Pande Ranjana, Mohod Smita Sachin, V Padmapriya, Shanbhag Siddhi, Kumar Nandish S
Ophthalmology, BJ Government Medical College and Sasoon General Hospitals, Pune, Maharashtra, India.
Department of Community Medicine, Mandya Institute of Medical Sciences Teaching Hospital, Mandya, Karnataka, India.
BMJ Open Ophthalmol. 2022 Mar 18;7(1):e000861. doi: 10.1136/bmjophth-2021-000861. eCollection 2022.
To assess the effects of lockdown and unlock phases mandated in view of COVID-19 on the incidence and characteristics of ocular trauma presenting to a tertiary care hospital.
The study was carried out as a hospital record based retrospective comparative analysis on patients presenting with ocular trauma in the lockdown period (March-July 2020) compared with the same time frame of the previous year considered as prelockdown period (March-July 2019) and during the unlock phases (August-December 2020).
Overall, the casualty department saw 464 patients of ocular trauma in the prelockdown period, 173 in the lockdown and 253 in unlock. The study showed a 44% reduction in patients visiting the casualty department for trauma during the lockdown compared with prelockdown, and a 62% reduction specifically in ocular trauma. The unlock phase showed a 21% reduction in ocular trauma compared with prelockdown and a 41% increase compared with the lockdown. In all three phases, the majority of people affected by ocular trauma were middle aged males from a rural background, sustained by assault. The lockdown saw a decrease in outdoor assaults (45%) and road traffic accidents (22%). Trauma sustained by females (18%) increased in the lockdown, as did home-based assaults (150%) and sexual assaults. The presentation of trauma, especially road traffic accidents and outdoor assaults saw a steady rise during the unlock.
The lockdown mandated by the government in response to the COVID-19 pandemic had a significant impact on the trends of trauma presenting to healthcare facilities. There was a decrease in the overall number of patients approaching the casualty during the lockdown. However, during the lockdown, there was an increase in home-based trauma as opposed to outdoor assaults being the primary cause of trauma prior to the lockdown.
评估因新冠疫情实施的封锁和解封阶段对一家三级护理医院收治的眼外伤发病率及特征的影响。
本研究以医院记录为基础，对2020年3月至7月封锁期出现眼外伤的患者进行回顾性对比分析，将其与上一年同期（2019年3月至7月）视为封锁前期，以及2020年8月至12月解封阶段的患者进行对比。
总体而言，急诊室在封锁前期接诊了464例眼外伤患者，封锁期为173例，解封期为253例。研究表明，与封锁前期相比，封锁期到急诊室就诊的外伤患者减少了44%，眼外伤患者更是减少了62%。与封锁前期相比，解封期眼外伤患者减少了21%，与封锁期相比增加了41%。在所有三个阶段，受眼外伤影响的大多数人是来自农村的中年男性且因袭击受伤。封锁期户外袭击（45%）和道路交通事故（22%）减少。封锁期女性遭受的外伤（18%）增加，家庭内袭击（150%）和性侵犯也增加。在解封期间，外伤情况，尤其是道路交通事故和户外袭击呈稳步上升趋势。
政府为应对新冠疫情实施的封锁对医疗设施收治的外伤趋势产生了重大影响。封锁期间到急诊就诊的患者总数减少。然而，与封锁前外伤主要由户外袭击导致不同，封锁期间家庭内外伤有所增加。
