Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
Retina. 2020 May;40(5):928-935. doi: 10.1097/IAE.0000000000002481.
To determine the rate of follow-up after emergent encounters for proliferative diabetic retinopathy and to identify patient or visit characteristics associated with follow-up compliance.
A retrospective cohort study of patients presenting to an ophthalmic emergency department with active proliferative diabetic retinopathy between May 2014 and December 2016 was conducted. Demographic data and encounter data were gathered for each emergency department visit. Compliance with follow-up was defined as a completed clinic visit as scheduled after the emergency encounter.
A total of 590 emergency department encounters were included. The overall follow-up rate was 61.9%. Married patients and those with Public Health Trust insurance had increased odds of compliance (odds ratio [OR]: 1.507, P = 0.04; OR: 2.749, P < 0.0001). Patients with Medicaid had reduced odds (OR: 0.543, P = 0.004). Patients with longer emergency department encounters and longer intervals to follow-up had reduced odds (OR: 0.948, P = 0.001; OR of 0.941, P < 0.0001). The other characteristics were not significantly associated with follow-up compliance.
Patients who present emergently with active proliferative diabetic retinopathy are at high risk of following up noncompliance. Characteristics with significant effects on the odds of follow-up compliance include specific insurance payer, marriage status, length of visit, and interval to follow-up.
确定增殖性糖尿病视网膜病变急诊后随访的比率，并确定与随访依从性相关的患者或就诊特征。
对 2014 年 5 月至 2016 年 12 月期间因活动性增殖性糖尿病视网膜病变就诊眼科急诊的患者进行回顾性队列研究。收集每个急诊就诊的人口统计学数据和就诊数据。将随访依从性定义为在急诊就诊后按计划完成诊所就诊。
共纳入 590 次急诊就诊。总的随访率为 61.9%。已婚患者和拥有公共卫生信托保险的患者更有可能遵守（优势比[OR]：1.507，P = 0.04；OR：2.749，P < 0.0001）。拥有医疗补助的患者可能性降低（OR：0.543，P = 0.004）。急诊就诊时间较长和随访时间间隔较长的患者，可能性降低（OR：0.948，P = 0.001；OR 为 0.941，P < 0.0001）。其他特征与随访依从性无显著相关性。
因活动性增殖性糖尿病视网膜病变急诊就诊的患者不遵守随访的风险很高。对随访依从性几率有显著影响的特征包括特定的保险支付者、婚姻状况、就诊时间和随访间隔。
