SEARCHCOHORTophthalmology, epidemiology

cohort·ophthalmology, epidemiology, public health, emergency medicine, geriatrics·PMC10551933

Demographic and socioeconomic disparities in receipt of ophthalmology consultation for facial trauma

BMJ Open Ophthalmology · 7 authors, 6 centres

AI SUMMARY

FIDELITY 100%

POPULATION264 adult patients with facial trauma (orbital fractures and open globe injuries) presenting to Elmhurst City Hospital Trauma Registry

INTERVENTIONReceipt of ophthalmology consultation

COMPARISONGrouped by race/ethnicity, primary language, insurance status, gender, and age

This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.

AGENT 01 · STRUCTURED SUMMARY

TRACE TO SOURCE

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TL;DR

This retrospective cohort study of 264 facial trauma patients at a level 1 trauma centre in Queens, New York found that patients with private insurance had 2.57 times greater odds of receiving ophthalmology consultation compared to those with Medicaid or corrections insurance, and patients aged 60 years and older had one-third the odds of consultation compared to younger patients.

Full summary

544 CHARS

This retrospective cohort study analysed 264 adult patients with facial trauma, including orbital fractures (n=259) and open globe injuries (n=5), from the Elmhurst City Hospital Trauma Registry in Queens, New York between January 2014 and May 2016. Only 30% of patients received an ophthalmology consultation, while 53% received other facial trauma consults. After multivariable logistic regression controlling for confounders, neither race/ethnicity, gender, nor primary language were significantly associated with ophthalmology consultation.

PICO

PPOPULATION

264 adult patients with facial trauma (orbital fractures and open globe injuries) presenting to Elmhurst City Hospital Trauma Registry

IINTERVENTION

Receipt of ophthalmology consultation

OOUTCOME

Receipt of ophthalmology consultation

STUDY TYPE

cohort

SPECIALTY

ophthalmology

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10551933

Demographic and socioeconomic disparities in receipt of ophthalmology consultation for facial trauma

BMJ Open Ophthalmology

READ THE FULL PAPER

ABSTRACT

Abstract Objective Functional outcomes following facial and ocular trauma are time-sensitive and require prompt evaluation to minimise long-term vision loss, yet few studies have systematically evaluated disparities in the management of these cases. This study investigates whether a patient’s race/ethnicity, primary language, insurance status, gender or age affects receipt of ophthalmology consultation for facial trauma. Methods and analysis This study was a retrospective cohort analysis of patients from the Elmhurst City Hospital Trauma Registry in Queens, New York who were seen for facial trauma including open globe injuries and orbital fractures between January 2014 and May 2016. Results Of the 264 patients included, 43% reported as Hispanic, 23% white, 11% Asian, 8% black and 15% other/unknown. After controlling for confounding variables by multivariable logistic regression, neither race/ethnicity, gender, nor primary language were significantly associated with the likelihood of receiving an ophthalmology consult. However, patients with private insurance had 2.57 times greater odds of receiving an ophthalmology consultation than those with Medicaid or state corrections insurance (95% CI 1.37 to 4.95). As age increased, the likelihood of receiving an ophthalmology consultation decreased (p=0.009); patients 60 years of age and older had one-third the odds of ophthalmology consultation as younger patients (OR 0.33; 95% CI 0.16 to 0.68). Conclusions This study highlights that lack of ophthalmology consultation in patients with facial trauma is linked to age and underinsurance. Extra attention must be paid during primary assessments to ensure elderly patients and those with public insurance have equitable access to timely and appropriate care for facial trauma. Keywords: trauma, public health, orbit

CITATION EXPORT

Kalla A Gervasio, Joab Camarena, Jessica Hampton et al.. Demographic and socioeconomic disparities in receipt of ophthalmology consultation for facial trauma. BMJ Open Ophthalmology. (2023). https://doi.org/10.1136/bmjophth-2023-001259

AUTHORS

7 · 6 CENTRES

Kalla A Gervasio, Joab Camarena, Jessica Hampton, Nitin Chopra, Brittany Kalosza, Lauren Shumate, Albert Y Wu

1Wills Eye Hospital, Philadelphia, Pennsylvania, USA
2Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
3Department of Ophthalmology & Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, USA
4Stanford University School of Medicine, Stanford, California, USA
5Department of Trauma Research, Emergency Department, Elmhurst Hospital Center, Elmhurst, Queens, New York, USA
6Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California, USA