评估急诊室眼内压力和视觉敏度评估作为查考试的评估
Karine D Bojikian1, Thellea K Leveque1, Anna McEvoy1
1Department of Ophthalmology, University of Washington School of Medicine, Seattle, WA, USA.
Clinical ophthalmology (Auckland, N.Z.)
|March 3, 2025
概括
紧急部门 (ED) 的眼内压力 (IOP) 和视敏度 (VA) 的测量可以有效地选眼睛异常. 然而,在眼科咨询之前,ED很少获得这些关键测量.
科学领域:
- 眼科医生 眼科 眼科
- 紧急医疗 紧急医疗
- 诊断查 诊断查 诊断查
背景情况:
- 眼科疾病需要及时诊断和管理.
- 紧急诊所 (ED) 往往是急性眼病患者的第一个联系点.
- 在ED中标准化查协议可以改善患者的治疗结果.
研究的目的:
- 评估急诊部 (ED) 测量眼内压力 (IOP) 和视力敏度 (VA) 作为查工具的有效性.
- 确定ED获得的IOP和VA在识别眼科检查期间发现的异常时的有用性.
主要方法:
- 一项回顾性横截面研究分析了与眼睛有关的ED访问与同一天的眼科咨询.
- 来自ED和眼科检查的IOP和VA数据从电子医疗记录中提取出来.
- 用接收器操作曲线 (ROC) 分析来评估ED考试的性能作为选工具.
主要成果:
- 在审查的访问中,EDs记录了42.8%的IOP和56.1%的VA.
- 对于ED查,曲线下的面积 (AUC) 为IOP的0.846和VA的0.863.
- ED IOP查敏感度为0.78和特异性为0.84;VA查敏感度为0.88和特异性为0.59.
结论:
- 对IOP和VA的ED测量表明在查眼科异常时具有实用性.
- 尽管IOP和VA是有效的,但在眼科咨询之前,ED医生并不总是得到IOP和VA.
- 提高ED获得的IOP和VA测量的频率可以提高眼睛疾病的早期检测.
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