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Objective: Falls frequently cause globe and adnexal trauma, particularly in the elderly. The morbidity decreases confidence, independence and quality of life. We aimed to improve the understanding of fall-related globe and adnexal trauma and the involvement of ophthalmology at two tertiary trauma centres.

Methods: A retrospective medical record review was conducted at Royal North Shore Hospital and Royal Prince Alfred Hospital of patients admitted with fall-related globe and/or adnexal trauma between January 2015 and December 2019. International Classification of Disease Tenth Revision codes were used to identify patients for inclusion. Medical records were reviewed to extract data on demographics, trauma, ocular examination and referrals to ophthalmology.

Results: From January 2015 to December 2019, 346 patients, 186 were female (54%) and median age 76 years (interquartile range 24 years), were admitted to Royal North Shore Hospital and Royal Prince Alfred Hospital with fall-related globe and/or adnexal trauma. One hundred and twenty-five (36%) suffered globe trauma with 48 (14%) classified as severe. Patients over 65 years old had at least three risk factors contributing to falls. Alcohol and illicit substances were involved in 20% of falls and occurred predominantly in younger populations. There were significantly more patients with globe trauma if orbital/mid-facial fractures were present (55% vs 36%, P < 0.001).

Conclusion: Fall-related globe and adnexal trauma were more common in the elderly. Alcohol and illicit substances have a role in falls in younger populations. Thorough ocular assessment is required especially in mid-facial/orbital trauma to exclude globe trauma. Further, research is required to determine the effect of fall prevention strategies in preventing globe trauma.

Titel:	Globe trauma associated with falls at Australian tertiary centres.
Autor/in / Beteiligte Person:	Bartimote, C ; Hoskin, AK ; Fraser, CL ; Watson, S
Link:	Full Text Finder (Volltext)
Zeitschrift:	Emergency medicine Australasia : EMA, Jg. 36 (2024-02-01), Heft 1, S. 55-61
Veröffentlichung:	Wes Melbourne, Victoria : Blackwell Pub., c2004-, 2024
Medientyp:	academicJournal
ISSN:	1742-6723 (electronic)
DOI:	10.1111/1742-6723.14296
Schlagwort:	Humans Female Aged Young Adult Adult Male Retrospective Studies Australia epidemiology Quality of Life Eye Injuries epidemiology Eye Injuries etiology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Emerg Med Australas] 2024 Feb; Vol. 36 (1), pp. 55-61. <i>Date of Electronic Publication: </i>2023 Aug 24. MeSH Terms: Quality of Life* ; Eye Injuries* / epidemiology ; Eye Injuries* / etiology ; Humans ; Female ; Aged ; Young Adult ; Adult ; Male ; Retrospective Studies ; Australia / epidemiology References: Tinetti M. Preventing falls in elderly person. N. Engl. J. Med. 2003; 348: 42-49. ; Fuller G. Falls in the elderly. Am. Fam. Physician 2000; 61: 2159-2168. ; Masud TM, Morris R. Epidemiology of falls. Age Ageing 2001; 30: 3-7. ; Ivers R, Cumming R, Mitchell P, Attebo K. Visual impairment and falls in older adults: the Blue Mountains Eye Study. J. Am. Geriatr. Soc. 1996; 46: 58-64. ; Rubenstein L. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 2006; 35: 37-41. ; Vellas B, Wayne S, Romero L, Baumgartner R, Garry P. 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Globe trauma associated with falls at Australian tertiary centres.