Casey Eye Institute, Department of Ophthalmology, Oregon Health & Science University, Portland, USA.
Knight Cancer Institute, Oregon Health & Science University, Portland, USA.
Ophthalmic Epidemiol. 2023 Oct;30(5):532-536. doi: 10.1080/09286586.2023.2174558. Epub 2023 Feb 7.
To evaluate the occurrence and outcome of open globe injury during state-mandated COVID-19 stay-at-home orders compared to historical averages at a tertiary medical center in Portland, Oregon.
Open globe injury between January 1, 2015 and December 31, 2020 was identified using relevant procedure codes. The number of injuries, mechanism of trauma, and short-term outcomes of globes repaired during the study period of March 23, 2020 to July 6, 2020 when stay-at-home orders were in effect were compared to a cohort from the same 15-week time frame in 2015-2019. We also evaluated injuries occurring throughout 2020 as compared to the prior 5 years.
263 consecutive open globe injuries were identified between January 2015 and December 2020. While Oregon's stay-at-home orders were in effect, we observed a significant increase in the number of open globe injuries treated compared to the prior 5 years (p = .004). Twenty-four cases identified during the study period represent a 2-fold increase over the 2015-2019 average of 11.8 globe repairs during the same 15-week time period. Visual acuity < 20/200 at 6 months (p = .008) and secondary enucleation (p < .001) were more frequent during stay-at-home orders, and severity of injury as calculated by the Ocular Trauma Scores (OTS) was higher. Time-to-repair was similar between the two cohorts.
At our center, there was an increased number and severity of open globe injury during the period of mandatory COVID-19 stay-at-home orders. Visual acuity outcomes and risk for secondary enucleation were poorer compared to the reference cohort. Ocular Trauma Score (OTS), Open globe injury (OGI), Emergency department (ED), Oregon Health and Science University (OHSU).
与俄勒冈州波特兰市的一家三级医疗中心的历史平均值相比，评估在国家强制 COVID-19 居家令期间开放性眼外伤的发生和结果。
使用相关程序代码确定 2015 年 1 月 1 日至 2020 年 12 月 31 日期间的开放性眼外伤。比较 2020 年 3 月 23 日至 2020 年 7 月 6 日居家令生效期间研究期间修复的眼球数量、创伤机制和短期结果与 2015-2019 年同一 15 周时间范围内的队列。我们还评估了与前 5 年相比 2020 年全年发生的伤害。
在 2015 年至 2020 年期间，共确定了 263 例连续的开放性眼外伤。在俄勒冈州居家令生效期间，我们观察到接受治疗的开放性眼外伤数量与前 5 年相比显著增加（p =.004）。在研究期间确定的 24 例病例代表在同一 15 周时间内，2015-2019 年期间修复的 11.8 例眼球修复的两倍增加。6 个月时视力<20/200（p =.008）和二次眼球摘除（p <.001）在居家令期间更为频繁，并且根据眼外伤评分（OTS）计算的损伤严重程度更高。两个队列之间的修复时间相似。
在我们的中心，在强制性 COVID-19 居家令期间，开放性眼外伤的数量和严重程度增加。与参考队列相比，视力结果和二次眼球摘除的风险较差。眼外伤评分（OTS）、开放性眼外伤（OGI）、急诊科（ED）、俄勒冈健康与科学大学（OHSU）。
