دورية أكاديمية
Globe trauma associated with falls at Australian tertiary centres.
العنوان: | Globe trauma associated with falls at Australian tertiary centres. |
---|---|
المؤلفون: | Bartimote C; Department of Ophthalmology, Sydney and Sydney Eye Hospital, Sydney, New South Wales, Australia.; Save Sight Institute, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia., Hoskin AK; Save Sight Institute, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.; Department of Ophthalmology, The University of Western Australia, Perth, Western Australia, Australia.; Department of Ophthalmology, Lions Eye Institute, Perth, Western Australia, Australia., Fraser CL; Department of Ophthalmology, Sydney and Sydney Eye Hospital, Sydney, New South Wales, Australia.; Save Sight Institute, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia., Watson S; Department of Ophthalmology, Sydney and Sydney Eye Hospital, Sydney, New South Wales, Australia.; Save Sight Institute, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia. |
المصدر: | Emergency medicine Australasia : EMA [Emerg Med Australas] 2024 Feb; Vol. 36 (1), pp. 55-61. Date of Electronic Publication: 2023 Aug 24. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Blackwell Pub Country of Publication: Australia NLM ID: 101199824 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1742-6723 (Electronic) Linking ISSN: 17426723 NLM ISO Abbreviation: Emerg Med Australas Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Wes Melbourne, Victoria : Blackwell Pub., c2004- |
مواضيع طبية MeSH: | Quality of Life* , Eye Injuries*/epidemiology , Eye Injuries*/etiology, Humans ; Female ; Aged ; Young Adult ; Adult ; Male ; Retrospective Studies ; Australia/epidemiology |
مستخلص: | Objective: Falls frequently cause globe and adnexal trauma, particularly in the elderly. The morbidity decreases confidence, independence and quality of life. We aimed to improve the understanding of fall-related globe and adnexal trauma and the involvement of ophthalmology at two tertiary trauma centres. Methods: A retrospective medical record review was conducted at Royal North Shore Hospital and Royal Prince Alfred Hospital of patients admitted with fall-related globe and/or adnexal trauma between January 2015 and December 2019. International Classification of Disease Tenth Revision codes were used to identify patients for inclusion. Medical records were reviewed to extract data on demographics, trauma, ocular examination and referrals to ophthalmology. Results: From January 2015 to December 2019, 346 patients, 186 were female (54%) and median age 76 years (interquartile range 24 years), were admitted to Royal North Shore Hospital and Royal Prince Alfred Hospital with fall-related globe and/or adnexal trauma. One hundred and twenty-five (36%) suffered globe trauma with 48 (14%) classified as severe. Patients over 65 years old had at least three risk factors contributing to falls. Alcohol and illicit substances were involved in 20% of falls and occurred predominantly in younger populations. There were significantly more patients with globe trauma if orbital/mid-facial fractures were present (55% vs 36%, P < 0.001). Conclusion: Fall-related globe and adnexal trauma were more common in the elderly. Alcohol and illicit substances have a role in falls in younger populations. Thorough ocular assessment is required especially in mid-facial/orbital trauma to exclude globe trauma. Further, research is required to determine the effect of fall prevention strategies in preventing globe trauma. (© 2023 The Authors. Emergency Medicine Australasia published by John Wiley & Sons Australia, Ltd on behalf of Australasian College for Emergency Medicine.) |
References: | Tinetti M. Preventing falls in elderly person. N. Engl. J. Med. 2003; 348: 42-49. Fuller G. Falls in the elderly. Am. Fam. Physician 2000; 61: 2159-2168. Masud TM, Morris R. Epidemiology of falls. Age Ageing 2001; 30: 3-7. Ivers R, Cumming R, Mitchell P, Attebo K. Visual impairment and falls in older adults: the Blue Mountains Eye Study. J. Am. Geriatr. Soc. 1996; 46: 58-64. Rubenstein L. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 2006; 35: 37-41. Vellas B, Wayne S, Romero L, Baumgartner R, Garry P. Fear of falling and restriction of mobility in elderly fallers. Age Ageing 1997; 26: 189-193. Kurzthaler I, Wambacher M, Golser K et al. Alcohol and benzodiazepines in falls: an epidemiological view. Drug Alcohol Depend. 2005; 79: 225-230. Dorman A, O'Hagan S, Gole G. Epidemiology of severe ocular trauma following the implementation of alcohol restrictions in Far North Queensland. Clin. Exp. Ophthalmol. 2020; 48: 879-888. Fulde G, Smith M, Forster S. Presentations with alcohol-related serious injury to a major Sydney trauma hospital after 2014 changes to liquor laws. Med. J. Aust. 2015; 9: 366-370. Sun Q, Shi Y, Zhang F. Pediatric skull fractures and intracranial injuries (review). Exp. Ther. Med. 2017; 14: 1871-1874. Parslow R, Morris K, Tasker R, Forsyth R, Hawley A. Epidemiology of traumatic brain injury in children receiving intensive care in the UK. Arch. Dis. Child. 