Fu Roxana, Kancherla Swarupa, Eller Andrew W, Yu Jenny Y
a Oculofacial Plastic and Orbital Surgery , Indiana University , Indianapolis , IN , USA.
b Department of Ophthalmology , University of Pittsburgh Medical Center , Pittsburgh , PA , USA.
Semin Ophthalmol. 2018;33(4):566-570. doi: 10.1080/08820538.2017.1340488. Epub 2017 Jul 5.
To examine the characteristics and outcomes of open globe injuries sustained by the urban population compared to the rural population.
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.
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).
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.
研究城市人口与农村人口开放性眼球损伤的特征及预后情况。
这是一项回顾性图表审查研究，纳入了2005年7月至2013年7月期间因外伤性开放性眼球损伤就诊于匹兹堡大学医学中心长老会医院的429例患者。
农村患者从受伤到就诊的时间间隔更长（P = 0.023，平均为12.04小时对7.53小时）。在抵达匹兹堡大学医学中心长老会医院之前患者转诊的发生率更高（P = 0.018），在其他地方接受随访的患者比例更高（P = 0.049），以及发生眼内异物（IOFBs）的患者比例更高（P = 0.009）。
医疗服务可及性在农村地区是一个众所周知的问题，使用城乡通勤区（RUCA）代码有助于识别存在危险因素或潜在护理差异的人群。农村患者眼内异物的发生率更高；这应提高临床医生在评估其他农村人群开放性眼球损伤时的怀疑度。
