Straddle Injury in Girls. A Pilot Study Testing Potential for an Injury Surveillance Registry

Objectives: Straddle injury represents a rare and complex injury to the female genito urinary tract (GUT). Overall prevention would be the ultimate goal, but due to persistent inhomogenity and inconsistency in definitions and guidelines, or suboptimal coding, the optimal study design for a prevention programme is still missing. Thus, medical records data were tested for their potential use for an injury surveillance registry and their impact on future prevention programmes. Design: Retrospective record analysis out of a 3 year period. Setting: All patients were treated exclusively by the first author. Patients: Six girls, median age 7 years, range 3.5 to 12 years with classical straddle injury. Interventions: Medical treatment and recording according to National and International Standards. Main Outcome Measures: All records were analyzed for accuracy in diagnosis and coding, surgical procedure, time and location of incident and examination findings. Results: All registration data sets were complete. A specific code for “straddle injury” in International Classification of Diseases (ICD) did not exist. Coding followed mainly reimbursement issues and specific information about the injury was usually expressed in an individual style. Conclusions: As demonstrated in this pilot, population based medical record data collection can play a substantial part in local injury surveillance registry and prevention initiatives planning.