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与眼睛相关的紧急诊所访问相关的社会人口学因素:多中心分析

Michael Quintero¹, Heba Mahjoub², Joseph Ssekasanvu³

¹From the Johns Hopkins University School of Medicine (M.Q., V.M., I.S., X.Z., O.F.S.), Baltimore, Maryland.

American journal of ophthalmology

|July 7, 2024

概括

突发性眼睛疾病在标准急诊室 (ED) 更常见,并且不成比例地影响无保险和非白人西班牙裔患者. 改善眼科护理的准入,可以减少可预防的紧急情况和ED过载.

科学领域:

眼科医生眼科眼科
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

紧急服务部门 (EDs) 处理广泛的与眼睛有关的问题.
了解与新兴与非新兴眼睛疾病相关的社会人口因素对于资源配置和患者护理至关重要.
之前的研究没有全面分析这些因素在多个主要的眼科中心.

研究的目的:

为了比较患者的社会人口统计因素,呈现出新兴和非新兴的眼睛疾病到急诊室.
分析不同ED设置 (标准ED与专用眼睛ED) 的访问模式.
识别最常见的新兴和非新兴的眼睛诊断.

主要方法:

这是一项跨部门,多中心的研究,从2019年1月1日到2019年12月31日,涉及四个主要眼科中心的60677名患有眼睛相关问题的患者.
描述性统计数据用于分析社会人口统计因素,保险状况,ED设置和诊断类型.
计算了几率比率 (OR) 和95%置信区间 (CI),以评估与新出现的诊断的关联.

主要成果:

大多数患者 (56.7%) 没有出现的诊断.
男性,非白人西班牙裔患者和没有保险的患者更有可能出现新出现的眼睛疾病.
与专用眼部EDS患者相比,在标准EDS中观察到的患者更有可能出现新出现的诊断.
常见的新出现的诊断包括角膜磨损,眼外异物和角膜.
常见的非突发性诊断包括干眼,后部玻璃体脱落和沙拉齐昂.

结论:

在ED设置显著影响眼睛诊断的敏度.
缺乏保险和非白人西班牙裔种族与眼睛相关的紧急救护室访问有关.
改善贫困人口获得眼科护理的机会,并将非紧急病例转移到门诊,可以减轻ED过度拥挤,防止严重的眼睛紧急情况.

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