Waterford Regional Hospital, Waterford, Ireland.
Injury. 2010 Jan;41(1):86-91. doi: 10.1016/j.injury.2009.01.118.
To investigate whether recent socio-demographic changes and recent health and safety measures have impacted on the trends of ocular trauma in the South East of Ireland.
We retrospectively reviewed all cases of ocular trauma admitted to our department between October 2001 and September 2007, and the following data were retrieved: demographic details; mechanism of injury and nature of injury.
During the study period, 517 patients were admitted with ocular trauma. Work-related and home-related activities were the commonest causes of admission, and accounted for 160 (31.8%) and 145 (28.4%) cases, respectively. In 2006/2007, and following the influx of migrant workers from the 10 new EU accession states (EUAS), the incidence of hospitalised ocular injuries per 100,000 was 89 in persons from the EUAS versus 18 in those of Irish origin, P < or = 0.0001. After adding the offence of not wearing a seat belt to the traffic penalty point system in Ireland, the proportion of road traffic accident (RTA)-related ocular injuries dropped significantly from 6.7% to 2.4%, P=0.03.
The inclusion of the offence of not wearing a seat belt in the traffic penalty point system may have contributed to the significantly lower proportion of hospitalised ocular injuries attributable to RTAs. Also, the demographic profile of patients admitted because of ocular trauma has changed over the last 6 years, reflected in an increasing proportion of these injuries in persons from the EUAS. These data will inform healthcare providers, and those involved in developing health and safety guidelines for the workplace.
调查最近的社会人口变化以及最近的健康和安全措施是否对爱尔兰东南部眼部创伤的趋势产生了影响。
我们回顾性地审查了 2001 年 10 月至 2007 年 9 月期间我院收治的所有眼部创伤患者的病例，并检索了以下数据：人口统计学细节；损伤机制和损伤性质。
在研究期间，有 517 名患者因眼部创伤住院。工作相关和家庭相关活动是导致入院的最常见原因，分别占 160 例（31.8%）和 145 例（28.4%）。在 2006/2007 年，随着 10 个新加入欧盟的国家（欧盟新增国家）的移民工人涌入，每 10 万例住院眼部损伤的发生率在欧盟新增国家为 89 例，而爱尔兰原籍者为 18 例，P≤0.0001。在爱尔兰交通违章记分系统中加入不系安全带的违章行为后，与道路交通伤害（RTA）相关的眼部伤害比例从 6.7%显著下降至 2.4%，P=0.03。
在爱尔兰交通违章记分系统中加入不系安全带的违章行为可能是导致 RTA 相关住院眼部损伤比例显著降低的原因之一。此外，过去 6 年来，因眼部创伤而住院的患者的人口统计学特征发生了变化，来自欧盟新增国家的这些损伤的比例增加。这些数据将为医疗保健提供者以及制定工作场所健康和安全指南的人员提供信息。
