Evidence map›Paper›PMID 36104523›Full record

Trial reportEye (London, England)2023

Presenting clinical characteristics of open globe injuries in ocular trauma: baseline analysis of cases in the ASCOT national clinical trial.

Suzie Cro, Giles Partington, Victoria R Cornelius, Philip J Banerjee, Tapiwa Margaret Zvobgo, Edward J Casswell, Syed Shahid, Catey Bunce, Elizabeth Robertson, Caroline Murphy and 2 more

Open access · hybridAbstract readRandomized Controlled TrialMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in Eye (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Suzie CroImperial Clinical Trials Unit, Imperial College London, London, UK. s.cro@imperial.ac.uk.ORCID 0000-0002-6113-1173
Giles PartingtonImperial Clinical Trials Unit, Imperial College London, London, UK.
Victoria R CorneliusImperial Clinical Trials Unit, Imperial College London, London, UK.
Philip J BanerjeeFrimley Health NHS Foundation Trust, London, UK.
Tapiwa Margaret ZvobgoMoorfields Eye Hospital NHS Foundation Trust, London, UK.
Edward J CasswellMoorfields Eye Hospital NHS Foundation Trust, London, UK.
Syed ShahidMoorfields Eye Hospital NHS Foundation Trust, London, UK.
Catey BunceMoorfields Eye Hospital NHS Foundation Trust, London, UK.ORCID 0000-0002-0935-3713
Elizabeth RobertsonMoorfields Eye Hospital NHS Foundation Trust, London, UK.
Caroline MurphyKing's Clinical Trials Unit at Kings Health Partners, King's College London, London, UK.
Joanna KellyKing's Clinical Trials Unit at Kings Health Partners, King's College London, London, UK.
David G CharterisMoorfields Eye Hospital NHS Foundation Trust, London, UK.
Moorfields Eye Hospital NHS Foundation Trust · GBImperial College London · GBKing's College London · GBFrimley Health NHS Foundation Trust · GB

Funding

Department of Health 12/35/64
6 · The paper itself

Abstract

BACKGROUND/

objectivesThe Adjunctive Steroid Combination in Ocular Trauma (ASCOT) trial is a unique pragmatic, multi-centre, patient and assessor masked, randomised controlled trial. We evaluate the clinical characteristics and pathology of this large trial cohort of patients with open globe injuries undergoing vitreoretinal surgery, including the associations between patient characteristics and their baseline vision. SUBJECTS/

methodsWe (i) summarise demographics, injury history and ocular history of the 280 participants recruited into the ASCOT trial using descriptive statistics; (ii) analyse the national and seasonal variation across England and Scotland in these participant characteristics; and (iii) explore the associations between participant demographic, trauma history, ocular history and presenting baseline visual acuity (measured using the Early Treatment Diabetic Retinopathy Study, ETDRS) using multivariable regression analyses.

resultsThe majority of participants with open globe penetrating injuries were of white ethnicity (233, 84%), male (246, 88%), with a median age of 43 years (IQR 30-55 years). There was considerable variability in presenting visual acuity with 75% unable to read any letters on the ETDRS chart, whilst the median ETDRS letter score was 58 (IQR 24-80) for those who could read ≥1 letter. The most common causes of injury were workplace related (31%) or interpersonal violence (24%). Previous eye surgery, visual axis corneal scar, lens status, hyphaemia and vitreous haemorrhaging were found to be associated with presenting vision as measured by the ETDRS chart.

conclusionThe ASCOT trial provides valuable insights into the spectrum of pathology of patients with open globe eye injuries undergoing vitreoretinal surgery. The identified causes of injury and clinical presentation of the cases will help in training and resource planning to deal with these often challenging surgical cases.

trial registrationEudraCT No. 014-002193-37. HTA Project 12/35/64.

Indexed as

Corneal InjuriesEye Injuries, PenetratingAdultHumansMaleMiddle AgedOphthalmologic Surgical ProceduresPrognosisRetrospective StudiesVision, OcularVisual AcuityVitreous Hemorrhage

Identifiers

PMID36104523
PMCPMC10220025
OpenAlexW4295706245

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.