[The nosologic structure and rate of hospitalization in third level ophthalmologic center]
1The Academician Zarifa Aliyeva National Center of Ophthalmology, AZ1114, Baku, Azerbaijan.
Insights
Hospitalization rates at the National Center of Ophthalmology vary by region. Cataract remains the leading cause, but accessibility to primary and secondary ophthalmologic care significantly impacts patient admission rates.
Area of Science:
- Ophthalmology
- Public Health
- Healthcare Accessibility
Background:
- The nosologic structure and hospitalization rates in specialized eye care centers can be influenced by regional healthcare access.
- Understanding these patterns is crucial for optimizing resource allocation and patient care.
Purpose of the Study:
- To investigate the nosologic structure and hospitalization rates at the National Center of Ophthalmology.
- To determine the impact of ophthalmologic care accessibility in different regions on these patterns.
Main Methods:
- Analysis of 12,882 inpatient cases at the National Center of Ophthalmology in December 2019.
- Patients were grouped by residence (Baku, Republican cities, district centers, rural settlements) based on primary and secondary ophthalmologic care accessibility.
Main Results:
- Cataract was the predominant cause of hospitalization (39.43%), followed by retinal detachment (8.65%) and eye injuries (6.22%).
- Higher cataract hospitalization rates were observed in rural settlements (39.40%) and district centers (45.09%) compared to Baku (37.00%) and Republican cities (37.5%).
- Residents of Baku, where the tertiary center is located, had higher hospitalization rates (223.23) compared to other regions (≤131.71).
Conclusions:
- The nosologic structure and hospitalization rates at a tertiary ophthalmologic center are dependent on the accessibility of primary and secondary care.
- Regional disparities in ophthalmologic care access influence patient admission patterns and disease prevalence at specialized centers.
- Targeted interventions to improve regional eye care access may reduce disparities in hospitalization rates.
The Purpose Of The Study:
To investigate nosologic structure and hospitalization rate in the National Center of Ophthalmology depending on accessibility of ophthalmologic care in the regions.
Materials And Methods:
The data of hospitalization in the National Center of Ophthalmology in December 2019 was used (12 882 cases of in-patient treatment). The patients were allocated in groups according to living addresses considering degree of accessibility of primary and secondary ophthalmologic care (residents of Baku; cities of the Republican subordination (Ganja, Sumgayit, Mingachevir, Shirvan); district centers; rural settlements).
Results:
The predominant cause of hospitalization is associated with cataract (39.43%), percentage of remaining causes of hospitalization is less than 10%. Among the causes of hospitalization in all groups of settlements the first place is for cataract. But percentage of this pathology is relatively low among residents of Baku (37.00±0.69%) and cities of the Republican subordination (37.5 ±1.88%). The corresponding indices are significantly higher (p≤0.05) among residents of rural settlements (39.40±0.68%) and district centers (45.09±1.03%).
Conclusion:
In the nosologic structure of the causes of hospitalization in third level ophthalmologic center dominate cataract (39.43%), retinal detachment with ruptured retina (8.65%), eye and retinal injuries (6.22%). The nosologic structure of causes and rate of hospitalization in third level ophthalmologic center depends on accessibility of primary and secondary ophthalmologic medical care to population. The residents of Baku, where the tertiary ophthalmologic center is located, (223.23±3.20) are hospitalized up to 1.6 times more often as compared with residents of other regions (≤131.71±2.74). The residents of cities of the Republican subordination with developed ophthalmologic care of primary and secondary level are hospitalized less (84.0±3.26).
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