mortality. Urethral injury was associated with unstable pelvic fractures (LC2, LC3, APC3, VS, CM) but not with a specific pelvic fracture type. This study confirms the rare incidence of this injury in major trauma at 1 per 2 million population per year.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WB Practice of medicine > WB400 Intensive care
WJ Urogenital system. Urology
WO Surgery
Divisions: Emergency Services > Renal
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Depositing User: Gareth Sunley
Date Deposited: 20 Jul 2020 09:58
Last Modified: 20 Jul 2020 09:58
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3286

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