Scholarlink

Purpose <p>To characterise peri-injury systemic health changes in patients with fall-related open globe injuries (OGIs).</p> Design <p>Retrospective cohort study.</p> Participants <p>162 patients with fall-related OGIs, identified from a cohort of 1016 consecutive OGIs treated at a single academic medical center between 2016 and 2024.</p> Methods <p>Electronic medical records were reviewed. Patients were included if the injury resulted from a fall and sufficient systemic health data were available.</p> Main outcome measures <p>Incidence of new systemic diagnoses, disease exacerbations, and medication changes occurring within 90 days before or after the OGI. Specialist visits within the window and one-year mortality data were secondary measures.</p> Results <p>Of 1016 OGIs, 223 were fall-related (59.3% female, mean age 73.7 ± 14.3). Of 162 patients meeting inclusion criteria, 103 (63.6%) had at least one new systemic diagnosis likely contributing to the fall. Forty-three patients (26.5%) experienced exacerbation of pre-existing conditions, 28 (65.1%) of which were considered contributory to the fall. A total of 351 medication changes were documented, including medication classes with known fall risk. Seventy patients (43.2%) were seen by a new specialist; 38 of 108 visits (35.2%) were trauma-related, while 70 (64.8%) addressed new non-ocular conditions. Age-stratified one-year mortality rates were: ≤65 years, 9.7%; 66–75, 15.0%; 76–85, 16.7%; &gt;85, 45.0%.</p> Conclusions <p>Most fall-related OGIs occur in the context of newly diagnosed systemic illness, worsening of chronic disease, or medication changes. These injuries may represent sentinel events signaling underlying health deterioration. Systemic evaluation at initial presentation could facilitate timely referral and management of serious non-ophthalmic conditions.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Fall-related open globe injuries are associated with systemic health changes

  • 期刊论文

  • 发表日期：

    2026年3月16日

查看全文
  • Ryan S. Meshkin,
  • Eric T. Strand,
  • Grayson W. Armstrong,
  • Matthew F. Gardiner,
  • Isaac D. Bleicher

摘要

Purpose

To characterise peri-injury systemic health changes in patients with fall-related open globe injuries (OGIs).

Design

Retrospective cohort study.

Participants

162 patients with fall-related OGIs, identified from a cohort of 1016 consecutive OGIs treated at a single academic medical center between 2016 and 2024.

Methods

Electronic medical records were reviewed. Patients were included if the injury resulted from a fall and sufficient systemic health data were available.

Main outcome measures

Incidence of new systemic diagnoses, disease exacerbations, and medication changes occurring within 90 days before or after the OGI. Specialist visits within the window and one-year mortality data were secondary measures.

Results

Of 1016 OGIs, 223 were fall-related (59.3% female, mean age 73.7 ± 14.3). Of 162 patients meeting inclusion criteria, 103 (63.6%) had at least one new systemic diagnosis likely contributing to the fall. Forty-three patients (26.5%) experienced exacerbation of pre-existing conditions, 28 (65.1%) of which were considered contributory to the fall. A total of 351 medication changes were documented, including medication classes with known fall risk. Seventy patients (43.2%) were seen by a new specialist; 38 of 108 visits (35.2%) were trauma-related, while 70 (64.8%) addressed new non-ocular conditions. Age-stratified one-year mortality rates were: ≤65 years, 9.7%; 66–75, 15.0%; 76–85, 16.7%; >85, 45.0%.

Conclusions

Most fall-related OGIs occur in the context of newly diagnosed systemic illness, worsening of chronic disease, or medication changes. These injuries may represent sentinel events signaling underlying health deterioration. Systemic evaluation at initial presentation could facilitate timely referral and management of serious non-ophthalmic conditions.