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Michael T Paillé¹, Frank Stockl², Thomas C Mutter³

¹Department of Anesthesiology, Perioperative and Pain Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.

Canadian journal of anaesthesia = Journal canadien d'anesthesie

|June 6, 2025

概括

非特定的诊断代码捕捉了大多数手术后视力丧失 (POVL) 病例,突出了它们在理解POVL流行病学的重要性,而不仅仅是缺血性视神经病变 (ION) 和视网膜动脉封闭 (RAO). 这项研究分析了手术患者,以揭示被忽视的POVL原因.

科学领域:

眼科医生眼科眼科
医疗保健服务研究医疗服务研究
流行病学流行病学

背景情况:

手术后视力丧失 (POVL) 的研究往往侧重于特定的诊断,如缺血视神经病变 (ION) 和视网膜动脉阻塞 (RAO).
在POVL流行病学中,视力障碍的非特定诊断码在很大程度上被忽视了.
了解POVL的全谱对于患者安全和手术结果至关重要.

研究的目的:

调查非特异性诊断代码对POVL流行病学的贡献.
扩大对POVL的理解,超越ION和RAO在各种外科手术后.
使用卫生行政数据分析POVL的发病率和特征.

主要方法:

来自加拿大曼尼托巴省 (1987-2017年) 的卫生行政数据的基于人口的分析.
包括脊柱,心脏和其他手术的住院病例.
排除患有术前诊断码,暗示先前存在视力损失的患者,以确保准确的POVL评估.

主要成果:

非特定的诊断代码占识别的POVL病例的82% (140/170).
视网膜动脉封闭 (RAO) 占POVL病例的14% (24/170).
在心脏和脊柱手术后,POVL发生率,特别是来自非特定的代码,是最高的,但其他手术也发挥了重要作用.

结论:

对于失明,视力障碍和现场缺陷的非特定诊断代码是POVL的一个重要,未被认可的组成部分.
这些代码与其他POVL类型的已知风险因素相关.
对于全面的流行病学研究,重新考虑POVL诊断和监测以包括这些非特异性代码至关重要.

关键词:

失明失明失明失明眼科疾病是一种眼科疾病.术后并发症术后并发症视网膜动脉闭塞视网膜动脉闭塞视野缺陷视野缺陷视野缺陷

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