Wong Mark Yz, Man Ryan Ek, Gupta Preeti, Sabanayagam Charumathi, Wong Tien Yin, Cheng Ching-Yu, Lamoureux Ecosse Luc
Health Services Research, Singapore Eye Research Institute, Singapore, Singapore.
Ocular Epidemiology, Singapore Eye Research Institute, Singapore.
Br J Ophthalmol. 2018 Feb;102(2):204-209. doi: 10.1136/bjophthalmol-2017-310564. Epub 2017 Jun 16.
To describe the prevalence, subtypes, severity and determinants of ocular trauma (OT) in a population-based study in Singapore.
We included 3353 Chinese adults aged ≥40 years from the Singapore Chinese Eye Study, a population-based study, conducted between 2009 and 2011. OT was defined as self-reported history of any eye injury requiring medical attention with or without hospitalisation, and further classified as blunt object, sharp object or chemical burns related. Age and gender-standardised prevalence was estimated using the 2010 Singapore Chinese population census. Multivariable models were used to assess the independent associations of OT with age, gender, income, education, literacy, alcohol consumption, smoking and history of falls.
The mean (SD) age was 59.7 (9.9) years and 49.4% were male. There were 138 OT cases, giving a crude and age and gender-standardised prevalence of 4.1% (95% CI 3.5% to 4.8%) and 4.4% (95% CI 3.7% to 5.2%), respectively. Of these, 45 (32.6%), 56 (40.6%) and 10 (7.3%) were blunt object, sharp object and chemical burns-related trauma, respectively. Twenty eight (20.3%) required hospitalisation, with no difference between subtypes. In multivariable models, men (OR (95% CI): 2.80 (1.79-4.39)), younger persons (per year decrease in age (1.03 (1.00-1.05)) and lower education levels (1.8 (1.25-2.60); comparing ≤6 years vs >6 years of education) were independent determinants of OT.
OT affected one in 25 adults, with 20% of these requiring hospitalisation. Because OT is preventable, raising awareness and education strategies in the population would allow prevention of vision loss particularly in men, and younger and lesser-educated individuals.
在新加坡一项基于人群的研究中描述眼外伤（OT）的患病率、亚型、严重程度及决定因素。
我们纳入了新加坡华人眼研究中3353名年龄≥40岁的中国成年人，该研究是一项基于人群的研究，于2009年至2011年开展。OT被定义为自我报告的任何需要医疗护理（无论是否住院）的眼外伤史，并进一步分为钝器伤、锐器伤或化学烧伤相关。使用2010年新加坡华人人口普查数据估计年龄和性别标准化患病率。采用多变量模型评估OT与年龄、性别、收入、教育程度、识字率、饮酒、吸烟及跌倒史之间的独立关联。
平均（标准差）年龄为59.7（9.9）岁，49.4%为男性。有138例OT病例，粗患病率及年龄和性别标准化患病率分别为4.1%（95%CI 3.5%至4.8%）和4.4%（95%CI 3.7%至5.2%）。其中，钝器伤、锐器伤和化学烧伤相关创伤分别为45例（32.6%）、56例（40.6%）和10例（7.3%）。28例（20.3%）需要住院治疗，各亚型之间无差异。在多变量模型中，男性（比值比（95%CI）：2.80（1.79 - 4.39））、较年轻者（年龄每年降低（1.03（1.00 - 1.05）））和较低教育水平（1.8（1.25 - 2.60）；比较≤6年与>6年教育）是OT的独立决定因素。
OT影响每25名成年人中的1人，其中20%需要住院治疗。由于OT是可预防的，提高人群的认识和教育策略将有助于预防视力丧失，特别是在男性、年轻人和受教育程度较低的个体中。
