Eye Injury Surveillance in the U.S. Department of Defense, 1996–2005
Background Consistent with the public health approach to prevention, surveillance analyses are needed to fully understand a health problem. U.S. military eye injury rates have not been fully described using medical surveillance data. Methods Medical visit data on active duty personnel, 1996–2005, an...
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| Veröffentlicht in: | American journal of preventive medicine 2010, Vol.38 (1), p.S78-S85 |
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| container_title | American journal of preventive medicine |
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| creator | Hilber, David, OD, MBA, FAAO Mitchener, Timothy A., DMD, MPH Stout, James, OD Hatch, Brian, OD, MBA, FAAO Canham-Chervak, Michelle, PhD, MPH |
| description | Background Consistent with the public health approach to prevention, surveillance analyses are needed to fully understand a health problem. U.S. military eye injury rates have not been fully described using medical surveillance data. Methods Medical visit data on active duty personnel, 1996–2005, and causes of eye injury hospitalizations (identified by Standard NATO Agreement injury cause codes) were obtained from the Defense Medical Surveillance System. Eye injury–related ICD-9-CM codes beyond the traditional 800–999 injury code set were included. Rates by age and gender are reported for 1996–2005, along with the frequency of causes of injury hospitalizations and leading eye injury diagnoses for 2005. Results Eye injury rates among active duty military personnel increased from 1996 to 2005 among both men and women ( p |
| doi_str_mv | 10.1016/j.amepre.2009.10.015 |
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U.S. military eye injury rates have not been fully described using medical surveillance data. Methods Medical visit data on active duty personnel, 1996–2005, and causes of eye injury hospitalizations (identified by Standard NATO Agreement injury cause codes) were obtained from the Defense Medical Surveillance System. Eye injury–related ICD-9-CM codes beyond the traditional 800–999 injury code set were included. Rates by age and gender are reported for 1996–2005, along with the frequency of causes of injury hospitalizations and leading eye injury diagnoses for 2005. Results Eye injury rates among active duty military personnel increased from 1996 to 2005 among both men and women ( p <0.001), with the highest rates in 2004 (26/1000 person-years and 21/1000 person-years, women and men, respectively). Women consistently had 7%–21% higher rates than men (rate ratios=1.07; 95% CI=1.04, 1.11) to 1.21 (95% CI= 1.17, 1.25). From 1996–2005, eye injury rates increased among all age groups ( p <0.001). From 2002–2005, rates were highest for those aged ≥40 years compared to those aged 17–19 years (rate ratios=1.17 [95% CI=1.11, 1.24] to 1.24 [95% CI=1.18, 1.31]). Leading causes of eye injury hospitalizations were ordnance handling (16.9%), enemy action (13.1%), and fighting (11.9%). Conclusions Medical surveillance data enable the assessment and monitoring of overall active duty eye injury rates, trends, and causes. Outpatient data could be improved with the addition of cause of injury codes and eye protection use. Current data suggest that continued use of eye protection during ordnance handling, combat, motor vehicle use, and sports could help reduce eye injury rates.</description><identifier>ISSN: 0749-3797</identifier><identifier>EISSN: 1873-2607</identifier><identifier>DOI: 10.1016/j.amepre.2009.10.015</identifier><identifier>PMID: 20117603</identifier><identifier>CODEN: AJPMEA</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Age Distribution ; Eye injuries ; Eye Injuries - epidemiology ; Female ; Hospitalization ; Humans ; Injuries ; Internal Medicine ; Male ; Military Medicine - statistics & numerical data ; Military Personnel - statistics & numerical data ; Population Surveillance ; Public health ; Sex Distribution ; Sports ; Surveillance ; United States - epidemiology ; Young Adult</subject><ispartof>American journal of preventive medicine, 2010, Vol.38 (1), p.S78-S85</ispartof><rights>2010</rights><rights>Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-9480a1358f95c3dbcf4e55067685e67753e754ece23282b172c039a64dbba0803</citedby><cites>FETCH-LOGICAL-c447t-9480a1358f95c3dbcf4e55067685e67753e754ece23282b172c039a64dbba0803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0749379709006680$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,4009,27902,27903,27904,30979,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20117603$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hilber, David, OD, MBA, FAAO</creatorcontrib><creatorcontrib>Mitchener, Timothy A., DMD, MPH</creatorcontrib><creatorcontrib>Stout, James, OD</creatorcontrib><creatorcontrib>Hatch, Brian, OD, MBA, FAAO</creatorcontrib><creatorcontrib>Canham-Chervak, Michelle, PhD, MPH</creatorcontrib><title>Eye Injury Surveillance in the U.S. Department of Defense, 1996–2005</title><title>American journal of preventive medicine</title><addtitle>Am J Prev Med</addtitle><description>Background Consistent with the public health approach to prevention, surveillance analyses are needed to fully understand a health problem. U.S. military eye injury rates have not been fully described using medical surveillance data. Methods Medical visit data on active duty personnel, 1996–2005, and causes of eye injury hospitalizations (identified by Standard NATO Agreement injury cause codes) were obtained from the Defense Medical Surveillance System. Eye injury–related ICD-9-CM codes beyond the traditional 800–999 injury code set were included. Rates by age and gender are reported for 1996–2005, along with the frequency of causes of injury hospitalizations and leading eye injury diagnoses for 2005. Results Eye injury rates among active duty military personnel increased from 1996 to 2005 among both men and women ( p <0.001), with the highest rates in 2004 (26/1000 person-years and 21/1000 person-years, women and men, respectively). Women consistently had 7%–21% higher rates than men (rate ratios=1.07; 95% CI=1.04, 1.11) to 1.21 (95% CI= 1.17, 1.25). From 1996–2005, eye injury rates increased among all age groups ( p <0.001). From 2002–2005, rates were highest for those aged ≥40 years compared to those aged 17–19 years (rate ratios=1.17 [95% CI=1.11, 1.24] to 1.24 [95% CI=1.18, 1.31]). Leading causes of eye injury hospitalizations were ordnance handling (16.9%), enemy action (13.1%), and fighting (11.9%). Conclusions Medical surveillance data enable the assessment and monitoring of overall active duty eye injury rates, trends, and causes. Outpatient data could be improved with the addition of cause of injury codes and eye protection use. Current data suggest that continued use of eye protection during ordnance handling, combat, motor vehicle use, and sports could help reduce eye injury rates.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Eye injuries</subject><subject>Eye Injuries - epidemiology</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Injuries</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Military Medicine - statistics & numerical data</subject><subject>Military Personnel - statistics & numerical data</subject><subject>Population Surveillance</subject><subject>Public health</subject><subject>Sex Distribution</subject><subject>Sports</subject><subject>Surveillance</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0749-3797</issn><issn>1873-2607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkctu1TAQhi1URA-FN0BVVmVD0nF8izdIqLRQqRKL064tx5moTnM52Emls-MdeEOeBEendMECVpZH3_wz-oaQdxQKClSed4UdcBewKAF0KhVAxQuyoZVieSlBHZENKK5zprQ6Jq9j7ABAVVS_IsclUKoksA25utxjdj12S9hn2yU8ou97OzrM_JjN95jdFdsi-4w7G-YBxzmb2vRrcYz4IaNay18_fqb54g152do-4tun94TcXV3eXnzNb759ub74dJM7ztWca16BpUxUrRaONbVrOQoBUslKoFRKMFSCo8OSlVVZU1U6YNpK3tS1hQrYCXl_yN2F6fuCcTaDjw7XnXFaolGMKao0V4k8-ycpEsqSpgTyA-jCFGPA1uyCH2zYGwpmNW06czBtVtNrNZlObadP-Us9YPPc9EdtAj4eAEw-Hj0GE53HpLbxAd1smsn_b8LfAa73o3e2f8A9xm5awphcG2piacBs12uvxwYNIGWS9Rsmd6J5</recordid><startdate>2010</startdate><enddate>2010</enddate><creator>Hilber, David, OD, MBA, FAAO</creator><creator>Mitchener, Timothy A., DMD, MPH</creator><creator>Stout, James, OD</creator><creator>Hatch, Brian, OD, MBA, FAAO</creator><creator>Canham-Chervak, Michelle, PhD, MPH</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>2010</creationdate><title>Eye Injury Surveillance in the