背景:欧洲泌尿外科协会(EAU)泌尿外科创伤指南小组制定了指南,以协助医疗专业人员在过去20年中处理成人泌尿外科创伤。必须强调的是,临床指南为专家提供了最好的证据,但是遵循指南建议不一定会获得最佳结果。在为个体患者做出关于其他参数(如经验和可用设施)的治疗决策时,指南永远不能取代临床专业知识。准则不是强制性的,也不声称是法律上的护理标准。
目的:总结2023版的EAU泌尿系统创伤治疗指南。
方法:从1966年至2022年进行了系统的文献检索,并选择了具有最高确定性证据的文章。重要的是要注意,由于其性质,泌尿生殖系统创伤文献仍然严重依赖专家意见和回顾性系列。
结果:搜索的数据库包括Medline,EMBASE,和Cochrane图书馆,涵盖2021年5月1日至2022年4月29日之间的时间范围。总共确定了1236条独特记录,已检索,并筛选相关性。
结论:该指南为泌尿系统创伤的治疗提供了一种基于证据的方法。
结果:创伤是一个严重的公共卫生问题,具有巨大的社会和经济成本。泌尿系统创伤很常见;交通事故,falls,内部暴力,医源性伤害是主要原因。技术的发展,持续培训医疗专业人员,改善多发性创伤患者的护理可降低发病率,并最大限度地提高快速康复的机会。
BACKGROUND: The European Association of Urology (EAU) Guidelines Panel for Urological Trauma has produced guidelines in order to assist medical professionals in the management of urological trauma in adults for the past 20 yr. It must be emphasised that clinical guidelines present the best evidence available to the experts, but following guideline recommendations will not necessarily result in the best outcome. Guidelines can never replace clinical expertise when making treatment decisions for individual patients regarding other parameters such as experience and available facilities. Guidelines are not mandates and do not purport to be a legal standard of care.
OBJECTIVE: To present a summary of the 2023 version of the EAU guidelines on the management of urological trauma.
METHODS: A systematic literature search was conducted from 1966 to 2022, and articles with the highest certainty evidence were selected. It is important to note that due to its nature, genitourinary trauma literature still relies heavily on expert opinion and retrospective series.
RESULTS: Databases searched included Medline, EMBASE, and the Cochrane Libraries, covering a time frame between May 1, 2021 and April 29, 2022. A total of 1236 unique records were identified, retrieved, and screened for relevance.
CONCLUSIONS: The guidelines provide an evidence-based approach for the management of urological trauma.
RESULTS: Trauma is a serious public health problem with significant social and economic costs. Urological trauma is common; traffic accidents, falls, intrapersonal violence, and iatrogenic injuries are the main causes. Developments in technology, continuous training of medical professionals, and improved care of polytrauma patients reduce morbidity and maximise the opportunity for quick recovery.