2005; 90: 1182-1187. Moncada L, Glen Mire L. Preventing falls in older persons. Am. Fam. Physician 2017; 96: 240-247. Sahraravand A, Haavisto A, Holopainen J, Leivo T. Ocular trauma in the Finnish elderly - Helsinki Ocular Trauma Study. Acta Ophthalmol. 2018; 96: 616-622. Cheung C, Rogers-Martel M, Golas L, Chepurny A, Martel J. Hospital-based ocular emergencies: epidemiology, treatment, and visual outcomes. J. Invest. Med. 2014; 62: 149. Lee W, McNamara P, English J, Meusemann R. Ocular trauma associated with falls in older people: a 10-year review from a state trauma service. Injury 2020; 51: 2009-2015. Hoskin AK, Low R, Tjeerd de Faber J et al. Eye injuries from fireworks used during celebrations and associated vision loss: the international globe and adnexal trauma epidemiology study (IGATES). Graefes Arch. Clin. Exp. Ophthalmol. 2022; 260: 371-383. Fleming J. Inability to get up after falling, subsequent time on floor, and summoning help: prospective cohort study in people over 90. BMJ 2008; 337: a2227. Abelsson A, Rystedt I, Suserud B, Lindwall L. Learning high-energy trauma care through simulation. Clin. Simul. Nurs. 2018; 17: 1-6. Hoskin A, Fliotsos M, Rousselot A et al. Globe and adnexal trauma terminology survey. JAMA Ophthalmol. 2022; 140: 819-826. Poon A, McCluskey PJ, Hill DA. Eye injuries in patients with major trauma. J. Trauma 1999; 46: 494-499. Alangh M, Chaudhary V, McLaughlin C, Chan B, Mullen SJ, Barbosa J. Ophthalmic referrals from emergency wards-a study of cases referred for urgent eye care (the R.E.S.C.U.E Study). Can. J. Ophthalmol. 2016; 51: 174-179. Institute of Trauma and Injury Management. NSW inter-hospital major trauma transfer interim guideline. Sydney: Institute of Trauma and Injury Management, 2019. NSW Health. NSW Critical Care Tertiary Referral Networks and Transfer of Care (ADULTS). Sydney: NSW Health, 2010. Jamovi. The Jamovi Project. Version 1.6. 2021. R: A Language and Environment for Statistical Computing. R Core Team. Version 4.0. 2020. Halawa O, Mitchell W, Zebardast N. Fall-related eye injury among older adults in the United States. Am. J. Ophthalmol. 2021; 229: 82-89. Lee W, Hunter D, Robaei D, Samarawickrama S. Open globe injuries: epidemiology, visual and surgical predictive variables, prognostic models, and economic cost analysis. Clin. Exp. Ophthalmol. 2021; 49: 336-346. Lee WS, Samarawickrama C. Closed globe and adnexal eye injuries: epidemiology, clinical and surgical outcomes, and an economic cost analysis. Clin. Exp. Ophthalmol. 2023; 51: 425-436. Beshay N, Keay L, Dunn H, Kamalden TA, Hoskin AK, Watson SL. The epidemiology of open globe injuries presenting to a tertiary referral eye hospital in Australia. Injury 2017; 48: 1348-1354. Deacon J, Preisz P, Chambers A. Sydney ‘lockout’ liquor licensing law restrictions have been associated with a sustained reduction in emergency presentations from assaults over 5 years. Emerg. Med. Australas. 2022; 34: 698-703. NSW Health. Alcohol use and related harms in NSW - surveillance report 2021. Sydney: NSW Health, 2022. Hoskin A, Watson SL. Ocular trauma and prevention measures. Clin. Exp. Ophthalmol. 2020; 48: 875-876. Guly CM, Guly H, Bouamra O, Gray RH, Lecky FE. Ocular injuries in patients with major trauma. Emerg. Med. J. 2006; 23: 915-917. Tuckett JW, Lynham A, Lee GA, Perry M, Harrington U. Maxillofacial trauma in the emergency department: a review. Surgeon 2014; 12: 106-114. Andrews B, Jackson A, Nazir N, Hromas A, Sokol J, Thurston T. Orbital fractures: identifying patient factors indicating high risk for ocular and periocular injury. Laryngoscope 2016; 126: 5-11. McNamara R, Rousseau E, Sanders A. Geriatric emergency medicine: a survey of practicing emergency physicians. Ann. Emerg. Med. 1992; 21: 796-801. Singal BM, Hedges J, Rousseau EW et al. Geriatric patient emergency visits. Part I: comparison of visits by geriatric and younger patients. Ann. Emerg. Med. 1992; 21: 802-807. Georgouli T, Pountos I, Chang BY, Giannoudis PV. Prevalence of ocular and orbital injuries in polytrauma patients. Eur. J. Trauma Emerg. Surg. 2011; 37: 135-140. Hoskin AK, Watson S, Mackey DA, Agrawal R, Keay L. Eye injury registries - a systematic review. Injury 2019; 50: 1839-1846. Hoskin A, Low R, Sen P et al. Epidemiology and outcomes of open globe injuries, the International Globe and Trauma Epidemiology Study (IGATES). Graefes Arch. Clin. Exp. Ophthalmol. 2021; 259: 3485-3499. |
فهرسة مساهمة: | Keywords: accident; adnexal trauma; elderly; fall; globe trauma; trauma |
تواريخ الأحداث: | Date Created: 20230824 Date Completed: 20240118 Latest Revision: 20240118 |
رمز التحديث: | 20240118 |
DOI: | 10.1111/1742-6723.14296 |
PMID: | 37620108 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1742-6723 |
---|---|
DOI: | 10.1111/1742-6723.14296 |