A population-based survey of hospitalized work-related ocular injury: diagnoses, cause of injury, resource utilization, and hospitalization outcome.
A population-based survey of hospitalized work-related ocular injury: diagnoses, cause of injury, resource utilization, and hospitalization outcome.
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DOI：
10.1076/opep.6.3.159.1505
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发表时间：
1999-09-01
影响因子：
1.8
通讯作者：
Wheeler, N C
中科院分区：
文献类型：
--
作者：
Baker, R S;Wilson, R M;Wheeler, N C
职业伤害是眼外伤的主要来源，通常是可以预防的。通过使用加州医院出院数据库，以确定住院眼损伤和工人赔偿作为主要支付者，以确定工作相关性，从而产生了全州范围内基于人口的严重工作相关眼损伤调查。获得了1988历年发生的受伤情况的资料，包括诊断、手术、受伤原因、住院时间、住院费用总额和出院时的处理情况。共有455例因工作相关眼外伤入院。与住院相关的最常见的工作相关眼外伤诊断为开放性地球仪损伤（46%）、附件伤口（20%）、眼眶骨折（11%）和外伤性前房积血（11%）。与工作有关的眼外伤最常见的原因是异物或抛射物（19%）、运输工具（18%）、切割或刺穿物体（17%）和袭击（9%）。约8%的患者报告了出院时常规处置以外的情况，包括长期护理或康复服务和死亡。当眼外伤为主要入院诊断时，平均住院时间为3.7天。结果显着不同的入院报告眼外伤作为主要的入院诊断相比，入院没有。因工作原因而住院的眼外伤是一种广泛的损伤，具有相当高的发病率和经济成本。根据对美国人口的预测，这些数据表明，当与工作有关的眼外伤是主要的入院诊断时，每年的医院费用不包括专业费用为1460万美元，而当眼外伤是主要或次要诊断时，每年的住院费用为4000万美元。
Occupational injury is a major source of ocular trauma and is often preventable. A statewide population-based survey of severe work-related ocular injury was generated by using the California Hospital discharge database to identify hospitalized ocular injury and workers compensation as principal payor to identify work-relatedness. Information concerning diagnoses, procedures, causes of injury, length of hospital stay, total hospital charges and disposition at hospital discharge were obtained for injuries occurring during the calendar year 1988. A total of 455 admissions for work-related ocular trauma were identified. The most common work-related ocular trauma diagnoses associated with hospitalizations were open globe injury (46%), adnexal wounds (20%), orbital fractures (11%), and traumatic hyphema (11%). The most common causes of work-related ocular trauma were foreign-body or projectile objects (19%), transport vehicles (18%), cutting or piercing objects (17%), and assaults (9%). Approximately 8% reported other than routine disposition at time of hospital discharge, including long-term nursing or rehabilitation services and death. Mean hospital stay when ocular trauma was the principal admitting diagnosis was 3.7 days. Results differed significantly for admissions reporting ocular trauma as the principal admitting diagnosis compared to admissions that did not. Hospitalized work-related ocular trauma is represented by a wide spectrum of injuries with substantial morbidity and economic costs. Projected to the United States population, these data indicate annual hospital charges excluding professional fees of $14.6 million when work-related ocular trauma is the principal admitting diagnosis and $40 million for admissions where ocular trauma is either a principal or secondary diagnosis.