Pediatric eye injuries presenting to United States emergency departments: 2001–2007

Armstrong, Grayson W.; Kim, Julia G.; Linakis, James G.; Mello, Michael J.; Greenberg, Paul B.

doi:10.1007/s00417-011-1917-0

Cited by 47 publications

(68 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…3 The group of special interest from the point of view of prevention are children under the age of 8 years at risk of amblyopia, an injury that should be treated and monitored regardless of the involvement of the trauma itself, as it may cause persistent and irreversible visual loss, which has a great impact when it comes to children who still have a long life expectancy. 1 The present study confirmed that accidents occur most often at home, 2,4,6,8,[15][16][17][18] diverging from other research, where 67.3% occurred on the street. 17 In relation to time, most injuries occurred between 2 pm and 8 pm (51%), which corroborates with the literature.…”

Section: Discussionsupporting

confidence: 63%

“…[8][9][10][11][12][13] For this reason, gender is considered to be a strong risk factor. 2,[4][5][6]8,[14][15][16] The male:female ratio varies according to the population and age group, reaching 5.2:1.…”

Section: Discussionmentioning

confidence: 99%

“…2,[4][5][6]8,[14][15][16] The male:female ratio varies according to the population and age group, reaching 5.2:1. 13 However, in most studies 2,[4][5][6]8,[14][15][16] the ratio is between 2 to 3:1, which corroborates with this study.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Profile of pediatric eye trauma at Hospital de Base do Distrito Federal (HBDF), Brasília, Brazil

Rohr¹,

Santos

et al. 2016

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

Objective: To describe the epidemiological profile of ocular trauma in children at the HBDF emergency department. Method: Descriptive, cross-sectional study. We evaluated 103 cases of ocular trauma in children less than 15 years between July 2012 and January 2013. The factors evaluated through semi-structured questionnaire available online were: age, gender, adult supervision, mechanism, type of trauma, time and place, site and nature of injury, visual acuity, need for hospitalization and/or surgery, type of surgery, mother's level of education, and family income. Results: The average age of patients studied was 7.5 years. Boys (68%) predominate in all age groups. Blunt trauma prevailed (55.3%), followed by open (20%). Most of the cases occurred at home, 14 to 20 hours before seeking hospital care. The most common causes were: wood, stone, bicycle, broken glass, and falls. The cornea was affected in 54%. Visual acuity was ≥20/40 in 68.9%. Primary repair of the eye wall was indicated in 70.37% (p-value=0.022). Open traumas were more severe (p-value=0.005) and had more need for intervention (p-value=0.000). The injuries occurred despite the presence of adult supervision in 54% (p-value=0.002). The most severe injuries predominated in the age range 7-15 years (p=0.001). Conclusion: Ocular trauma was more frequent among boys. The mechanisms of injury are the most diverse, and prevail at home. Blunt trauma prevails, but the visual impact is due to open trauma. Programs of prevention and education on child ocular trauma are needed.

show abstract

Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Profile of pediatric eye trauma at Hospital de Base do Distrito Federal (HBDF), Brasília, Brazil

Rohr¹,

Santos

et al. 2016

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

show abstract

“…Each case report consists of coded variables describing characteristics of the injury, including demographic information, disposition upon ED discharge, principal diagnoses, primary body part affected, and the locale where the injury took place. Coders only report ED injury cases to the NEISS-AIP if specific mechanistic, diagnostic, and mortality criteria are met 10. NEISS-AIP quality assurance coders code the cause, assault-relatedness, and transportation- and traffic-relatedness of each injury.…”

Section: Methodsmentioning

confidence: 99%

Motor Vehicle Crash-Associated Eye Injuries Presenting to U.S. Emergency Departments

Armstrong¹,

Chen²,

Linakis³

et al. 2014

WestJEM

View full text Add to dashboard Cite

IntroductionMotor vehicle crashes (MVCs) are a leading cause of injury in the United States (U.S.). Detailed knowledge of MVC eye injuries presenting to U.S. emergency departments (ED) will aid clinicians in diagnosis and management. The objective of the study was to describe the incidence, risk factors, and characteristics of non-fatal motor vehicle crash-associated eye injuries presenting to U.S. EDs from 2001 to 2008.MethodsRetrospective cross-sectional study using the National Electronic Injury Surveillance System All Injury Program (NEISS-AIP) from 2001 to 2008 to assess the risk of presenting to an ED with a MVC-associated eye injury in relation to specific occupant characteristics, including age, gender, race/ethnicity, disposition, and occupant (driver/passenger) status.ResultsFrom 2001 to 2008, an estimated 75,028 MVC-associated eye injuries presented to U.S. EDs. The annual rate of ED-treated eye injuries resulting from MVCs declined during this study period. Males accounted for 59.6% of eye injuries (95% confidence interval [CI] 56.2%–63.0%). Rates of eye injury were highest among 15–19 year olds (5.8/10,000 people; CI 4.3–6.0/10,000) and among African Americans (4.5/10,000 people; CI 2.0–7.1/10,000). Drivers of motor vehicles accounted for 62.2% (CI 58.3%–66.1%) of ED-treated MVC eye injuries when occupant status was known. Contusion/Abrasion was the most common diagnosis (61.5%; CI 56.5%–66.4%). Among licensed U.S. drivers, 16–24 year olds had the highest risk (3.7/10,000 licensed drivers; CI 2.6–4.8/10,000).ConclusionThis study reports a decline in the annual incidence of ED-treated MVC-associated eye injuries. The risk of MVC eye injury is greatest among males, 15 to 19 year olds and African Americans.

show abstract

“…50 presenting to hospital or requiring admission, three retrospective studies identified that 2.25% (range 0.2e3%) were inflicted by dogs. 8,26,60,109 Two retrospective studies identified that dogs were responsible for causing between 1.4% 98 to 3% 4 of open-globe injuries in children. One case report also described a dog-inflicted open-globe injury; the 11-year-old girl involved had been handling her caretaker's new dog when she was attacked.…”

Section: Birdsmentioning

confidence: 99%

Animal-inflicted ocular and adnexal injuries in children: A systematic review

Yardley

Hoskin

Hanman

et al. 2015

Survey of Ophthalmology

View full text Add to dashboard Cite

Eye injury remains the leading cause of monocular blindness in children despite 90% of injuries being potentially preventable. Children interact with animals in a variety of situations, and the associated dangers may be underestimated. Animals are capable of causing ocular and adnexal injuries that are cosmetically and visually devastating. We examine the current literature regarding the nature and severity of animal-inflicted ocular and adnexal injuries in children.

show abstract

Pediatric eye injuries presenting to United States emergency departments: 2001–2007

Abstract: This study suggests that the risk for pediatric eye injuries is highest for adolescents 15-17 years of age and at home. Further research is needed to determine risk and protective factors associated with injuries in this age group and location to design appropriate prevention strategies.

Cited by 47 publications

References 38 publications

Profile of pediatric eye trauma at Hospital de Base do Distrito Federal (HBDF), Brasília, Brazil

Profile of pediatric eye trauma at Hospital de Base do Distrito Federal (HBDF), Brasília, Brazil

Motor Vehicle Crash-Associated Eye Injuries Presenting to U.S. Emergency Departments

Animal-inflicted ocular and adnexal injuries in children: A systematic review

Contact Info

Product

Resources

About