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J Korean Soc Emerg Med > Volume 25(5); 2014 > Article
Journal of The Korean Society of Emergency Medicine 2014;25(5): 509-519.
Characteristics and Risk Factors of Pediatric Eye Injury Patients in Emergency Department: Multicenter Cross-Sectional Study
Suk Hee Lee, Hyun Wook Ryoo, Jae Yun Ahn, Kang Suk Seo, Jung Bae Park, Sang Do Shin, Kyoung Jun Song, Chang Bae Park, Kang Hyun Lee, In Sool Yoo, Jin Seong Cho, Hyun Ho Ryu, Tae Oh Jeong, Seok Ran Yeom
1Department of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, Korea. ryoo@knu.ac.kr
2Department of Emergency Medicine, College of Medicine, Seoul National University, Seoul, Korea.
3Department of Emergency Medicine, School of Medicine, Jeju National University, Jeju, Korea.
4Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.
5Department of Emergency Medicine, School of Medicine, Chungnam National University, Daejeon, Korea.
6Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea.
7Department of Emergency Medicine, School of Medicine, Chonnam National University, Gwangju, Korea.
8Department of Emergency Medicine, School of Medicine, Chonbuk National University, Jeonju, Korea.
9Department of Emergency Medicine, School of Medicine, Pusan National University, Busan, Korea.
This study was conducted in order to determine the characteristics and risk factors of pediatric eye injury patients in the emergency department and to offer strategies for prevention of pediatric eye injury.
This prospective study was conducted by use of a standardized eye injury survey of patients under the age of 16 years who were treated for ocular injury at nine emergency medical centers, from March to September of 2010. The following data were collected; general characteristics of the study population, type and location of injury, causative activities, and materials of injury. Risk factors associated with open-globe injury were analyzed by logistic regression.
A total of 1,151 patients were enrolled in the study; 75% were male. The highest incidence was observed between the age of 11 and 16 years (34.5%); 79.2% of patients had closed globe injury. The most common type of injury was contusion (65.4%) in closed globe injury and penetration (5.1%) in open-globe injury. Eye injury occurred most commonly at home (48.6%), followed by school/institution (19.4%). The most common causative activity and material were play (42.4%) and person/animal/plant (17%). Application of eye protective equipment (odds ratio: 24.33; 95% CI: 11.32~52.29) was found to be a statistically significant factor for occurrence of an open-globe injury.
Establishment of safety measures considering gender and age is important since characteristics of pediatric eye injury differ based on such risk factors. The risk of open-globe eye injury increased with application of personal protective equipment, therefore, public education and promotion to use protective equipment of adequate level would be considered important.
Key words: Eye injuries, Prevention and control, Risk factors, Pediatrics
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