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KMID : 0385920140250050509
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Journal of the Korean Society of Emergency Medicine
2014 Volume.25 No. 5 p.509 ~ p.519
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Characteristics and Risk Factors of Pediatric Eye Injury Patients in Emergency Department: Multicenter Cross-Sectional Study
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Lee Suk-Hee
Ryoo Hyun-Wook
Ahn Jae-Yun
Seo Kang-Suk
Park Jung-Bae
Shin Sang-Do
Song Kyoung-Jun
Park Chang-Bae
Lee Kang-Hyun
Yoo In-Sool
Cho Jin-Seong
Ryu Hyun-Ho
Jung Tae-Oh
Yeom Seok-Ran
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Abstract
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Purpose: 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.
Methods: 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.
Results: 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.
Conclusion: 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.
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KEYWORD
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Eye injuries, Prevention and control, Risk factors, Pediatrics
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