U.S. Department of Defense, 1996–2005</title><author>Hilber, David, OD, MBA, FAAO ; Mitchener, Timothy A., DMD, MPH ; Stout, James, OD ; Hatch, Brian, OD, MBA, FAAO ; Canham-Chervak, Michelle, PhD, MPH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-9480a1358f95c3dbcf4e55067685e67753e754ece23282b172c039a64dbba0803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Eye injuries</topic><topic>Eye Injuries - epidemiology</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Injuries</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Military Medicine - statistics & numerical data</topic><topic>Military Personnel - statistics & numerical data</topic><topic>Population Surveillance</topic><topic>Public health</topic><topic>Sex Distribution</topic><topic>Sports</topic><topic>Surveillance</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hilber, David, OD, MBA, FAAO</creatorcontrib><creatorcontrib>Mitchener, Timothy A., DMD, MPH</creatorcontrib><creatorcontrib>Stout, James, OD</creatorcontrib><creatorcontrib>Hatch, Brian, OD, MBA, FAAO</creatorcontrib><creatorcontrib>Canham-Chervak, Michelle, PhD, MPH</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hilber, David, OD, MBA, FAAO</au><au>Mitchener, Timothy A., DMD, MPH</au><au>Stout, James, OD</au><au>Hatch, Brian, OD, MBA, FAAO</au><au>Canham-Chervak, Michelle, PhD, MPH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eye Injury Surveillance in the U.S. Department of Defense, 1996–2005</atitle><jtitle>American journal of preventive medicine</jtitle><addtitle>Am J Prev Med</addtitle><date>2010</date><risdate>2010</risdate><volume>38</volume><issue>1</issue><spage>S78</spage><epage>S85</epage><pages>S78-S85</pages><issn>0749-3797</issn><eissn>1873-2607</eissn><coden>AJPMEA</coden><abstract>Background Consistent with the public health approach to prevention, surveillance analyses are needed to fully understand a health problem. U.S. military eye injury rates have not been fully described using medical surveillance data. Methods Medical visit data on active duty personnel, 1996–2005, and causes of eye injury hospitalizations (identified by Standard NATO Agreement injury cause codes) were obtained from the Defense Medical Surveillance System. Eye injury–related ICD-9-CM codes beyond the traditional 800–999 injury code set were included. Rates by age and gender are reported for 1996–2005, along with the frequency of causes of injury hospitalizations and leading eye injury diagnoses for 2005. Results Eye injury rates among active duty military personnel increased from 1996 to 2005 among both men and women ( p <0.001), with the highest rates in 2004 (26/1000 person-years and 21/1000 person-years, women and men, respectively). Women consistently had 7%–21% higher rates than men (rate ratios=1.07; 95% CI=1.04, 1.11) to 1.21 (95% CI= 1.17, 1.25). From 1996–2005, eye injury rates increased among all age groups ( p <0.001). From 2002–2005, rates were highest for those aged ≥40 years compared to those aged 17–19 years (rate ratios=1.17 [95% CI=1.11, 1.24] to 1.24 [95% CI=1.18, 1.31]). Leading causes of eye injury hospitalizations were ordnance handling (16.9%), enemy action (13.1%), and fighting (11.9%). Conclusions Medical surveillance data enable the assessment and monitoring of overall active duty eye injury rates, trends, and causes. Outpatient data could be improved with the addition of cause of injury codes and eye protection use. Current data suggest that continued use of eye protection during ordnance handling, combat, motor vehicle use, and sports could help reduce eye injury rates.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>20117603</pmid><doi>10.1016/j.amepre.2009.10.015</doi></addata></record> |
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| subjects | Adolescent Adult Age Distribution Eye injuries Eye Injuries - epidemiology Female Hospitalization Humans Injuries Internal Medicine Male Military Medicine - statistics & numerical data Military Personnel - statistics & numerical data Population Surveillance Public health Sex Distribution Sports Surveillance United States - epidemiology Young Adult |
| title | Eye Injury Surveillance in the U.S. Department of Defense, 1996–2005 |
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