在白内障手术前的例行病史和体检并不有益
Emma Hillier1, Scott Anderson1, Wendy Sligl2
1Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, AB.
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie
|December 15, 2023
概括
消除手术前史和白内障手术前的体检显示不良事件的差异是可以忽略不计的. 这项研究表明,传统的手术前评估对患者安全没有很大的价值.
科学领域:
- 眼科医生 眼科 眼科
- 卫生政策 卫生政策
背景情况:
- 术前病史和体检传统上是为了减轻白内障手术相关的风险而进行的.
- 加拿大阿尔伯塔省从2017年4月1日起取消了这些考试的强制性要求.
研究的目的:
- 评估消除在白内障手术前强制性术前病史和体检的安全性和影响.
主要方法:
- 一项基于人口的回顾性研究分析了来自阿尔伯塔省的健康声明数据.
- 在2014年4月至2017年3月 (包括检查) 和2017年4月至2020年5月 (不包括检查) 之间进行的白内障手术的结果比较.
- 主要结局:手术后30天内发生不良医疗事件 (急诊诊,住院,死亡).
主要成果:
- 总共有236,046次手术进行了分析.
- 在进行手术前检查的组中,观察到急诊室访问 (OR 1.04) 和住院入院 (OR 1.26) 的几率略高.
- 在两组中,死亡率相同 (0.09%).
结论:
- 消除手术前史和体检并没有显著增加白内障手术后不良医学事件.
- 研究结果表明,例行手术前检查可能在减少手术后发病率和死亡率方面提供最小的附加价值.
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