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随着广泛采用光学选器,眼症的护理趋势
Cheryl D Stults1, Su-Ying Liang1, Joseph Wilcox2
1Palo Alto Medical Foundation Research Institute, Center for Health Systems Research, Sutter Health, Palo Alto, California.
JAMA ophthalmology
|February 1, 2024
概括
增加的光学查显著提高了3岁儿童的视力查率,但在种族和种族群体之间对眼的检测和诊断的差异仍然存在,需要有针对性的干预措施.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 儿科 儿科 儿科
背景情况:
- 眼,或惰的眼睛,可以导致永久的视力损失,如果未在7岁之前治疗.
- 美国预防服务特别工作组建议对3-5岁的儿童进行视力查,以检测眼.
研究的目的:
- 在大型医疗保健系统中扩大光学查之前和之后,评估眼查,转诊和诊断的趋势.
- 确定与这些结果相关的因素,包括患者人口统计数据.
主要方法:
- 使用电子健康记录从多专业小组实践 (2015-2022) 的回顾性队列研究.
- 分析包括超过57,000名3岁的儿童,比较了照片查前后的扩张期.
- 统计分析使用调整的几率比率 (AOR) 来根据患者特征比较结果.
主要成果:
- 3岁儿童的视力查率在光学查扩展后从5.7%增加到72.1%.
- 转诊率增加,诊断率最初达到峰值,然后下降.
- 与白人儿童相比,亚裔,黑人和西班牙裔儿童接受查的可能性较低.
- 亚洲和西班牙裔儿童更有可能被转诊并被诊断患有眼.
结论:
- 光学查器的可用性显著增加了幼儿视力查率.
- 尽管查增加了,但眼护理的差异仍然存在,特别是在少数群体中.
- 有针对性的干预措施对于解决眼查,转诊和诊断方面的剩余不平等至关重要.
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