在感染性角膜炎诊断后,导致随访不遵守的因素
Pauline M Dmitriev1, Shreya Swaminathan, Qiang Zhang
1Cornea Service (P.M.D., C.J.R., Z.A.S.), Wills Eye Hospital, Philadelphia, PA; Sidney Kimmel Medical College at Thomas Jefferson University (S.S.), Philadelphia, PA; and Biostatistics Consulting Core (Q.Z.), Vickie and Jack Farber Vision Research Center, Wills Eye Hospital, Philadelphia, PA.
Eye & contact lens
|December 11, 2024
概括
非西班牙裔白人患者,较低收入和政府保险与传染性角膜炎的跟踪依从性不佳有关. 诊断时的角膜培养也影响了坚持,突出了护理障碍.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 传染性角膜炎需要及时的随访,以防止视力丧失.
- 了解影响患者坚持治疗的因素对于有效的治疗和结果至关重要.
研究的目的:
- 确定与感染性角膜炎诊断后不遵守初始随访相关的人口,社会经济和临床因素.
- 为改善患者随访率和预防并发症的策略提供信息.
主要方法:
- 对217名被诊断患有传染性角膜炎的18-60岁患者的回顾性图表审查.
- 主要结果:不遵守最初的后续建议.
- 分析包括人口,社会经济 (收入,保险) 和临床 (角膜培养) 变量.
主要成果:
- 38.2%的患者在最初的随访中没有坚持.
- 非西班牙裔白人种族 (OR=5.00),较低收入 (OR=0.92) 和政府保险 (OR=2.13) 与不遵守相关.
- 在初始评估时缺乏角膜培养增加了不坚持的风险 (OR=2.54).
结论:
- 种族,收入,保险状况和角膜培养是感染性角膜炎随访遵守的重要因素.
- 解决这些障碍对于预防视力丧失和其他严重并发症至关重要.
- 有针对性的干预措施可以改善患者的坚持和传染性角质炎管理的结果.
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