Specificities of pediatric ocular emergencies before and during the COVID-19 era: A retrospective comparative study in an eye-related emergency department in Paris

Martin, Gilles C.; Boulanger, Etienne; Maalej, Rim; Partouche, Sarah; Dentel, Alexandre; Grosselin, Mathilde; Ettayeb, Rizlene; Chapron, Thibaut; Caputo, Georges; Vignal-Clermont, Catherine

doi:10.1016/j.arcped.2023.06.002

Archives de Pédiatrie

2023

DOI: 10.1016/j.arcped.2023.06.002

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Specificities of pediatric ocular emergencies before and during the COVID-19 era: A retrospective comparative study in an eye-related emergency department in Paris

Gilles C. Martin,

Etienne Boulanger,

Rim Maalej

et al.

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Cited by 3 publications

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Epidemiology of pediatric sports-related concussions presenting to the emergency room over the last decade in the United States

Lu,

Niazi

2023

Clinical Neurology and Neurosurgery

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Epidemiology of pediatric sports-related concussions presenting to the emergency room over the last decade in the United States

Lu,

Niazi

2023

Clinical Neurology and Neurosurgery

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Impact of social distancing policy on pediatric emergency ophthalmic severity during the coronavirus disease 2019 pandemic

Woo,

Chung,

Jeon

et al. 2024

Pediatrics International

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BackgroundWe investigated the impact of social distancing policies (SDPs) on ophthalmic severity in children who underwent emergency ophthalmic referrals during the coronavirus disease 2019 pandemic period.MethodsWe reviewed all children with ophthalmic referrals in a single academic hospital emergency department during the period from February 2017 to December 2019 (prepandemic) or February 2020 to December 2022 (pandemic). Baseline features, diagnosis‐based severity, and outcomes were compared between the two periods. The Government Response Stringency Index (GRSI), which ranges from 0 to 100, was used as a surrogate for the intensity of SDPs during the pandemic. Poisson regression was used to quantify the association of the GRSI with the severity.ResultsAmong 1074 children with ophthalmic referrals, 437 (40.7%) visited during the pandemic. This was 31.4% lower than that during the prepandemic period. In numbers, pandemic‐related declines were more modest in high severity than in medium‐to‐low severity (35.1% vs. 55.0%), and for injury than for illness (28.5% vs. 36.1%). In percentages, high severity increased from 63.3% to 71.3% (p = 0.016). The hospitalization rate increased from 1.7% to 3.9% (p = 0.029). For every 10‐point increase in GRSI, there was a 20.0% decrease in high severity (95% confidence interval, 5%–30%).ConclusionsThis study shows an inverse association of SDPs with ophthalmic severity and an increase in severe cases along with consistent flow of injury cases, amid the overall decline in eye‐related visits to the emergency department during the pandemic period.

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Prevalence, Characteristics, and Management of Pediatric Ocular Trauma in Riyadh, Saudi Arabia: A Retrospective Analysis

Alabdulkader,

Alsiwat,

Almatar

et al. 2024

Healthcare

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Purpose: Ocular trauma is a major cause of visual impairment; however, little is known about its burden in Saudi Arabia. Therefore, this study aimed to determine the epidemiological characteristics of ocular trauma in pediatric patients in Riyadh, Saudi Arabia. Patients and methods: Medical records of pediatric patients diagnosed with eye injuries between January 2016 and December 2020 were retrospectively reviewed. Demographic and injury characteristics were collected, and ocular trauma injuries were classified according to the Birmingham Eye Trauma Terminology. Results: A total of 855 injured patients were included in the study, of whom 525 (61.4%) were boys. Patient age ranged from one month to 18 years. Most ocular injuries occurred in children aged 5–9 years. The injuries were more prevalent in boys than in girls. Closed globe injuries accounted for 70% of cases, open globe injuries for 21%, and other injuries for 9%. Most ocular injuries occurred at home (n = 87, 42%), followed by school (n = 61, 30%). Conclusions: These results may inform the implementation and targeting of interventions to reduce or prevent eye injuries in children. Further, they highlight the importance of well-planned prevention programs to prevent eye injuries from occurring in children’s daily lives.

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Specificities of pediatric ocular emergencies before and during the COVID-19 era: A retrospective comparative study in an eye-related emergency department in Paris

Cited by 3 publications

References 17 publications

Epidemiology of pediatric sports-related concussions presenting to the emergency room over the last decade in the United States

Epidemiology of pediatric sports-related concussions presenting to the emergency room over the last decade in the United States

Impact of social distancing policy on pediatric emergency ophthalmic severity during the coronavirus disease 2019 pandemic

Prevalence, Characteristics, and Management of Pediatric Ocular Trauma in Riyadh, Saudi Arabia: A Retrospective Analysis

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