Epidemiologic trends of domestic violence-related ocular injuries among pediatric patients: data from the Nationwide Emergency Department Sample 2008-2017

Joana E. Andoh; Sofia Miguez; Sarah E. Andoh; Sumarth Mehta; Tahreem A. Mir; Evan M. Chen; Srimathy Jain; Christopher C. Teng; Kristen Nwanyanwu

doi:10.1016/j.jaapos.2023.09.008

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Epidemiologic trends of domestic violence-related ocular injuries among pediatric patients: data from the Nationwide Emergency Department Sample 2008-2017

Journal article

Peer reviewed

Epidemiologic trends of domestic violence-related ocular injuries among pediatric patients: data from the Nationwide Emergency Department Sample 2008-2017

Joana E. Andoh, Sofia Miguez, Sarah E. Andoh, Sumarth Mehta, Tahreem A. Mir, Evan M. Chen, Srimathy Jain, Christopher C. Teng and Kristen Nwanyanwu

Journal of AAPOS, Vol.27(6), pp.1-8

12/01/2023

DOI: 10.1016/j.jaapos.2023.09.008

PMCID: PMC10859911

PMID: 37931837

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Abstract

PURPOSE To study the epidemiology of all domestic violence (DV)-related ocular injuries among pediatric emergency department (ED) patients in the United States.METHODS This is a retrospective, cross-sectional study of isolated children (\18 years of age) with a diagnosis of DV and primary or secondary diagnosis of ocular injuries in the Nationwide Emergency Department Sample, 2008-2017. We calculated annual incidence of DV-related ocular injuries and prevalence by demographic variables, including age, sex, and income quartile. Median charges, median length of inpatient hospital stay, and factors associated with hospitalization were also measured.RESULTS From 2008 to 2017, there were 4,125 ED encounters, with an average incidence of 0.56 per 100,000 population (males, 50.0%; mean age [SE], 9.2 [0.3]). Patients in the lowest income quartile (42.6%) and with Medicaid insurance (63.2%) were the most prevalent. The most common known perpetrator was a family member (29.4%). Most ED encounters took place at southern regional (28.6%), metropolitan teaching (67.1%) and designated trauma hospitals (57.8%). Contusion of the eye/adnexa and being struck by or against an object were the most common ocular diagnosis and known mechanism of injury, respectively. An estimated 12.4% of patients were admitted with a median hospital stay of 4 (IQR, 2-6). Median charges during the study period were $27,415.10 (IQR, $13,142.70-$54,454.90).CONCLUSIONS DV-related ocular injuries were most prevalent among patients with a low socioeconomic status. Given the historical underreporting of DV, future studies are warranted to identify more specific social determinants of health that contribute to such presentations.

Life Sciences & Biomedicine

Ophthalmology

Pediatrics

Science & Technology

Details

Title: Subtitle: Epidemiologic trends of domestic violence-related ocular injuries among pediatric patients: data from the Nationwide Emergency Department Sample 2008-2017
Creators: Joana E. Andoh - Johns Hopkins University
Sofia Miguez - Yale University
Sarah E. Andoh - University of Vermont
Sumarth Mehta - Yale University
Tahreem A. Mir - Vanderbilt University Medical Center
Evan M. Chen - University of California, San Francisco
Srimathy Jain - Johns Hopkins University
Christopher C. Teng - Yale University
Kristen Nwanyanwu - Yale University
Resource Type: Journal article
Publication Details: Journal of AAPOS, Vol.27(6), pp.1-8
DOI: 10.1016/j.jaapos.2023.09.008
PMID: 37931837
PMCID: PMC10859911
NLM abbreviation: J AAPOS
ISSN: 1091-8531
eISSN: 1528-3933
Publisher: Elsevier
Number of pages: 8
Language: English
Date published: 12/01/2023
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9984755385102771

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