The Characteristics of Patients Applied to Emergency due to Ocular Trauma during Pandemic

Öz

Our aim was to evaluate the characteristics of ocular trauma patients who applied to emergency and to investigate the effect of quarantine on ocular trauma in the period of the pandemic in March, April, and May when the quarantine was implemented. In March, April and May 2020 82 patients, in same months of 2019 1356 patients were included in the study. According to age groups, the study was divided into 3 groups such as <19 years old, between 19 and 64 years old, and >64 years old. According to years and whether there is a quarantine, 2019 was divided into 2 subgroups and 2020 into 3 subgroups. The mean age of patients in 2019 were found as 35.3±15.3 years and in 2020 36.7±14.6 years. (p=0.039) The incidence of the closed globe injuries was 79.2% in 2019 whereas 83.6% in 2020.(<0.05) The incidence of the burns was 10.4% in 2019 whereas 6.6% in 2020. Adnexal injury and closed globe injur rates were found significantly lower in 2020 than 2019 in the age group <19 years. (<0.05, <0.05 respectively). Different quarantine styles did not affect daily patient numbers .In the time of pandemic, ocular trauma mechanisms, injury sites and demographics were significantly changed. The incidence of closed globe injuries increased and burn decreased in pandemic. However open globe injuries and adnexal injuries did not change.

Anahtar Kelimeler

• burns
• coronavirus
• chemical burns
• COVID 19
• globe injury
• ocular trauma
• orbital trauma
• pandemic

Türkiye’nin En Çok Endüstrileşmiş Bölgesinde Pandemi Döneminde Oküler Travma Sebebi ile Acile Başvuran Hastaların Özellikleri

Öz

Amacımız, pandemi döneminde karantina uygulanan Mart, Nisan ve Mayıs aylarında acil servise başvuran oküler travma hastalarının özel-liklerini değerlendirmek ve karantinanın oküler travmalara etkisini araştırmaktır. Mart, Nisan ve Mayıs 2020 tarihlerinde toplam 821 hasta, 2019 yılının aynı aylarında 1356 hasta çalışmaya dahil edildi. Çalışma yaş gruplarına göre <19 yaş, 19-64 yaş ve> 64 yaş olmak üzere 3 gruba ayrıldı. Yıllara ve karantina olup olmadığına göre 2019 2 alt gruba ve 2020 3 alt gruba ayrıldı. 2019 yılında hastaların ortalama yaşı 35,3 ± 15,3 yıl iken 2020 yılında 36,7 ± 14,6 yıl idi. (p = 0,039) Kapalı glob yaralanma insidansı 2019' da % 79,2 iken 2020' de % 83,6 idi. (p<0,05) Yanık insidansı 2019' da % 10,4 iken 2020' de % 6,6 idi. Adneksiyal yaralanma ve kapalı glob yaralanma oranları 19 yaşından küçük yaş grubunda 2020' de önemli ölçüde daha düşük bulundu. (sırasıyla <0.05, <0.05). Farklı karantina stilleri günlük oküler travma sebebi ile başvuran hasta sayılarını etkilemedi. Pandemi döneminde oküler travma mekanizmaları, yaralanma bölgeleri ve demografik özellikleri önemli ölçüde değişmiş bulundu. Pandemide kapalı glob yaralanma insidansı artmış, yanık azalmıştır. Ancak açık glob yaralanmaları ve adneksiyal yaralanmalar değişmemiştir.

Anahtar Kelimeler

• COVID19
• glob yaralanması
• koronavirüs
• kimyasal yanık
• oküler travma
• orbita travması
• pandemi

Kaynakça

1. 1-World Health Organization. https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/novel-coronavirus-2019-ncov (Access December 20,2020)
2. 2- Birkmeyer JD, Barnato A, Birkmeyer N, Bessler R, Skinner J. The Impact of the COVID-19 pandemic on hospital admissions in the United States. Health Affairs 2020 39:11, 2010-2017
3. 3- Nourazari S, Davis SR, Granovsky R, Austin R,Straff DJ, Joseph JW, Sanchez LD. Decreased hospital admissions through emergency departments during the COVID-19 pandemic, American Journal of Emergency Medicine,https://doi.org/10.1016/j.ajem.2020.11.029
4. 4- Turkish Health Ministry, https://covid19.saglik.gov.tr/ (Access December 20, 2020)
5. 5-Turkish Health Ministry, https://covid19.saglik.gov.tr/TR-68443/covid-19-durum-raporu.html (Access December 20, 2020)
6. 6- Kıvanç SA, Akova Budak B, Skrijelj E, Tok Çevik M. Demographic Characteristics and Clinical Outcome of Work-related Open Globe Injuries in the Most Industrialised Region of Turkey. Turk J Ophthalmol. 2017 ;47(1):18-23.
7. 7- Kıvanç SA, Akova-Budak B, Olcaysü OO, Çevik SG. Sociodemographic status of severely disabled and visually impaired elderly people in Turkey. Arq Bras Oftalmol. 2016 ;79(1):24-9.
8. 8- Yildiz M, Kıvanç SA, Akova-Budak B, Ozmen AT, Çevik SG. An Important Cause of Blindness in Children: Open Globe Injuries. J Ophthalmol. 2016;2016:7173515.

9. 9- Olcaysü OO, Kıvanç SA, Altun A, Çinici E, Altınkaynak H, Ceylan E. Causes of Disability, Low Vision and Blindness in Old Age. Turkish Journal of Geriatrics. 2014; 17(1):44-49.
10. 10-Wu C, Patel SN, Jenkins TL, Obeid A, Ho AC, Yonekawa Y. Ocular trauma during COVID-19 stay-at-homeorders: a comparative cohor tstudy. Curr Opin Ophthalmol. 2020 Sep;31(5):423-426.
11. 11-Pellegrini M, Roda M, Di Geronimo N, Lupardi E, Giannaccare G, Schiavi C. Changingtrends of oculartrauma in the time of COVID-19 pandemic. Eye (Lond). 2020 Jul;34(7):1248-1250
12. 12-Shah, Mehul&Netralaya, Drashti&Bhasin, Purendra&Jyot, Rayan&Dr, Netralaya&Shah, Shreya&Patel, Heena. (2020). Impact of COVID-19 Lockdownperiod on OcularTrauma. 10.21203/rs.3.rs-49393/v1.
13. 13- Poyser A, Deol SS, Osman L, Kuht HJ, Sivagnanasithiyar T, Manrique R, Okafor LO, DeSilva I, Sharpe D, Savant V, Sarodia U, Sarvananthan N, Chaudhuri R, Banerjee S, Burns J, Thomas MG. Impact of COVID-19 pandemic and lockdown on eye emergencies. Eur J Ophthalmol. 2020 19:1120672120974944.