TY - JOUR
T1 - Baltimore pediatric ocular trauma study
T2 - Health disparities and outcomes in pediatric and adolescent open globe trauma
AU - Chen, Victoria
AU - Pharr, Courtney
AU - Junn, Sue
AU - Kraus, Courtney L.
AU - Fliotsos, Michael
AU - Park, Hee Jung
AU - Alexander, Janet L.
AU - Woreta, Fasika
AU - Carey, Gregory B.
AU - Levin, Moran R.
N1 - Funding Information:
This study was financially supported in part by Research to Prevent Blindness/American Academy of Ophthalmology (FW), Patrick and Catherine Weldon Donaghue Medical Research Foundation (FW), and grant funding from National Institutes of Health (KL2TR003099 (JLA), R43EYE030798 (JLA)).
Publisher Copyright:
© 2022
PY - 2023/2
Y1 - 2023/2
N2 - Purpose Children represent approximately one-third of patients with serious ocular injuries. Our study evaluates associations between race and socioeconomic status in presentation and outcomes of pediatric and adolescent traumatic open globe injuries. Methods We conducted a retrospective chart review of traumatic open globe injuries in pediatric and adolescent patients presenting to Johns Hopkins Hospital and University of Maryland Medical Center between 2006 and 2020. Variables assessed included age, gender, parent-identified race, median household income, mechanism of injury, initial and final visual acuity (VA), and length of follow-up. Results Eighty patients ranging from 4 months to 17.7 years (mean 9.3 years) presented with traumatic open globe injury. Identifications were 28 White (35%), 38 Black (48%), and 5 Hispanic (6%). Initial presenting and final VA, pediatric ocular trauma score (POTS), and length of follow-up did not differ significantly among race, gender, or income. Black patients had higher rates of blunt trauma (odds ratio (OR) 3.81; 95% confidence interval (CI) 0.95–15.24, p = 0.07), uveal prolapse (OR 3.58; 95% CI 1.03–12.43; p = 0.049), and enucleation (OR 10.55; 95% CI 1.26–88.31). Hispanic patients presented at a younger age of 2.8 years mean age vs. 9.9 years (p = 0.004) for others. Conclusion Visual outcomes following traumatic open globe injury were independent of race, gender, or income. However, blunt trauma, uveal prolapse, and enucleation rates were higher in Black patients, and ocular trauma occurred at a younger age in Hispanic patients.
AB - Purpose Children represent approximately one-third of patients with serious ocular injuries. Our study evaluates associations between race and socioeconomic status in presentation and outcomes of pediatric and adolescent traumatic open globe injuries. Methods We conducted a retrospective chart review of traumatic open globe injuries in pediatric and adolescent patients presenting to Johns Hopkins Hospital and University of Maryland Medical Center between 2006 and 2020. Variables assessed included age, gender, parent-identified race, median household income, mechanism of injury, initial and final visual acuity (VA), and length of follow-up. Results Eighty patients ranging from 4 months to 17.7 years (mean 9.3 years) presented with traumatic open globe injury. Identifications were 28 White (35%), 38 Black (48%), and 5 Hispanic (6%). Initial presenting and final VA, pediatric ocular trauma score (POTS), and length of follow-up did not differ significantly among race, gender, or income. Black patients had higher rates of blunt trauma (odds ratio (OR) 3.81; 95% confidence interval (CI) 0.95–15.24, p = 0.07), uveal prolapse (OR 3.58; 95% CI 1.03–12.43; p = 0.049), and enucleation (OR 10.55; 95% CI 1.26–88.31). Hispanic patients presented at a younger age of 2.8 years mean age vs. 9.9 years (p = 0.004) for others. Conclusion Visual outcomes following traumatic open globe injury were independent of race, gender, or income. However, blunt trauma, uveal prolapse, and enucleation rates were higher in Black patients, and ocular trauma occurred at a younger age in Hispanic patients.
KW - Health disparity
KW - Ocular trauma score
KW - Open globe injury
KW - Pediatric ocular trauma
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U2 - 10.1016/j.injury.2022.11.013
DO - 10.1016/j.injury.2022.11.013
M3 - Article
C2 - 36384857
AN - SCOPUS:85141949684
SN - 0020-1383
VL - 54
SP - 533
EP - 539
JO - Injury
JF - Injury
IS - 2
ER -