Skip to main content

Temporal trends in the incidence of severe pelvic fracture urethral injuries in the United States from 1998 to 2014.

Publication ,  Journal Article
Zhao, H; Souders, C; Masterson, JM; Bresee, C; Hannemann, A; Anger, JT; Webster, GD
Published in: World J Urol
December 2021

OBJECT: To use a contemporary population-based cohort to investigate temporal trends in the national incidence of pelvic fracture urethral injuries (PFUIs) in the United States. METHODS: Using the NIS (National Inpatient Sample), we identified patients with a severe PFUI by a combination of an ICD-9 diagnosis code for pelvic fracture (808.xx) and ICD-9 procedure code for suprapubic tube (57.17 or 57.18) from 1998 to 2014. We compared the annual rates of PFUIs and the annual rates of pelvic fractures alone. RESULTS: An estimated total of 6052 ± 347 males with PFUIs were identified. The average age was 38.4 ± 0.5 years. 9.1% ± 0.8% of patients died while hospitalized. In the time frame studied, the rate of PFUI significantly decreased during from 532 patients in 1998 to 255 patients in 2014. Sensitivity analysis excluding patients with bladder repairs identified a similar trend. The annual rate of PFUI per 1000 pelvic fractures has also decreased from 14.6 ± 1.6 in 1998 to 6.5 ± 0.9 in 2014 (p = 0.001). CONCLUSIONS: In this population level study, the number of severe PFUIs has decreased in the United States from 1998 to 2014, which coincides with the implementation and enforcement of seat belt and air bag regulations. Given the rarity of these cases, there is a strong need for collaborative efforts in research and teaching at tertiary care centers for reconstructive urology.

Duke Scholars

Published In

World J Urol

DOI

EISSN

1433-8726

Publication Date

December 2021

Volume

39

Issue

12

Start / End Page

4499 / 4503

Location

Germany

Related Subject Headings

  • Wounds and Injuries
  • Urology & Nephrology
  • Urethra
  • United States
  • Time Factors
  • Male
  • Injury Severity Score
  • Incidence
  • Humans
  • Fractures, Bone
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Zhao, H., Souders, C., Masterson, J. M., Bresee, C., Hannemann, A., Anger, J. T., & Webster, G. D. (2021). Temporal trends in the incidence of severe pelvic fracture urethral injuries in the United States from 1998 to 2014. World J Urol, 39(12), 4499–4503. https://doi.org/10.1007/s00345-021-03796-1
Zhao, Hanson, Colby Souders, John M. Masterson, Catherine Bresee, Alex Hannemann, Jennifer T. Anger, and George D. Webster. “Temporal trends in the incidence of severe pelvic fracture urethral injuries in the United States from 1998 to 2014.World J Urol 39, no. 12 (December 2021): 4499–4503. https://doi.org/10.1007/s00345-021-03796-1.
Zhao H, Souders C, Masterson JM, Bresee C, Hannemann A, Anger JT, et al. Temporal trends in the incidence of severe pelvic fracture urethral injuries in the United States from 1998 to 2014. World J Urol. 2021 Dec;39(12):4499–503.
Zhao, Hanson, et al. “Temporal trends in the incidence of severe pelvic fracture urethral injuries in the United States from 1998 to 2014.World J Urol, vol. 39, no. 12, Dec. 2021, pp. 4499–503. Pubmed, doi:10.1007/s00345-021-03796-1.
Zhao H, Souders C, Masterson JM, Bresee C, Hannemann A, Anger JT, Webster GD. Temporal trends in the incidence of severe pelvic fracture urethral injuries in the United States from 1998 to 2014. World J Urol. 2021 Dec;39(12):4499–4503.

Published In

World J Urol

DOI

EISSN

1433-8726

Publication Date

December 2021

Volume

39

Issue

12

Start / End Page

4499 / 4503

Location

Germany

Related Subject Headings

  • Wounds and Injuries
  • Urology & Nephrology
  • Urethra
  • United States
  • Time Factors
  • Male
  • Injury Severity Score
  • Incidence
  • Humans
  • Fractures, Bone