■在伊朗,在家中遭受的眼外伤是一个日益严重的公共卫生问题,很少有研究探讨它们的患病率和这些伤害的不同原因的频率。我们调查了儿童和青少年(年龄<18岁)在家中眼外伤的特征,成年人(18-64岁)和五个大都市的老年人(≥65岁)。
■在这项横断面研究中,我们招募了在5个月期间到5个大城市的12家公立/教学医院就诊的在家眼外伤患者.使用急诊科档案中的临床记录,我们收集了以下数据:年龄,性别,需要入院或手术干预的受伤频率,和眼睛受伤的原因,记录为1)清洁产品,2)化工产品,3)厨房用品,4)烹饪活动,5)玩具,6)从高处坠落,7)运动器材,8)穿透或切割,9)擦伤,10)异物,和11)其他人的直接打击。
■来自五个城市的5008名参与者中,74%(n=3711)为男性,26%(n=1297)为女性。儿童和青少年最常见的伤害原因,成年人,老年人是玩具,厨房用品,烹饪活动,分别。在儿童和青少年中,受伤是由厨房用品造成的,玩具,异物,其他人的直接打击比成年人或老年人更频繁,且因清洁产品和擦伤较中老年人更频繁(均P<0.05)。在成年人中,受伤是由清洁产品造成的,烹饪活动,从高处坠落,运动器材,穿透或切割,擦伤发生率高于儿童青少年或老年人(均P<0.05),和厨房用品,玩具,与老年人相比,其他人的打击频率更高(均P<0.05)。在老年人中,与儿童和青少年或成人相比,化学产品引起的伤害更频繁,通过烹饪活动,从高处坠落,运动装备的频率高于儿童和青少年(均P<0.05)。在成年人中,与其他四个城市相比,德黑兰的眼外伤频率显着升高,马什哈德的眼外伤频率降低(均P<0.05)。我们发现,在德黑兰,清洁和化学产品造成的眼外伤的频率明显更高,在设拉子的玩具,从伊斯法罕的高空坠落,以及阿瓦士其他个人与其他四个城市的直接打击(均P<0.05)。关于儿童/青少年和成人年龄组中严重眼外伤的患病率,设拉子的条件相对较好,马什哈德的条件相对不利。
■眼外伤在男性个体和年轻年龄组中更为常见。大约一半的原因是厨房用品,玩具,和异物,通过提高公众的眼睛健康意识,这是可以避免的。年龄<18岁的人群中严重眼外伤的患病率很高,强调全国儿童眼外伤预防策略的必要性。
UNASSIGNED: In Iran, ocular injuries sustained at home are a growing public health issue, and few studies have explored their prevalence and the frequencies of different causes of these injuries. We investigated the features of ocular injuries at home among children and adolescents (aged < 18 years), adults (18 - 64 years), and the elderly ( ≥ 65 years) in five metropolitan cities.
UNASSIGNED: In this cross-sectional study, we recruited individuals with ocular injuries sustained at home who presented to 12 public/teaching hospitals in five metropolitan cities during a 5-month period. Using clinical records within the emergency department archives, we collected the following data: age, sex, frequency of injuries requiring hospital admission or surgical intervention, and causes of eye injuries, documented as 1) cleaning products, 2) chemical products, 3) kitchen items, 4) cooking activities, 5) toys, 6) falls from height, 7) sports equipment, 8) penetrating or cutting, 9) abrasions, 10) foreign bodies, and 11) direct blows by other individuals.
UNASSIGNED: Of 5008 participants from the five cities, 74% (n = 3711) were male and 26% (n = 1297) were female. The most frequent causes of injury among children and adolescents, adults, and the elderly were toys, kitchen items, and cooking activities, respectively. In children and adolescents, injuries were caused by kitchen items, toys, foreign bodies, and direct blows by other individuals more frequently than in adults or the elderly, and by cleaning products and abrasions more frequently than in the elderly (all P < 0.05). In adults, injuries were caused by cleaning products, cooking activities, falls from height, sports equipment, penetrating or cutting, and abrasions more frequently than in children and adolescents or the elderly (all P < 0.05), and by kitchen items, toys, and blows by other individuals more frequently than in the elderly (all P < 0.05). In the elderly, injuries were caused by chemical products more frequently than in children and adolescents or adults, and by cooking activities, falls from height, and sports equipment more frequently than in children and adolescents (all P < 0.05). In adults, the frequency of ocular injuries was significantly higher in Tehran and lower in Mashhad when comparing each with that of the other four cities (all P < 0.05). We found a significantly higher frequency of ocular injuries by cleaning and chemical products in Tehran, by toys in Shiraz, by falls from height in Isfahan, and by direct blows by other individuals in Ahvaz when comparing each to that of the other four cities (all P < 0.05). Regarding the prevalence of severe ocular injuries among the children/adolescent and adult age groups, conditions were relatively better in Shiraz and relatively unfavorable in Mashhad.
UNASSIGNED: Ocular trauma was more common in male individuals and the younger age groups. Approximately half of the causes were kitchen items, toys, and foreign bodies, which are avoidable by enhancing public eye health awareness. The prevalence of severe ocular injuries in individuals aged < 18 years was high, highlighting the necessity of nationwide preventive strategies for pediatric ocular injuries.