PURPOSE To use the National Inpatient Sample (NIS) Database to describe trends in demographics, types, and incidence of pediatric open globe injuries in the United States. METHODS A retrospective, cross-sectional, observational study was conducted of 8,943 acute cases of pediatric open globe injury (age < 21 years) obtained from the NIS Database, between 2002 and 2014. Weighted analysis was performed using IBM SPSS Statistics 25 software (IBM Corporation). Codes from the International Classification of Disease, Ninth Revision, Clinical Modification were used to identify pediatric open globe injury cases. RESULTS In the United States, 8,943 pediatric cases of acute open globe injuries were identified between 2002 and 2014. Males comprised 78% of the acute pediatric open globe injury cases. Penetrating open globe injuries without intraocular foreign bodies (IOFBs) were the most common type of injury (P < .001). The proportion of injuries that were penetrating open globe injuries decreased with age, whereas the proportion of IOFBs and globe ruptures increased. The proportion of open globe injuries with IOFB in boys was twice as high as in girls. The incidence of open globe injuries by age, race, and gender was highest in the 16 to 20 years age group, in Blacks and Native Americans, and in boys, respectively. CONCLUSIONS The incidence of open globe injuries in pediatric patients (age < 21 years) was estimated to be 7.93 per 1,000,000 individuals and varied by race, gender, and age. The proportion of different types of open globe injury varied significantly by age, race, and gender. The mean duration of hospital stay for open globe injury management was 2.2 days, and 17.5% of patients lacked medical insurance. [J Pediatr Ophthalmol Strabismus. 2021;58(4):232-239.].

中文翻译：

---

美国小儿开放性眼球损伤的流行病学。

目的 使用国家住院样本 (NIS) 数据库来描述美国儿科开放性眼球损伤的人口统计学、类型和发生率的趋势。方法 对 2002 年至 2014 年间从 NIS 数据库中获得的 8,943 例小儿开放性眼球损伤急性病例（年龄 < 21 岁）进行了一项回顾性、横断面、观察性研究。使用 IBM SPSS Statistics 25 软件（IBM公司）。来自国际疾病分类、第九次修订、临床修改的代码用于识别小儿开放性眼球损伤病例。结果 在美国，2002 年至 2014 年间发现了 8,943 例急性开放性眼球损伤的儿科病例。男性占急性儿科开放性眼球损伤病例的 78%。无眼内异物 (IOFB) 的穿透性开放性眼球损伤是最常见的损伤类型 (P < .001)。穿透性开放性眼球损伤的比例随着年龄的增长而下降，而 IOFB 和眼球破裂的比例增加。男孩因 IOFB 引起的开放性眼球损伤的比例是女孩的两倍。16 至 20 岁年龄组、黑人和美洲原住民以及男孩中，按年龄、种族和性别划分的开放性眼球损伤的发生率最高。结论 儿科患者（年龄 < 21 岁）的开放性眼球损伤的发生率估计为每 1,000,000 人 7.93，并且因种族、性别和年龄而异。不同类型的开放性眼球损伤的比例因年龄、种族和性别而异。开放性眼球损伤管理的平均住院时间为 2.2 天，17.5% 的患者没有医疗保险。[J Pediatr Ophthalmol 斜视。2021;58(4):232-239.]。