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Epidemiology, visual outcome, and hospitalization costs of open globe injury in Northern Sardinia, Italy

Pinna, Antonio <1963- > and Atzeni, Gianfranco Enrico and Patteri, Pierpaolo and Salvo, Marco Michele and Zanetti, Francesco and Carta, Francesco (2007) Epidemiology, visual outcome, and hospitalization costs of open globe injury in Northern Sardinia, Italy. Ophthalmic Epidemiology, Vol. 14 (5), p. 299-305. eISSN 1744-5086. Article.

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DOI: 10.1080/09286580701198753

Abstract

Background: To investigate the epidemiology, visual outcome, and hospitalization costs of open globe injury in Northern Sardinia, Italy.
Methods: A population-based study involving all residents of Northern Sardinia. Hospital records were analyzed to obtain information on open globe injury. Age, gender, place of residence, occupation, cause of injury, circumstances, eye protection, visual outcome, and hospitalization costs were assessed. Statistical analysis was performed using an ordered probit estimate to calculate the predicted probability of visual outcome and a cross sectional linear regression model to evaluate some determinants of hospitalization costs.
Results: From 1993 to 2004, 176 residents (169 men, 7 women) were hospitalized for open globe injury. The overall annual incidence was 3.2 per 100,000. A bimodal age pattern was observed, with peaks at ages 20-24 and 50-59 years. The commonest occupation was “retired” (13.6%); 71% of injuries occurred during domestic or leisure activities. At the time of injury, 93.2% of patients were wearing no eye protection, 5.7% were wearing only ordinary spectacles, and 1.1% were wearing the correct protective equipment (safety goggles, shield). Final vision was < 3/60 in 27.3% of cases. Analyzing the predicted probability of blinding outcome, hospitalization costs were significantly influenced by greater age, retirement, residence in a rural area, and trauma occurrence during the weekend.
Conclusions: Open globe injury in Northern Sardinia varied with age, gender, and residence, was associated with lack of eye protection, and often resulted in severe visual loss. People engaged in domestic or leisure activities, especially the retired, are at highest risk, suggesting the need for targeted messages. This could reduce the incidence of open globe injury and its associated costs on the community.

Item Type:Article
ID Code:2310
Status:Published
Refereed:Yes
Uncontrolled Keywords:Open globe injury, epidemiology, incidence, visual outcome, hospitalization costs
Subjects:Area 06 - Scienze mediche > MED/30 Malattie apparato visivo
Area 13 - Scienze economiche e statistiche > SECS-P/01 Economia politica
Divisions:002 Altri enti e centri di ricerca del Nord Sardegna > Azienda ASL1, Sassari > Ospedale "A. Segni", Ozieri > Reparto oculistica
001 Università di Sassari > 03 Istituti > Oftalmologia, Otorinolaringoiatria e Urologia
001 Università di Sassari > 01 Dipartimenti > Economia, impresa, regolamentazione
Publisher:Informa Healthcare
eISSN:1744-5086
Deposited On:18 Aug 2009 10:07

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