Impact of socioeconomic status on open globe injuries during the COVID-19 pandemic.

IF 1.4 4区 医学 Q3 OPHTHALMOLOGY International Ophthalmology Pub Date : 2024-08-12 DOI:10.1007/s10792-024-03257-9
Marlow Schulz, Preston J Thomas, Alex T Legocki, Alyssa Bonnell, Yewlin Chee, Shu Feng, Philip Chen, Karine D Bojikian
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Abstract

Purpose: We explored the associations between socioeconomic status, as evaluated by the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry Social Vulnerability Index (SVI), and characteristics of open globe injury (OGI) in a Level I trauma center during the COVID-19 pandemic.

Methods: Retrospective review of electronic medical records of patients who underwent OGI evaluation and repair at Harborview Medical Center between March/2017 and March/2021. Demographic data and patient characteristics were recorded. The SVI was obtained based on the patient's home address. Patients were grouped into the "historical" (pre-COVID) cohort, including dates from March 2017 - March 2020, and the "COVID" cohort, including dates from March 2020 - March 2021.

Results: 318 patients (77.4% male) were included. Average ± S.D. age (years) and SVI scores were 44.7 ± 22.7 and 0.413 ± 0.195, respectively. SVI scores were significantly higher (more vulnerable) during the COVID-19 pandemic compared to years prior (p = 0.017), however when compared to scores for the same patients prior to the pandemic, no difference was found (p = 0.609). There was no significant difference between intentional and non-intentional trauma, work-related injuries, OGI type, presence of endophthalmitis, or ocular trauma score (p ≥ 0.293). Still, significantly fewer motor vehicle-associated (MVA) OGIs occurred during the pandemic (p = 0.041).

Conclusions: Patients with OGI during the COVID-19 pandemic had higher SVI scores, however when considering the overall effect of the pandemic, our findings are likely reflective of the societal changes at large. There was no identifiable impact on the mechanisms or characteristics of ocular injuries, except for fewer MVA injuries.

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在 COVID-19 大流行期间,社会经济地位对开球伤的影响。
目的:我们探讨了美国疾病控制和预防中心/有毒物质和疾病登记局社会弱势指数(SVI)评估的社会经济状况与 COVID-19 大流行期间一级创伤中心开放性球体损伤(OGI)特征之间的关联:方法:对2017年3月至2021年3月期间在Harborview医疗中心接受OGI评估和修复的患者的电子病历进行回顾性审查。记录了人口统计学数据和患者特征。根据患者的家庭住址获得 SVI。患者被分为 "历史"(COVID 前)队列和 "COVID "队列,"历史 "队列包括 2017 年 3 月至 2020 年 3 月的日期,"COVID "队列包括 2020 年 3 月至 2021 年 3 月的日期:共纳入 318 名患者(77.4% 为男性)。平均年龄(岁)± S.D. 和 SVI 评分分别为 44.7 ± 22.7 和 0.413 ± 0.195。与前几年相比,COVID-19 大流行期间的 SVI 分数明显更高(更脆弱)(p = 0.017),但与大流行前相同患者的分数相比,没有发现差异(p = 0.609)。故意和非故意外伤、工伤、OGI 类型、是否存在眼内炎或眼外伤评分之间没有明显差异(p≥ 0.293)。不过,在大流行期间发生的与机动车相关的 OGI(MVA)明显较少(p = 0.041):结论:在 COVID-19 大流行期间,OGI 患者的 SVI 评分较高,但考虑到大流行的整体影响,我们的研究结果很可能反映了整个社会的变化。对眼部损伤的机制或特征并没有明显的影响,只是减少了车祸损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
451
期刊介绍: International Ophthalmology provides the clinician with articles on all the relevant subspecialties of ophthalmology, with a broad international scope. The emphasis is on presentation of the latest clinical research in the field. In addition, the journal includes regular sections devoted to new developments in technologies, products, and techniques.
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