Epidemiology of severe ocular trauma following the implementation of alcohol restrictions in Far North Queensland

Autor:	Andrew Dorman, Stephen O’Hagan, Glen A. Gole
Rok vydání:	2020
Předmět:	medicine.medical_specialty genetic structures Population Visual Acuity Poison control Rate ratio Indigenous 03 medical and health sciences Eye Injuries 0302 clinical medicine Epidemiology Injury prevention medicine Humans 030212 general & internal medicine Child education Retrospective Studies education.field_of_study business.industry Incidence Incidence (epidemiology) eye diseases Ophthalmology Cohort 030221 ophthalmology & optometry Queensland business Demography
Zdroj:	Clinical & Experimental Ophthalmology. 48:879-888
ISSN:	1442-9071 1442-6404
Popis:	Importance: Indigenous communities of Far North Queensland (FNQ) have one of the highest incidences of alcohol-related ocular trauma globally. Background: To review the epidemiology of closed- and open-globe trauma admitted to Cairns Hospital from FNQ health districts following the implementation of alcohol restrictions in Indigenous communities. Design: Retrospective study of cases from January 2014 to December 2018. Participants: A total of 142 cases identified from ICD-10 clinical-coding data. Methods: Records were reviewed to determine demographics, clinical details and outcomes. Main Outcome Measures: Annual incidence by demography and ethnicity (Indigenous vs non-indigenous). Results: Estimated annual incidence was 10.4/100 000 population (open-globe: 3.6/100 000, closed-globe: 6.8/100 000 population). Incidence rate ratio was 2.8× higher in Indigenous (22.8/100 000 population) compared to non-indigenous populations. Injury from assault was 8.2× higher in the Indigenous population. Alcohol was involved in 76% of assaults. Paediatric injuries comprised 20.4% of the cohort, with Indigenous children over-represented (44.8% of children). Visual acuity (VA) at presentation ranged from −0.08 logMAR to no-perception of light (NPL), with 41.8% poorer than +1.00 logMAR. Final VA ranged from −0.18 logMAR to NPL. Mean final VA was significantly better for closed- than open-globe injuries (+0.43 vs +1.01 logMAR). Ruptures had the poorest outcomes (mean +1.65 logMAR). Conclusions and relevance: The overall incidence of severe ocular trauma in FNQ has decreased compared to that reported from 1995 to 2002. The extremely high incidence observed in the Indigenous communities of Cape York has decreased dramatically since the introduction of Alcohol Management Plans. Nevertheless, the Indigenous population still experiences significantly higher rates of severe ocular trauma, particularly from assault.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fa2eeec66f4c2fa8c0693c602cb06454 https://doi.org/10.1111/ceo.13811 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.