Puodziuviene Edita, Paunksnis Alvydas
Department of Eye Diseases, Kaunas University of Medicine, Kaunas, Lithuania.
Medicina (Kaunas). 2007;43(8):637-46.
To evaluate sociodemographic aspects and risk factors of severe open-globe ocular injuries.
We present data from prospective study of 315 patients with severe open-globe ocular injuries, meeting inclusion criteria.
The patients in our series were predominantly male (92.70%). The male to female ratio was 12.7:1. Almost 27% of the patients were from the age group of 30-39 years. Home (53.65%), streets and highways (19.05%) were the most common place of injury, followed by industrial premises (11.11%), agricultural activities (8.25%), recreation and sports (5.40%); 15.56% of cases were work-related. Sharp objects (43.17%) and hammering on metal (24.44%) were the two major causes of injury. Alcohol intoxication was observed in 13.65% of cases. Severe open-globe eye injuries were classified into four categories: penetrating injuries (56.83%), perforating injuries (2.54%), globe ruptures (12.38 %), and IOFB injuries (28.25%). Males suffered significantly more often than females in the age of 20-29 (OR=1.39+/-95% CI 1.10-1.75, P<0.01) and 30-39-year (OR=1.75+/-95% PI 1.45-2.22, P<0.01). Risk factors of severe open-globe eye injuries for male gender were living in urban setting (P=0.001), alcohol use (P=0.001), occupation--unemployed (P=0.001) and retired persons (P=0.011).
Risk factors for male gender to sustain severe open-globe eye injury were living in urban setting, alcohol use, and occupation (unemployed and retired persons).
评估严重开放性眼球损伤的社会人口学特征及危险因素。
我们展示了对315例符合纳入标准的严重开放性眼球损伤患者进行前瞻性研究的数据。
我们研究系列中的患者以男性为主(92.70%)。男女比例为12.7:1。近27%的患者年龄在30 - 39岁之间。家中(53.65%)、街道和公路(19.05%)是最常见的受伤地点,其次是工业场所(11.11%)、农业活动(8.25%)、娱乐和体育(5.40%);15.56%的病例与工作有关。锐器(43.17%)和敲打金属(24.44%)是两大主要致伤原因。13.65%的病例存在酒精中毒情况。严重开放性眼球损伤分为四类:穿透伤(56.83%)、穿通伤(2.54%)、眼球破裂(12.38%)和眼内异物伤(28.25%)。在20 - 29岁(OR = 1.39±95% CI 1.10 - 1.75,P < 0.01)和30 - 39岁年龄段(OR = 1.75±95% PI 1.45 - 2.22,P < 0.01),男性受伤的频率明显高于女性。男性发生严重开放性眼球损伤的危险因素包括居住在城市环境(P = 0.001)、饮酒(P = 0.001)、职业——失业者(P = 0.001)和退休人员(P = 0.011)。
男性发生严重开放性眼球损伤的危险因素包括居住在城市环境、饮酒以及职业(失业者和退休人员)。