Journal article
Domestic Violence-Related Ocular Injuries Among Adult Patients: Data from the Nationwide Emergency Department Sample, 2008-2017
Ophthalmic epidemiology, Vol.31(2), pp.169-177
03/03/2024
DOI: 10.1080/09286586.2023.2222792
PMCID: PMC10739625
PMID: 37345877
Abstract
To investigate domestic violence (DV)-related ocular injuries among adult emergency department (ED) patients in the US.
This was a retrospective, cross-sectional study of patients with a diagnosis of DV and diagnosis of ocular injury in the Nationwide Emergency Department Sample (NEDS) from 2008-2017. We identified patient- and hospital-level variables associated with DV-related ocular injuries. We calculated annual incidence rates using US Census data. Adjusting for inflation using the Consumer Price Index, we calculated mean and total charges.
From 2008-2017, there were 26,215 ED visits for ocular injuries related to DV with an average incidence of 1.09 per 100,000 adult population (female patients, 84.5%; mean age [SE], 34.3 [0.2]). DV-related ocular injuries were most prevalent among patients in the lowest income quartile (39.1%) and on Medicaid (37.4%). Most ED visits presented to metropolitan teaching (55.4%), non-trauma (46.7%), and south regional (30.5%) hospitals. The most common ocular injury was contusion of eye/adnexa (61.1%). The hospital admission rate was 5.2% with a mean hospital stay of 2.9 [0.2]. The inflation-adjusted mean cost for medical services was $38,540 [2,310.8] per encounter with an average increase of $2,116 per encounter, annually. The likelihood of hospital admission increased for patients aged ≥60 years old, on Medicare, and with open globes or facial/orbital fractures (all p < .05).
Contusion of the eye/adnexa was the most common ocular injury among patients with DV-related ED visits. To better facilitate referrals to social services, ophthalmologists should utilize DV screenings, especially towards women and patients of less privileged socioeconomic status.
Details
- Title: Subtitle
- Domestic Violence-Related Ocular Injuries Among Adult Patients: Data from the Nationwide Emergency Department Sample, 2008-2017
- Creators
- Joana E. Andoh - Johns Hopkins HospitalSumarth K. Mehta - The University of Texas Southwestern Medical CenterEvan M. Chen - University of California, San FranciscoTahreem A. Mir - Vanderbilt HealthKristen Nwanyanwu - Yale UniversityChristopher C. Teng - Yale University
- Resource Type
- Journal article
- Publication Details
- Ophthalmic epidemiology, Vol.31(2), pp.169-177
- DOI
- 10.1080/09286586.2023.2222792
- PMID
- 37345877
- PMCID
- PMC10739625
- NLM abbreviation
- Ophthalmic Epidemiol
- ISSN
- 0928-6586
- eISSN
- 1744-5086
- Publisher
- Taylor & Francis
- Number of pages
- 9
- Language
- English
- Electronic publication date
- 04/2024
- Date published
- 03/03/2024
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984755396402771
Metrics
7 Record Views