Schulz Marlow, Bonnell Alyssa C, Chee Yewlin E, Feng Shu, Chen Philip P, Bojikian Karine D
Department of Ophthalmology, University of Washington, Seattle, WA, USA.
Eye (Lond). 2025 Apr;39(5):986-991. doi: 10.1038/s41433-024-03537-9. Epub 2024 Dec 10.
To examine associations between socioeconomic status (SES), as evaluated by the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry Social Vulnerability Index (SVI) and Distressed Communities Index (DCI), and the characteristics of open globe injury (OGI).
SUBJECTS/METHODS: Retrospective review of electronic medical records for patients treated for OGI at an academic Level I trauma centre between May 2009 and March 2021. Patient data included age, date of injury, mechanism of injury, visual acuity at presentation, concomitant orbital wall fracture, and ocular trauma score (OTS). The SVI and DCI scores were obtained based on the patient's home zip code. Patients were classified based on individual mechanisms of injury and grouped into non-accidental vs. accidental cases.
899 patients (75.0% male) were included. Average ± SD age (years), SVI, and DCI scores were 44.8 ± 22.7, 0.418 ± 0.207, and 37.9 ± 24.0, respectively. Younger age was associated with higher DCI and lower OTS score (p ≤ 0.002). Non-accidental trauma patients had lower OTS and higher SVI and DCI scores compared to accidental trauma (p < 0.001); firearm-associated ocular injuries (FAOIs) were associated with higher SVI and DCI scores (p < 0.001 and p = 0.040, respectively); domestic violence/assault was associated with worse OTS and higher DCI (p < 001). Falls and sports-related injuries correlated with lower DCI scores (p ≤ 0.031).
In our region, among patients with OGIs, lower SES scores were associated with younger age, FAOIs, and non-accidental injuries, including domestic violence/assault. Therefore, lower SES may be considered a risk factor for several distinct mechanisms of OGI.
通过疾病控制与预防中心/有毒物质与疾病登记署社会脆弱性指数（SVI）和困境社区指数（DCI）评估社会经济地位（SES）与开放性眼球损伤（OGI）特征之间的关联。
对象/方法：对2009年5月至2021年3月期间在一所一级学术创伤中心接受OGI治疗的患者的电子病历进行回顾性分析。患者数据包括年龄、受伤日期、损伤机制、就诊时的视力、伴发的眶壁骨折以及眼外伤评分（OTS）。根据患者的家庭邮政编码获得SVI和DCI分数。患者根据个体损伤机制进行分类，并分为非意外与意外病例。
纳入899例患者（75.0%为男性）。平均年龄（岁）±标准差、SVI和DCI分数分别为44.8±22.7、0.418±0.207和37.9±24.0。年龄较小与较高的DCI和较低的OTS评分相关（p≤0.002）。与意外创伤相比，非意外创伤患者的OTS较低，SVI和DCI分数较高（p<0.001）；与枪支相关的眼外伤（FAOI）与较高的SVI和DCI分数相关（分别为p<0.001和p = 0.040）；家庭暴力/袭击与较差的OTS和较高的DCI相关（p<0.001）。跌倒和与运动相关的损伤与较低的DCI分数相关（p≤0.031）。
在我们地区，在OGI患者中，较低的SES分数与年龄较小、FAOI以及包括家庭暴力/袭击在内的非意外损伤相关。因此，较低的SES可能被视为几种不同OGI机制的危险因素。
