Epidemiologic characteristics and outcomes of open globe injury in Shanghai

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摘要 AIM:ToinvestigatetheepidemiologiccharacteristicsandoutcomesofopenglobeinjuryinShanghai.METHODS:Aretrospectivestudywasconductedfor148unilateralopenglobeinjurycasespresentingtoatertiaryreferralhospitalofShanghai.Electronicmedicalrecordswerereviewedandphonesurveyswereconductedtocollectandanalyze1)backgroundofpatient;2)settingofinjuryandclinicalsignsatpresentation;3)treatmentprocedureandoutcome;4)qualityoflifeafterinjury.RESULTS:Thereweremoremalepatients(77.03%)thanfemales(22.97%),moretemporaryhabitants(79.05%)thanresidents(20.95%).ThesubjectsinthisstudypresentedasignificantlylowerconstitutionalstatusofeducationthanthatofthewholeShanghaipopulation(P<0.001).Occupationalinjurywasthefirstcauseofinjuries(39.86%),followedbyhomeaccident(20.27%),roadaccident(16.89%),violentbehavior(16.89%)andoutdoorinjury(6.08%).The143subjects(96.62%)werenotwearingspectaclesatthetimeofinjury.Ofallpatients,77subjects(52.03%)hadtheoutcomeofnovision(includingenucleation).Theclassificationandregressiontree(CART)prognosispresents59.58%sensitivitytopredictvisualsurvivalcorrectlyand80.19%specificitytopredictnovisioncorrectly.Thepatientswhoseinjuredeyehadnovisionreportedmorereductionoflifequality.CONCLUSION:Wefoundthatmalesubject,temporaryhabitants,loweducationalstatusandnoeyewearareriskfactorsofopenglobeinjuryinShanghai.Occupationalinjuryistheleadingcause.CARTanalysispresentsacertainagreementtotheactualvisualoutcome.Theinjuryimposesnegativeimpactonqualityoflifeespeciallyinnovisioncases.Theeducationofeyeprotectionmayhelptoavoidtheinjury.
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出版日期 2017年08月18日(中国期刊网平台首次上网日期,不代表论文的发表时间)
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