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COVID-19 pandemic impact on ocular trauma in a tertiary hospital
You-Mei Xu1,2, Li-Ping Du2, Ya-Dan Huo2
1The Academy of Medical Sciences, Zhengzhou University, Zhengzhou 450000, Henan Province, China.
Insights
The coronavirus disease-2019 (COVID-19) pandemic led to fewer ocular trauma hospitalizations, but middle-aged individuals remained most affected. Sharp objects caused most injuries, with an increase in home-related incidents, highlighting the need for enhanced eye protection awareness.
Area of Science:
- Ophthalmology
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic significantly altered healthcare access and daily routines globally.
- Understanding its impact on non-emergency medical conditions like ocular trauma is crucial for public health planning.
- Ocular trauma represents a significant cause of visual impairment and requires continuous monitoring.
Purpose of the Study:
- To analyze the impact of the COVID-19 pandemic on ocular trauma hospitalizations.
- To compare patient demographics, injury characteristics, and hospital stay durations between 2019 and 2020.
- To identify trends in ocular trauma causes and locations during the pandemic.
Main Methods:
- Retrospective case study design.
- Data collected from a tertiary hospital in China for 2019 and 2020.
- Comparison of patient data including age, sex, visual acuity, diagnosis, hospital stay, injury mechanism, and location.
Main Results:
- A decrease in total ocular trauma hospitalizations was observed in 2020 compared to 2019.
- Middle-aged individuals (41-65 years) consistently represented the highest incidence group for ocular trauma.
- Sharp object injuries remained the primary cause, with a notable increase in injuries occurring at home.
Conclusions:
- The COVID-19 pandemic reduced overall ocular trauma hospitalizations, but specific demographics and injury patterns persisted.
- Mechanical ocular trauma, particularly from sharp objects, continues to be the leading cause of hospitalization.
- Increased home-related injuries underscore the need for heightened public awareness and preventative measures for eye trauma during pandemics.
Aim:
To analyze the impact of the coronavirus disease-2019 (COVID-19) pandemic on the presentation and characteristics of patients hospitalized for ocular trauma in a tertiary hospital in China between 2019 and 2020.
Methods:
A retrospective case study was designed to collect information on all cases of ocular trauma in a tertiary hospital from 2019 to 2020 and compare differences in inpatients' data (age, sex, admission vision acuity, type of diagnosis, hospital stays, mechanism of injury and location of injury).
Results:
The total number of patients admitted to the Ophthalmology Department was 883 (mean 73.58±11.25 patients per month) in 2019 and 714 (59.50±17.92 patients per month) in 2020. The injury number of in work was also the most within the four types of location in this two year (42.36% in 2019, 43.84% in 2020). The mean hospital stays were 12.66d in 2019 and 10.81d in 2020. The highest incidence of ocular trauma was the middle-aged (41-65y) groups in 2019 and 2020. The most common cause of ocular trauma was sharp object in 2019 (47.34%) and 2020 (47.58%). The mechanical ocular trauma reaches 98.98% in 2019 and 99.72% in 2020.
Conclusion:
The number of patients with ocular trauma decreased in 2020, but middle-aged (41-65y) are still high incident groups. Mechanical ocular trauma remains the leading cause of hospitalization for ocular trauma patients and the proportion of patients injured at home increases. It is necessary to arouse social attention and the public's awareness of eye trauma protection should be strengthened during the pandemic.
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