|
Abstract
|
An estimated 2.4 million eye injuries occur in the United States, 35% of which occur in children under the age of 17years. Ocular trauma is a leading cause of childhood visual impairment and blindness and concurrence with other trauma can result in complicated rehabilitation and can negatively affect development. However, few reports detail the effects of polytrauma in pediatric patients admitted with ocular injuries.
We sought to evaluate the epidemiology of these patients using the National Trauma Data Bank (2008-2014). This retrospective study was approved by our Institutional Review Board. De-identified patients (<21 years of age) admitted with ocular trauma were identified using ICD-9CM codes (800.00 to 959.9). Sex, race/ethnicity, age, type of ocular injury, mechanism, intention, hospital length of stay, injury severity score (ISS), and Glasgow Coma Score (GCS) were tabulated. ISS is an assigned numerical value indicating extent of injury in patients with polytrauma. GCS indicates the degree of traumatic brain injury (TBI). Mean, median, standard deviation (SD), and interquartile range were calculated for all continuous variables that were subsequently categorized for logistic regression analysis, 2-tailed Student's t test, and χ2 calculations, using SPSS version 24 (IBM Corp, Armonk, NY). Significance was set at p < 0.05. Patients with incomplete or unspecified data were excluded.
Of the 316,485 patients admitted with ocular trauma, 58,765(18.6%) were <21 years of age. Mean (SD) age was 11.9 years (6.9) and most were 12 to 21 years of age (59.3%). Males (68.7%) outnumbered females (31.3%). Whites accounted for 59.1%, Blacks, 17.6%, and Hispanic ethnicity, 16.3% (Table 1). Most injuries were unintentional (76.3%). Common mechanisms were motor vehicle traffic accident-occupant (MVTO), 28.1% and struck by/against, 16.1%. Common injuries were eye/adnexa contusion (30.6%), orbital injuries (29.9%), and open adnexa wounds (29%). Open globe injury occurred in 11.6%. More than half (54.7%) had TBI. Mean (SD) hospital length of stay was 5 days (9) and mortality rate was 2.9%...
Language: en |