在住院进行的白内障手术中出现并发症的危险因素:系统性审查
Chaerim Kang1, Matthew J Lee2, Amy Chomsky3
1Program in Liberal Medical Education, Brown University, Providence, RI, USA; Division of Ophthalmology, Alpert Medical School, Brown University, Providence, RI, USA.
Survey of ophthalmology
|April 22, 2024
概括
确定在住院进行的白内障手术中出现并发症的危险因素对于患者的安全至关重要. 诸如老年患者年龄,特定的眼睛疾病和住院经验等因素会影响并发症率.
科学领域:
- 眼科医生 眼科 眼科
- 外科教育的外科教育
背景情况:
- 白内障手术是一种常见的手术,具有潜在的并发症.
- 住院医生进行的手术需要对患者安全和有效的培训进行仔细的风险评估.
研究的目的:
- 系统地识别和分析与在住院进行的白内障手术中的并发症相关的风险因素.
- 告知毕业生医学教育工作者在住院培训期间需要考虑的患者和外科医生因素.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在2023年9月搜索了四个数据库,包括同行评审,全文,英语文章.
- 包括15项经过严格查后的研究,不包括奖学金或联合手术.
主要成果:
- 与患者相关的因素:年龄较大,高血压,先前的玻璃切除术,带膜病理,伪剥皮,视敏差,小瞳孔和特定的白内障类型.
- 与外科医生相关的因素:居住的研究生一年,右撇子,没有监督,延长的发酵时间,以及高的发酵功率/扭曲.
- 使用推,评估,开发和评估等级 (GRADE) 评估研究质量,由于偏差风险,大多数研究被评为中度.
结论:
- 几个患者和外科医生特定的因素增加了白内障手术期间并发症的风险.
- 教育人员必须考虑这些已识别的风险因素,以优化住院人员的培训,并确保患者的安全.
- 积极的风险管理对于成功的外科教育和结果至关重要.
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