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社会脆弱性与视野频率和光学一致性断层扫描测试在眼患者中的频率相关

Daniel X Chen¹, Hannah Hashimi², Leona Ding²

¹Department of Clinical Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA.

Journal of glaucoma

|March 12, 2025

概括

具有较高社会脆弱性指数得分,英语能力有限或残疾/退休状态的冰眼患者不太可能完成推的年度视力测试. 这些因素突出了对格洛科马治疗的坚持差异.

科学领域:

眼科医生眼科眼科
公共卫生公共卫生
健康差异在健康上的差异

背景情况:

眼的管理需要定期监测视觉现场测试和光学连贯性断层扫描 (OCT).
社会人口统计学因素可能会影响患者遵守推的测试计划.
社会脆弱性指数 (SVI) 是一种识别因社会经济和人口因素而面临风险的人口的工具.

研究的目的:

调查包括SVI在内的社会人口统计因素与绿眼病患者接受推年度视野和OCT测试的可能性之间的关联.
为了确定与低于最佳的青光眼检测依从性相关的特定患者特征.

主要方法:

从一个学术机构 (2014-2021) 追溯审查了3,971名青光眼患者的病历.
排除标准包括一次性检查,缺失的SVI分数,或诊断为前白内障,怀疑白内障或眼睛高血压.
使用后勤回归分析来确定社会人口统计因素,SVI分数和满足年度测试标准 (每年≥1视野和≥1OCT) 之间的关联.

主要成果:

只有35.6%的患者符合年度视野测试和OCT测试的标准.
较高的SVI分数 (P <0.001),有限的英语水平 (P = 0.009),以及残疾人/退休人员身份 (P = 0.003) 与不符合测试标准的可能性更高.
平均而言,患者每年完成0.8次视觉现场测试和0.9次OCT扫描.

结论:

较高的社会脆弱性指数得分与减少对建议的青光眼检测的遵守有关.
限定的英语水平和退休/残疾状况进一步降低了完成重要年度玻璃眼诊断测试的几率.
这些发现强调了需要有针对性的干预措施,以解决格洛科马护理中的社会经济和人口障碍.

关键词:

眼视觉现场测试视觉现场测试光学连贯性断层扫描频率频率社会脆弱性指数是指社会脆弱性指数.社会人口学因素社会人口学因素

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