%0 Journal Article
%T Characteristics and outcomes of open globe trauma in the urban versus rural population: a single center retrospective review
%J Seminars in ophthalmology
%D 2018
%A Fu, Roxana
%A Kancherla, Swarupa
%A Eller, Andrew W.
%A Yu, Jenny Y.
%V 33
%N 4
%P 566-570
%X PURPOSE: To examine the characteristics and outcomes of open globe injuries sustained by the urban population compared to the rural population. <br><br>METHODS: This is a retrospective chart review of 429 patients presenting to University of Pittsburgh Medical Center (UPMC) Presbyterian Hospital with traumatic open globes from July 2005 to July 2013. <br><br>RESULTS: Rural patients had a longer time which elapsed from injury to presentation (P = 0.023, average 12.04 hours vs 7.53 hours). There was a higher incidence of patient transfer prior to arrival to UPMC Presbyterian Hospital (P = 0.018), patient follow-up elsewhere (P = 0.049), and patients sustaining intraocular foreign bodies (IOFBs) (P = 0.009). <br><br>CONCLUSIONS: Health care access is a well-known problem in rural areas and using rural-urban commuting area (RUCA) codes can help identify a population for risk factors or potential disparities in care. Rural patients sustained a higher rate of IOFBs; this should heighten the clinicians' suspicion during the evaluation of an open globe in other rural populations.<p /> <p>Language: en</p>
%G en
%I Informa Healthcare
%@ 0882-0538
%U http://dx.doi.org/10.1080/08820538.2017.1340488