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Frecuencia del trauma genitourinario en accidentes de tránsito en motocicleta: Revisión de alcance
Frequency of genitourinary trauma in motorcycle traffic accidents: scoping review
DOI:
https://doi.org/10.15446/rsap.v26n4.115133Palabras clave:
Accidente de tránsito, motocicletas, adulto, sistema urogenital, genitales masculinos, genitales femeninos (es)Accidents traffic, motorcycles, urogenital system, adult, genitalia male, genitalia female (en)
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Objetivo Describir la frecuencia del trauma genitourinario (TGU) causado por accidentes de tránsito en motocicleta.
Metodología Revisión de alcance de acuerdo con la metodología propuesta por Arksey y O´Malley y la extensión para revisiones de alcance Prisma. Las búsquedas se realizaron en PubMed y Embase. Se incluyeron todos los estudios que describieron la frecuencia del TGU en población adulta (≥ 18 años) como consecuencia de accidentes de tránsito en motocicleta. Dos revisores independientes se encargaron de la selección por título y resumen y posteriormente de la evaluacion de la elegibilidad y la calidad de los estudios en texto completo.
Resultados La frecuencia de TGU fue mayor en hombres, con cifras entre el 94,5% y el 96,5%, respecto a 3,4% y 5,5% en mujeres. Los conductores fueron los más afectados en comparación con los pasajeros, con una proporción de 96,4%. Los testículos fueron los principales órganos afectados, con frecuencias de trauma reportadas entre el 0,4% y el 41%, seguidos del riñón (2,4% a 35%); escroto (0% a 14%); pene (0% a 13%); vejiga (0,4% a 4%); uréter (0 a 0,02%); uretra (0,2% a 2%); vagina (1%) y vulva (1%).
Conclusión La frecuencia del TGU en pacientes involucrados en accidente de motocicleta es alta. Afecta con mayor frecuencia a los hombres jóvenes conductores de motocicleta; los órganos más afectados son los genitales externos masculinos, los riñones y la vejiga. No obstante, en mujeres, es una causa importante de TGU no obstétrico.
Objective To describe the frequency of genitourinary trauma (GUT) caused by motor cycle traffic accidents.
Methodology Scoping review conducted according to the methodology proposed by Arksey and O'Malley and the Prisma extension for scoping reviews. Searches were conducted in PubMed and Embase. All studies that described the frequency of GUT in adults (≥18 years) as a result of motorcycle traffic accidents were included. Two independent reviewers were responsible for the selection based on titles and abstracts and subsequently evaluated the eligibility and quality of the studies using full-text articles.
Results The frequency of GUT was higher in men, ranging from 94.5% to 96.5%, compared to 3.4% to 5.5% in women. Drivers were more affected than passengers, with a proportion of 96.4%. The testicles were the primary organs affected, with reported trauma frequencies ranging from 0.4% to 41%, followed by the kidney (2.4% to 35%), scrotum (0% to 14%), penis (0% to 13%), bladder (0.4% to 4%), ureter (0% to 0.02%), urethra (0.2% to 2%), vagina (1%), and vulva (1%).
Conclusion The frequency of gut in patients involved in motorcycle accidents is high. It primarily affects young male motorcycle drivers; the most affected organs are the male external genitalia, kidneys, and bladder. However, in women, it is a significant cause of non-obstetric gut.
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1. Sofia Victoria Torrales Tebes, María Galindez Fernández, Rocio Hernández Aguirre, Daniel Muñoz Vargas, Hernan Alcaíno Olivares. (2025). TENDENCIAS DE LA TASA DE MORTALIDAD POR ACCIDENTES DE TRÁNSITO EN MOTOCICLETA EN CHILE DURANTE EL PERIODO 2016 A 2023. Revista ANACEM, 19(2) https://doi.org/10.70536/RevANACEM/V19N2-202540.
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