Eye injuries in an Italian urban population: report of 10620 cases admitted to an eye emergency department in Torino
Eye injuries in an Italian urban population: report of 10620 cases admitted to an eye emergency department in Torino
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DOI：
10.1007/s00417-007-0738-7
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发表时间：
2008-02-01
影响因子：
2.7
通讯作者：
Grignolo, Federico M.
中科院分区：
文献类型：
--
作者：
Fea, Antonio;Bosone, Alex;Grignolo, Federico M.
眼外伤对患者未来的生活质量有重要影响。大多数以医院为基础的研究往往低估了轻微眼外伤的发生率。在都灵，绝大多数眼外伤患者都被转诊到设有24小时急诊室的单一医院（Ospedale Oftalmico）。这提供了一个独特的机会，分析轻微和重大的创伤性损伤在意大利的工业城市。回顾性分析的所有患者转介到眼科急诊科，在1年的时间内（2006年1月1日至2006年12月31日），进行了。记录包括人口统计学数据、眼损伤的详细信息和根据眼外伤分类的诊断。眼外伤的1年发病率是根据从Central Anagraphic研究中心获得的都灵人群计算的。在眼科急诊科工作的眼科医生检查的73,933例患者中，10,620例患者发生与外伤有关的眼外伤（1.26%）。眼外伤的1年总发病率为1.13%，大多数伤亡发生在24-45岁年龄段。111例患者因严重创伤住院（发生率0.012%）。伤害主要发生在工作场所（57.12%）和家庭（35.15%），以结膜、角膜擦伤或角膜异物（工作场所54.21%、家庭32.79%）为主。尽管这些伤害很小，但造成了工作日的重大损失（15，674）。大多数学校伤害发生在15岁之前。在工作中，结膜/角膜擦伤和异物的发生率在25-45岁范围内较高，而在15-24岁和25-44岁年龄组中，开放性眼球损伤的发生率相似（0.16%和0.20%），这表明年轻工人更容易受到严重创伤。尽管在意大利急诊室看到的大多数伤害都是轻微的，它们与显著的发病率相关。在都灵，大多数眼外伤发生在工作或家中。有必要采取预防和宣传措施，以减少眼外伤的发生率和患病率。
Ocular trauma has significant impact on the patient's future quality of life. Most of the hospital-based studies tend to underestimate the occurrence of minor ocular trauma. In Torino the large majority of patients with ocular trauma are referred to a single hospital with a 24-hour Emergency Department (Ospedale Oftalmico). This offers the unique opportunity to analyze minor and major traumatic injuries in an industrial Italian city.A retrospective analysis of all patients referred to the Eye Emergency Department, during a 1-year period (January 1 2006 to December 31 2006), was carried out. Records included demographic data, details of the eye injury, and diagnosis according to the classification of ocular trauma. The 1-year incidence of eye trauma was calculated on the Torino population obtained from the Central Anagraphic Office.A total of 73,933 patients examined by the ophthalmologists working at the Ophthalmic Emergency Department 10,620 had eye injuries related to trauma (1.26%). The overall one year incidence of ocular trauma was 1.13%, and most of the casualties occurred in the 24-45 years age range. 111 patients were hospitalized for severe trauma (incidence 0.012%). Most of the injuries occurred at work (57.12%) or at home (35.15%) and were conjunctival or corneal abrasions or corneal foreign bodies (work: 54.21%, home: 32.79%). Although minor, these injuries determined a significant loss of working days (15,674). Most of the school injuries occurred before 15 years of age. At work, a higher incidence of conjunctival/corneal abrasions and foreign bodies occurred in the 25-45 years range, whereas open-globe injuries had a similar incidence in the 15-24 and 25-44 age groups (0.16% and 0.20%), suggesting that younger workers are more susceptible to severe trauma.Although most of the injuries seen in an Emergency Department in Italy were minor, they were associated with a significant morbidity. In Torino, most of the traumatic eye injuries occurred at work or at home. Preventive and informative measures are warranted to reduce the incidence and prevalence of eye casualties.