Abstract：
Prompt management of burn-related globe trauma can prevent long term complications. Delays in diagnosis may occur when globe trauma is associated with life-threatening injuries. We aimed to improve the understanding of the epidemiology, acute assessment and management of burns-related globe and adnexal trauma admitted to two trauma centres in Sydney, Australia.
Admitted patients with burns-related globe and/or adnexal trauma were retrospectively reviewed at Royal North Shore Hospital (RNSH) and Royal Prince Alfred Hospital (RPAH) between January 2015 and December 2019. The International Classification of Disease, Tenth Revision codes was used to search and identify patients. Medical records were reviewed to extract data on demographics, injuries, ocular examination and ophthalmology involvement.
Over the 5-years, 101 patients with globe and/or adnexal burns-related trauma were admitted to RNSH or RPAH. Median age was 37years. Most patients were male (76%) and were injured while at home or work (74%). Patients with chemical exposure were more likely to have globe trauma (100% vs 72%, p < 0.001) and severe globe trauma (54% vs 32%, p = 0.028). On initial review by emergency staff, 14 patients were not referred to ophthalmology, of these there were 2 patients where the diagnosis was delayed.
Globe trauma is common in patients with chemical exposure. Thorough ocular assessment within the acute setting is vital to diagnose globe trauma. We investigated hospitals with specialised burn staff, further research is required to understand the management of globe trauma in hospitals without such resources.
Chemicals in household-products can cause severe globe trauma. Globe trauma can occur alongside large burns leading to delay in its diagnosis and management. Ophthalmology can assist in the early diagnosis and management of globe trauma.
Admitted patients with burns-related globe and/or adnexal trauma were retrospectively reviewed at Royal North Shore Hospital (RNSH) and Royal Prince Alfred Hospital (RPAH) between January 2015 and December 2019. The International Classification of Disease, Tenth Revision codes was used to search and identify patients. Medical records were reviewed to extract data on demographics, injuries, ocular examination and ophthalmology involvement.
Over the 5-years, 101 patients with globe and/or adnexal burns-related trauma were admitted to RNSH or RPAH. Median age was 37years. Most patients were male (76%) and were injured while at home or work (74%). Patients with chemical exposure were more likely to have globe trauma (100% vs 72%, p < 0.001) and severe globe trauma (54% vs 32%, p = 0.028). On initial review by emergency staff, 14 patients were not referred to ophthalmology, of these there were 2 patients where the diagnosis was delayed.
Globe trauma is common in patients with chemical exposure. Thorough ocular assessment within the acute setting is vital to diagnose globe trauma. We investigated hospitals with specialised burn staff, further research is required to understand the management of globe trauma in hospitals without such resources.
Chemicals in household-products can cause severe globe trauma. Globe trauma can occur alongside large burns leading to delay in its diagnosis and management. Ophthalmology can assist in the early diagnosis and management of globe trauma.
摘要：
背景：迅速处理烧伤相关的全球创伤可以预防长期并发症。当全球创伤与危及生命的伤害相关时，诊断可能会延迟。我们旨在提高对流行病学的理解，悉尼两个创伤中心收治的烧伤相关的眼球和附件创伤的急性评估和处理，澳大利亚。
方法：2015年1月至2019年12月，在皇家北岸医院（RNSH）和皇家阿尔弗雷德王子医院（RPAH）对收治的烧伤相关眼球和/或附件外伤患者进行了回顾性分析。国际疾病分类,第十修订代码用于搜索和识别患者。对医疗记录进行了审查，以提取人口统计数据，受伤,眼部检查和眼科检查。
结果：在过去的5年里，101例与地球和/或附件烧伤相关的创伤患者接受了RNSH或RPAH。中位年龄为37岁。大多数患者为男性（76％），在家中或工作时受伤（74％）。化学暴露的患者更有可能发生全球创伤(100%vs72%，p<0.001）和严重的全球创伤（54%vs32%，p=0.028)。经紧急救援人员初步审查,14例患者未转诊眼科，其中有2例患者的诊断延迟。
结论：地球仪创伤在有化学暴露的患者中很常见。在急性环境中进行全面的眼部评估对于诊断全球创伤至关重要。我们调查了有专业烧伤人员的医院，需要进一步的研究来了解没有这些资源的医院对全球创伤的管理。
结论：家用产品中的化学物质会导致严重的全球创伤。全球创伤可能与大面积烧伤一起发生，导致其诊断和治疗延迟。眼科可以帮助早期诊断和治疗全球创伤。
方法：2015年1月至2019年12月，在皇家北岸医院（RNSH）和皇家阿尔弗雷德王子医院（RPAH）对收治的烧伤相关眼球和/或附件外伤患者进行了回顾性分析。国际疾病分类,第十修订代码用于搜索和识别患者。对医疗记录进行了审查，以提取人口统计数据，受伤,眼部检查和眼科检查。
结果：在过去的5年里，101例与地球和/或附件烧伤相关的创伤患者接受了RNSH或RPAH。中位年龄为37岁。大多数患者为男性（76％），在家中或工作时受伤（74％）。化学暴露的患者更有可能发生全球创伤(100%vs72%，p<0.001）和严重的全球创伤（54%vs32%，p=0.028)。经紧急救援人员初步审查,14例患者未转诊眼科，其中有2例患者的诊断延迟。
结论：地球仪创伤在有化学暴露的患者中很常见。在急性环境中进行全面的眼部评估对于诊断全球创伤至关重要。我们调查了有专业烧伤人员的医院，需要进一步的研究来了解没有这些资源的医院对全球创伤的管理。
结论：家用产品中的化学物质会导致严重的全球创伤。全球创伤可能与大面积烧伤一起发生，导致其诊断和治疗延迟。眼科可以帮助早期诊断和治疗全球创伤。
