Aylward G, Larkin D, Cooling R
Moorfields Eye Hospital, London.
Health Trends. 1993;25(4):126-9.
An audit of routine cataract surgery in our hospital was carried out by examining records of 340 adult patients who underwent such surgery during October 1990. The category of intended accommodation (day case or inpatient), operative details, post-operative course and management were recorded, along with the outcome measures of visual acuity (unaided and corrected) and refractive error (spherical equivalent and cylinder). The costs of treatment, including post-operative management, were calculated for each patient. The results indicate that day case surgery under local anaesthesia was the most cost-effective method of cataract surgery, with no detrimental effect on clinical outcome.
通过检查1990年10月期间接受此类手术的340名成年患者的记录，对我院的常规白内障手术进行了一次审计。记录了预期的住院类型（日间手术或住院治疗）、手术细节、术后病程及管理情况，以及视力（裸眼和矫正视力）和屈光不正（等效球镜度和柱镜度）等结果指标。计算了每位患者的治疗费用，包括术后管理费用。结果表明，局部麻醉下的日间手术是最具成本效益的白内障手术方法，对临床结果没有不利影响。
