上埃及和下埃及儿童眼科患者的眼外伤模式:一项前瞻性双中心医学法律研究。

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Journal of Public Health Research Pub Date : 2024-09-19 eCollection Date: 2024-07-01 DOI:10.1177/22799036241278474
Amina A Farag, Ahmed Ali Ahmed Amer, Hanaa E Bayomy, Gehad H Youssef, Nader Hf Hassan, Nesma S Ismail, Omnia M Anwer, Fadwa A Elroby
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引用次数: 0

摘要

背景:眼外伤是导致儿童单眼失明的主要原因。本研究旨在确定和比较两所国立大学医院的儿童眼外伤情况:本哈大学医院(BUH)和南谷大学医院(SVUH)的小儿眼外伤情况,同时评估眼外伤评分(OTS)对外伤后永久性视力障碍的预测作用:这项多中心观察性研究招募了2022年5月31日至12月31日期间在北京大学人民医院和上海华山医院眼科就诊的18岁以下儿童。研究人员收集了全面的病史和眼外伤的详细数据,并在初次就诊时和6个月的随访期间对每位患儿进行了全面的眼部检查。最终视力结果为永久性视力障碍,根据国际疾病分类 11,定义为较好眼睛的最佳矫正视力差于 3/60 或近视差于 N6:研究共纳入 120 例病例,平均分布在两家医院,平均年龄为 10.03 (±3.30) 岁,74.17% 为男性,51.67% 为城市居民。钝器、锐器和异物是最常见的致伤原因,分别占 39.17%、33.33% 和 11.67%。北京大学人民医院(83.33%)比上海复旦大学附属医院(40.0%)更常见闭合性损伤。大多数伤害都是意外和户外伤害,平均就医时间间隔为 9.93 (±23.57) 小时。缺乏教育、开球状损伤、初始视力较差、从入院到接受干预的时间间隔较长以及较低的OTS与视力损伤有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pattern of eye trauma among pediatric ophthalmic patients in upper and lower Egypt: A prospective two-center medicolegal study.

Background: Ocular trauma is the leading cause of monocular blindness in children. This study aimed to identify and compare pediatric ocular injuries at two national university hospitals: Benha University Hospital (BUH) and South Valley University Hospital (SVUH) while evaluating the predictive utility of the Ocular Trauma Score (OTS) for post-traumatic permanent visual infirmity.

Design and methods: This multicenter observational study enrolled children under 18 years at BUH and SVUH Ophthalmology Departments from May 31 to December 31, 2022. Comprehensive medical histories and detailed data on eye trauma were obtained, with each undergoing thorough eye examinations at the initial presentation and during the 6-month follow-up period. The final visual outcome was permanent visual infirmity that was defined as the Best Corrected Visual Acuity in the better eye worse than 3/60 or near vision worse than N6 according to the International Classification of Diseases 11.

Results: The study included 120 cases evenly distributed between the two hospitals, with a mean age of 10.03 (±3.30) years, 74.17% male and 51.67% urban residents. Blunt, sharp, and foreign objects were the most common causes (39.17%, 33.33%, and 11.67%, respectively). Closed-globe injuries prevailed at BUH (83.33%) than SVUH (40.0%). Most injuries were accidental and outdoors, with an average interval of 9.93 (±23.57) hours to seek medical care. Lack of education, open-globe injuries, poor initial visual acuity, longer intervals from admission to intervention, and lower OTS were associated with visual impairment.

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来源期刊
Journal of Public Health Research
Journal of Public Health Research PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
4.30%
发文量
116
审稿时长
10 weeks
期刊介绍: The Journal of Public Health Research (JPHR) is an online Open Access, peer-reviewed journal in the field of public health science. The aim of the journal is to stimulate debate and dissemination of knowledge in the public health field in order to improve efficacy, effectiveness and efficiency of public health interventions to improve health outcomes of populations. This aim can only be achieved by adopting a global and multidisciplinary approach. The Journal of Public Health Research publishes contributions from both the “traditional'' disciplines of public health, including hygiene, epidemiology, health education, environmental health, occupational health, health policy, hospital management, health economics, law and ethics as well as from the area of new health care fields including social science, communication science, eHealth and mHealth philosophy, health technology assessment, genetics research implications, population-mental health, gender and disparity issues, global and migration-related themes. In support of this approach, JPHR strongly encourages the use of real multidisciplinary approaches and analyses in the manuscripts submitted to the journal. In addition to Original research, Systematic Review, Meta-analysis, Meta-synthesis and Perspectives and Debate articles, JPHR publishes newsworthy Brief Reports, Letters and Study Protocols related to public health and public health management activities.
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