眼部损伤的特征与严重创伤患者的死亡率相关
Sruthi Kodali1, Catherine H He2, Sheel Patel3
1Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
BMC ophthalmology
|March 20, 2024
概括
眼睛创伤死亡率与年龄,男性性别和白人种族有关. 枪支是最致命的伤害机制,创伤性脑损伤 (TBI) 和严重的格拉斯哥昏迷表 (GCS) 评分显著增加死亡风险.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
背景情况:
- 眼部创伤研究在历史上对死亡率结果的处理不足.
- 了解与致命的眼部创伤相关的因素对于有针对性的预防策略至关重要.
研究的目的:
- 为了确定因与死亡相关的眼睛创伤而入院的患者的特征.
- 将这些特征与患有非致命眼损伤的患者的特征进行比较.
主要方法:
- 来自国家创伤数据库的非识别重大创伤入院 (2008-2014) 的回顾性分析.
- 通过ICD-9CM代码识别眼损伤;收集有关人口统计,损伤机制和严重程度的数据.
- 统计分析包括t测试,奇平方和赔率比率 (OR),其显著性设置为P < 0.05.
主要成果:
- 3.86%的眼部创伤病例 (12,233/316,485) 与死亡率有关.
- 与死亡率相关的因素包括年龄,白人,男性性别,非常严重的伤害严重程度得分 (ISS>24) 和严重的格拉斯哥昏迷表 (GCS <8).
- 与枪支相关的伤害与严重伤害和死亡率的相关性最高;视神经/视觉通路损伤也增加了死亡风险.
结论:
- 与死亡率相关的眼部创伤入院的特点是年龄较大,男性性别和白人种族.
- 枪支代表了最致命的机制,经常与创伤性脑损伤 (TBI),严重的ISS和低GCS分数有关.
- 人口统计和伤害特异性的变化突出了针对性干预措施的潜在目标,以减少与创伤相关的死亡.
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