慢性病患者的高眼病负担和增加转诊需求:迈向个性化护理的一步
Yulia Liem1, Pavitra Thyagarajan1, Miao Li Chee1
1Singapore Eye Research Institute, Singapore National Eye Centre, Singapore 169856, Singapore.
Journal of personalized medicine
|May 27, 2025
概括
超过一半的慢性病 (CKD) 患者患有眼睛疾病,许多人需要紧急转诊. 在CKD护理中定期查可以改善早期检测和患者的治疗结果.
科学领域:
- 眼科医生 眼科 眼科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
背景情况:
- 慢性病 (CKD) 影响功能,并与全身并发症有关.
- 眼部疾病是CKD患者常见的并发症,影响视力健康.
- 目前对CKD患者眼病的查和转诊策略需要评估.
研究的目的:
- 确定患有慢性病 (CKD) 患者眼病的患病率.
- 分析CKD患者的眼科医生转诊模式.
- 为个人查和转诊策略提供信息,用于CKD的眼科护理.
主要方法:
- 来自新加坡第三级脏诊所的528名CKD患者 (eGFR<60mL/min/1.73m2) 的回顾性分析.
- 对糖尿病视网膜病变 (DR) 和其他眼睛疾病的视网膜照片的眼科分级.
- 根据紧急情况对眼科医生转诊进行分类:紧急,半紧急,快速和年度.
主要成果:
- 53.7%的CKD患者表现出眼睛疾病;20%患有糖尿病视网膜病变 (DR).
- 29%的CKD患者需要快速转诊,67%的糖尿病CKD患者每年随访仍需要快速转诊.
- 对于糖尿病和非糖尿病慢性病患者的危急情况,需要紧急转诊.
结论:
- 眼睛疾病非常普遍,在CKD患者中可能是严重的,包括那些接受定期随访的人.
- 整合到CKD护理中的系统性眼科查有助于早期检测和个性化干预.
- 改进的查和转诊策略可以提高CKD的视觉和整体患者结果.
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