Julia S Gillette, Kenan Zaidat, Olivia V Waldman, Paul B Greenberg
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引用次数: 0
Abstract
Purpose: This study investigated the epidemiology of motor vehicle accident (MVA) related eye injuries presenting to the United States (US) emergency departments (EDs) from 2000 to 2020.
Methods: The National Electronic Injury Surveillance System - All Injury Program (NEISS-AIP) gathers information from 66 participating US EDs for nonfatal injuries. We queried NEISS-AIP for MVA-related eye injuries from 2000 to 2020, and collected data on diagnosis, mechanism of injury, and patient demographics. Non-ocular injuries were collected from 2018 to 2020. We extrapolated national estimates using the NEISS-AIP weighting system. Rates/10,000 people and 10,000 licensed drivers were calculated using annual US Census and US Department of Transportation data. Case review and analysis was conducted in January 2024.
Results: From 2000 to 2020, an estimated 224,231 (95% confidence interval [CI] 215,247-233,217) MVA-associated eye injuries presented to US EDs. The rate of injuries declined during this period (0.34/10,000 people - 0.27/10,000 people). Males accounted for 62.8% of injuries; most patients were White (47.7%, rate of 5.6/10,000 people), or Black/African American (17.8%, rate of 10/10,000 people). The highest rate of injury per population occurred in American Indian/Alaska Natives (11.3/10,000 people). The highest rates of ED visits were for ages 20-24 years (30,030 cases, CI: [26,791-33,269], rate of 13.5/10,000 people). The leading ocular diagnoses were contusions/abrasions (59.3%). Most patients were treated and discharged (93.9%). Between 2018 and 2020, the leading systemic injury was contusions/abrasions (26%) to the face (estimated 4026, CI: [2942-5110]).
Conclusion: Rates for MVA-related eye injuries decreased from 2000 to 2020. Vulnerable populations including adolescents and American Indian/Alaska Natives remain at increased risk for MVA-related eye injuries.
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.