在加利福尼亚州医疗保险人口中眼的患病率和严重程度
Victoria L Tseng1, Ken Kitayama2, Fei Yu3
1From the Department of Ophthalmology (V.L.T., K.K., F.Y., A.L.C.), Stein and Doheny Eye Institutes, University of California, Los Angeles, Los Angeles, California, USA.
American journal of ophthalmology
|October 28, 2023
概括
玻璃眼影响3.8%的加利福尼亚医疗保险受益者,许多人经历中度至重度的疾病. 年龄较大,女性性别,黑人种族,以及高并发症得分都会增加青光眼的风险.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 老年病的医生 老年病的医生
背景情况:
- 玻璃眼是全球不可逆转的失明的主要原因.
- 早期检测和管理对于预防视力丧失至关重要.
研究的目的:
- 为了确定2019年加利福尼亚医疗保险人口中根据类型和严重程度的玻璃眼病的患病率.
- 为了确定与玻璃眼相关的人口和系统因素.
主要方法:
- 2019年加利福尼亚州65岁及以上的医疗保险受益人的回顾性横截面研究.
- 评估了任何青光眼的患病率,主要的开角青光眼 (POAG),次要的开角青光眼 (SOAG) 和闭角青光眼 (ACG).
- 后勤回归分析确定了预测因素,包括年龄,性别,种族/民族,查尔森并发症指数 (CCI),伪发症和与年龄相关的黄斑变性.
主要成果:
- 这项研究确定了220662名 (3.8%) 患有任何青光眼的受益人.
- 流行率为POAG的2.9%,SOAG的0.2%,ACG的0.2%.
- 青光瘤的重要预测因素包括晚年 (≥85),女性性别,黑人种族/种族,高CCI分数 (≥5).
结论:
- 加利福尼亚州医疗保险受益者中有很大一部分患有玻璃眼,通常伴有中度至重度的疾病.
- 人口和系统因素与青光眼患病率有显著的关联.
- 加利福尼亚州的高危老年人群需要加强查和诊断策略.
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