血管新生与年龄相关的黄斑变性治疗 - 适应不断增长的需求和不断变化的时间
Brandon Nunns1, Vidit Singh2, John Ah-Chan3
1House Officer, Palmerston North Hospital.
The New Zealand medical journal
|September 26, 2024
概括
帕尔默斯顿北眼科诊所尽管诊断增加,但仍符合新血管与年龄相关的黄斑变性 (nAMD) 的治疗指南. 护士注射器的可用性,而不是COVID-19的限制,影响了治疗开始的间隔.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
背景情况:
- 神经血管与年龄相关的黄斑变性 (nAMD) 需要及时的静脉内注射以获得最佳结果.
- 保持治疗开始间隔对于满足国家指导方针和患者护理标准至关重要.
研究的目的:
- 评估2020-2021年间帕尔默斯顿北眼科诊所 (PNEC) 的nAMD患者的治疗开始时间.
- 根据护士-注射器可用性和COVID-19限制,比较治疗间隔.
- 评估PNEC是否遵守国家治疗指南.
主要方法:
- 在PNEC对nAMD患者的未来数据库审查.
- 电子健康记录验证数据准确性.
- 使用微软Excel和R.使用统计分析.
主要成果:
- 在研究期间,有156只眼睛被诊断出患有nAMD.
- 从转诊选到第一次注射的平均时间为13.08天.
- 根据COVID-19限制水平,在治疗开始时没有统计学上显著的差异.
- 在注射间隔的专家预约中,观察到三人与四名注射护士之间的显著差异,在随后的几个月中特别明显.
结论:
- 尽管诊断的增加,PNEC成功地满足了国家关于nAMD治疗开始间隔的指南.
- 实践中的创新使得遵守指南成为可能.
- 增加的需求需要进一步资源和研究新型治疗剂,以保持合规的等待时间.
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