Open Globe Injuries in the United States: Analysis of National Trauma Data.

IF 1.7 4区医学 Q3 OPHTHALMOLOGY

Ophthalmic epidemiology Pub Date : 2025-03-02 DOI:10.1080/09286586.2025.2473721

Joseph Nygaard, Collin Hoggard, Aliya Centner, Sarina Amin, Kyle Den Beste

{"title":"Open Globe Injuries in the United States: Analysis of National Trauma Data.","authors":"Joseph Nygaard, Collin Hoggard, Aliya Centner, Sarina Amin, Kyle Den Beste","doi":"10.1080/09286586.2025.2473721","DOIUrl":null,"url":null,"abstract":"Purpose: Open Globe Injuries are one of the leading causes of preventable, trauma-related blindness. There is some literature studying the effects of demographic factors as they relate to hospital outcomes. This study characterises trends of Open Globe Injury (OGI) and hospital outcomes based on demographic information utilising the National Trauma Data Bank (NTDB).Methods: Using Python programming software, the NTDB was queried for International Classification of Diseases 9th Revision diagnosis codes related to OGI based on the Birmingham Eye Trauma Terminology system. Descriptive statistics were calculated utilising chi-square tests, multivariable adjusted logistic regressions, and ANOVA to process adjusted odds ratio (OR) and means of comparison groups.Results: The final analysis included 21,481 patients. Mean age of OGI was lower for Black (40.01 [40.53-41.49]), American Indian (39.08 [37.15-41.00]), and Hispanic (38.24 [37.70-38.77]) populations. OR for Black patients was lower for work-related OGI (0.36 [0.30-0.44]), but higher for drug-positive OGI (1.51 [1.35-1.69]). Black and American Indian patients had increased odds for assault-related injuries and decreased odds for accident-related injuries. Race and ethnicity had little to no effect on mortality, or discharge to home with service, ICU, or step-down unit. Mean age of fall on the same level injuries was (71.28 [70.49-72.07]); all other mechanisms of injury had a mean age < 42.Conclusions: Our research offers a unique perspective on OGI utilising the NTDB. The trends identify at-risk populations not previously reported and suggests potential racial effects of public safety, work safety and precautions for open globe injuries.","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.7000,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ophthalmic epidemiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09286586.2025.2473721","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: Open Globe Injuries are one of the leading causes of preventable, trauma-related blindness. There is some literature studying the effects of demographic factors as they relate to hospital outcomes. This study characterises trends of Open Globe Injury (OGI) and hospital outcomes based on demographic information utilising the National Trauma Data Bank (NTDB).

Methods: Using Python programming software, the NTDB was queried for International Classification of Diseases 9th Revision diagnosis codes related to OGI based on the Birmingham Eye Trauma Terminology system. Descriptive statistics were calculated utilising chi-square tests, multivariable adjusted logistic regressions, and ANOVA to process adjusted odds ratio (OR) and means of comparison groups.

Results: The final analysis included 21,481 patients. Mean age of OGI was lower for Black (40.01 [40.53-41.49]), American Indian (39.08 [37.15-41.00]), and Hispanic (38.24 [37.70-38.77]) populations. OR for Black patients was lower for work-related OGI (0.36 [0.30-0.44]), but higher for drug-positive OGI (1.51 [1.35-1.69]). Black and American Indian patients had increased odds for assault-related injuries and decreased odds for accident-related injuries. Race and ethnicity had little to no effect on mortality, or discharge to home with service, ICU, or step-down unit. Mean age of fall on the same level injuries was (71.28 [70.49-72.07]); all other mechanisms of injury had a mean age < 42.

Conclusions: Our research offers a unique perspective on OGI utilising the NTDB. The trends identify at-risk populations not previously reported and suggests potential racial effects of public safety, work safety and precautions for open globe injuries.

查看原文本刊更多论文

美国开放性损伤：国家创伤数据分析。

目的：开放性损伤是可预防的创伤性失明的主要原因之一。有一些文献研究人口因素对医院结果的影响。本研究基于利用国家创伤数据库（NTDB）的人口统计信息，描述了开放性全球损伤（OGI）和医院结果的趋势。方法：基于伯明翰眼外伤术语系统，利用Python编程软件查询NTDB中OGI相关的国际疾病分类第九版诊断代码。描述性统计采用卡方检验、多变量校正logistic回归和方差分析来处理校正优势比（OR）和对照组均值。结果：最终分析纳入21481例患者。黑人（40.01[40.53-41.49]）、美洲印第安人（39.08[37.15-41.00]）和西班牙裔（38.24[37.70-38.77]）的OGI平均年龄较低。黑人患者工作相关OGI的OR较低（0.36[0.30-0.44]），但药物阳性OGI的OR较高（1.51[1.35-1.69]）。黑人和美洲印第安人患者发生袭击相关伤害的几率增加，而发生事故相关伤害的几率降低。种族和民族对死亡率、出院回家服务、ICU或降级单位几乎没有影响。同一水平伤中跌倒的平均年龄为71.28岁[70.49-72.07]；结论：我们的研究为利用NTDB研究OGI提供了一个独特的视角。这些趋势确定了以前未报告的高危人群，并提出了公共安全、工作安全和开放性伤害预防措施的潜在种族影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Ophthalmic epidemiology 医学-眼科学

CiteScore

3.70

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： Ophthalmic Epidemiology is dedicated to the publication of original research into eye and vision health in the fields of epidemiology, public health and the prevention of blindness. Ophthalmic Epidemiology publishes editorials, original research reports, systematic reviews and meta-analysis articles, brief communications and letters to the editor on all subjects related to ophthalmic epidemiology. A broad range of topics is suitable, such as: evaluating the risk of ocular diseases, general and specific study designs, screening program implementation and evaluation, eye health care access, delivery and outcomes, therapeutic efficacy or effectiveness, disease prognosis and quality of life, cost-benefit analysis, biostatistical theory and risk factor analysis. We are looking to expand our engagement with reports of international interest, including those regarding problems affecting developing countries, although reports from all over the world potentially are suitable. Clinical case reports, small case series (not enough for a cohort analysis) articles and animal research reports are not appropriate for this journal.