园艺对视力的危害：紧急护理中眼睛损伤的模式

IF 2.7 3区医学 Q1 EMERGENCY MEDICINE

American Journal of Emergency Medicine Pub Date : 2025-05-24 DOI:10.1016/j.ajem.2025.05.042

Matthew J. Lee BA , Sophia Dutton BA , Philip R. Rizzuto MD

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引用次数: 0

摘要

目的了解美国急诊科与园艺工具相关的眼部损伤的人口学特征和诊断。材料和方法使用国家电子伤害监测系统（NEISS）对2014年至2023年与园艺工具相关的眼部伤害进行鉴定。采用描述性统计和线性回归对涉及眼球的病例及相关产品编码进行分析。结果218例患者共就诊9326次ED （95% CI: 7001-11,652）。尽管受伤人数总体下降（Beta值= - 43.5），但从2020年到2023年，受伤人数增加了132.2%，这可能反映了大流行后园艺活动的增加。成人（78.4%）和男性（61.0%）受影响最大。常见的诊断包括挫伤/角膜擦伤（53.7%）、异物（13.3%）和结膜下出血/前房积血（10.1%）。环境垃圾是最常见的原因。与园艺工具相关的眼部损伤主要影响成年人，通常由碎片引起，导致很大程度上可预防的结果，如擦伤。推广护目镜和公众教育可能有助于减少这些伤害。

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Gardening hazards to vision: Patterns of eye injuries in emergency care

Purpose

To characterize the demographics and diagnoses of garden tool-related eye injuries presenting to United States emergency departments (EDs).

Materials and methods

Eye injuries associated with gardening tools from 2014 to 2023 were identified using the National Electronic Injury Surveillance System (NEISS). Cases involving the eyeball and relevant product codes were analyzed using descriptive statistics and linear regression.

Results

A total of 218 cases represented an estimated 9326 ED visits (95 % CI: 7001–11,652). Although injuries declined overall (Beta = −43.5), a 132.2 % increase occurred from 2020 to 2023, likely reflecting increased gardening post-pandemic. Adults (78.4 %) and males (61.0 %) were most affected. Common diagnoses included contusions/corneal abrasions (53.7 %), foreign bodies (13.3 %), and subconjunctival hemorrhage/hyphema (10.1 %). Environmental debris was the most frequent cause.

Discussion

Gardening tool-related eye injuries primarily affect adults and are often caused by debris, leading to largely preventable outcomes such as abrasions. Promoting protective eyewear and public education may help reduce these injuries.

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来源期刊

American Journal of Emergency Medicine 医学-急救医学

CiteScore

6.00

自引率

5.60%

发文量

730

审稿时长

42 days

期刊介绍： A distinctive blend of practicality and scholarliness makes the American Journal of Emergency Medicine a key source for information on emergency medical care. Covering all activities concerned with emergency medicine, it is the journal to turn to for information to help increase the ability to understand, recognize and treat emergency conditions. Issues contain clinical articles, case reports, review articles, editorials, international notes, book reviews and more.