ABSTRACT
Aims and Objectives: Evaluation of epidemiological contributing factors in occurrence of ocular trauma in patients under the age of 16 years. Study Design: Descriptive and analytical study carried on 216 children. Period: 13-02-2014 to 26-12-2015. Setting: At Ophthalmological Department, Allied Hospital, PMC, Faisalabad
Patients and Methods: The patients with eye injury who presented to the ophthalmological Department of Allied Hospital, PMC, FSD from 13-02-2014 to 26-12-2015 were included in the study. The Activity at the time of injury, place of injury, identifiable objects causing trauma, age 1-16 years, any sex, use of eye protectors, were noted
Results: Out of 216 patients, there were 166 male [76.85 %] while female were 50 [23.15 %]. There were 76 patients having age between 0-5 years while 78 [36.11 %] were between 6-10 years of age. Out of 216 only 62 [28.7 %] patients were of age between 11 years to 16 years. The injuries due to knife and scissors, occurred in home and were the commonest [17.59 %]. The injuries occurring due to fire cracker and vegetable matter outside home were also common 16.20% and 13.89 % respectively. The fist and hand bite injuries in this group were least common [0.93 %]. In our setting commonest eye injuries involving corneo-scleral were [35+25] [27.78 %]. The frequency of subconjuctival hemorrhage was 11.11 %. The cases having lid tear and canicular cut were 6.48 %
Conclusion: Ocular trauma is an important cause of preventable visual morbidity particularly among younger people who are at the lower risk for chronic ocular diseases. Pediatric ocular trauma is a common cause of ophthalmic consultation
ABSTRACT
The cancellation of surgery is a significant drain on health resources. However, a persistent problem in most hospitals is short notice cancellation of scheduled operations, even upto the day of surgery. In some cases, patients have been prepared for surgery, and the staff is assembled and expecting to operate. In UK 8% of scheduled elective operations are cancelled within 24 hours of surgery. The reasons include cancellation by the patient, cancellation for poorly optimized medical conditions, or cancellations due to poor organization. Many of these are difficult to quantify. However, one relatively easily measured factor is the possibility that some operating lists were predictably overbooked. An operating list may over-run because of delayed starts, slow turnover, unanticipated surgical/anaesthetic problems or staff shortages. Many of these are difficult to quantify. Prince Sultan Cardiac center is one of the largest referral center in the Middle East and there is no published data on the reasons for cancellation of specifically cardiac procedures. However, an audit was performed to assess the reasons for the cancellation of the cases on the day of surgery in cardiac theatres. According to one of the studies published in an Australian journal the percentage of cancelled cardiothoracic cases was determined to be 15.8%.Total number of cardiac surgical patients including pediatric and adult during a period from June 2008 to May 2009 were 2191. Out of those, 1681 cases were done during the study period, 510 [23.27%] cases were cancelled during the study period. The operation theatre was functional for 331 days during the study period. Cancellations done by the surgeons were 34% while the patient's related cancellations were 32%. The administrative issues contributed to 34% in overall cancellation and anaesthetist-related cancellation were 0%.We estimated 22% of the elective operations which were cancelled on the day of surgery were potentially avoidable. There is still a need to do further research to look for the identifiable reasons and strategic measures to eliminate the reasons for cancellation on the day of surgery