응급센터로 내원한 소아 안 손상 환자의 특성과 위험요인: 다기관 단면 연구

Abstract

Purpose: This study was conducted in order to determinethe characteristics and risk factors of pediatric eye injurypatients in the emergency department and to offer strategiesfor prevention of pediatric eye injury. Methods: This prospective study was conducted by use ofa standardized eye injury survey of patients under the ageof 16 years who were treated for ocular injury at nine emergencymedical centers, from March to September of 2010. The following data were collected; general characteristics ofthe study population, type and location of injury, causativeactivities, and materials of injury. Risk factors associatedwith 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 observedbetween the age of 11 and 16 years (34.5%); 79.2% ofpatients had closed globe injury. The most common type ofinjury was contusion (65.4%) in closed globe injury and penetration(5.1%) in open-globe injury. Eye injury occurredmost commonly at home (48.6%), followed by school/institution(19.4%). The most common causative activity andmaterial 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 significantfactor for occurrence of an open-globe injury. Conclusion: Establishment of safety measures consideringgender and age is important since characteristics of pediatriceye injury differ based on such risk factors. The risk ofopen-globe eye injury increased with application of personalprotective equipment, therefore, public education and promotionto use protective equipment of adequate level wouldbe considered important.