Ophthalmology Department, Miguel Servet University Hospital, Paseo Isabel la Católica 1-3, 50009, Zaragoza, Spain.
Miguel Servet Ophthalmology Research Group (GIMSO), Aragón Institute for Health Research (IIS-Aragón), Zaragoza, Spain.
BMC Ophthalmol. 2021 Nov 27;21(1):408. doi: 10.1186/s12886-021-02169-x.
To evaluate ophthalmological emergencies (OE) during the COVID-19 pandemic comparing them with the same period of the previous year.
Retrospective observational study of all OE visits in four tertiary hospitals in Spain comparing data from March 16th to April 30th, 2020 (COVID-19 period) and the same period of 2019 (pre-COVID-19 period). Severity of the conditions was assessed following Channa et al. publication. Data on demographics, diagnosis and treatments were collected from Electronic Medical Records.
During lockdown, OE significantly declined by 75.18%, from 7,730 registered in the pre-COVID-19 period to 1,928 attended during the COVID-19 period (p < 0.001). In 2019, 23.86% of visits were classified as emergent, 59.50% as non-emergent, and 16.65% could not be determined. In 2020, the percentage of emergent visits increased up to 29.77%, non-emergent visits significantly decreased to 52.92% (p < 0.001), and 17.31% of the visits were classified as "could not determine". During the pandemic, people aged between 45 and 65 years old represented the largest attending group (37.89%), compared to 2019, where patients over 65 years were the majority (39.80%). In 2019, most frequent diagnosis was unspecified acute conjunctivitis (11.59%), followed by vitreous degeneration (6.47%), and punctate keratitis (5.86%). During the COVID-19 period, vitreous degeneration was the first cause for consultation (9.28%), followed by unspecified acute conjunctivitis (5.63%) and punctate keratitis (5.85%).
OE visits dropped significantly during the pandemic in Spain (75.18%), although more than half were classified as non-urgent conditions, indicating a lack of understanding of the really emergent ocular pathologies among population.
比较 COVID-19 大流行期间与前一年同期的眼科急症 (OE)，评估其发病情况。
对西班牙四家三级医院的所有 OE 就诊患者进行回顾性观察性研究，比较 2020 年 3 月 16 日至 4 月 30 日（COVID-19 期间）和 2019 年同期（COVID-19 前）的数据。根据 Channa 等人的出版物评估病情严重程度。从电子病历中收集人口统计学、诊断和治疗数据。
在封锁期间，OE 显著下降了 75.18%，从 COVID-19 前的 7730 例降至 COVID-19 期间的 1928 例（p<0.001）。2019 年，23.86%的就诊为紧急就诊，59.50%为非紧急就诊，16.65%无法确定。2020 年，紧急就诊比例上升至 29.77%，非紧急就诊显著下降至 52.92%（p<0.001），37.31%的就诊被归类为“无法确定”。在大流行期间，45 至 65 岁年龄组的就诊人数最多（37.89%），而 2019 年就诊人数最多的是 65 岁以上的人群（39.80%）。2019 年，最常见的诊断为未特指的急性结膜炎（11.59%），其次是玻璃体变性（6.47%）和点状角膜炎（5.86%）。在 COVID-19 期间，玻璃体变性是就诊的首要原因（9.28%），其次是未特指的急性结膜炎（5.63%）和点状角膜炎（5.85%）。
西班牙的 OE 就诊人数在大流行期间显著下降（75.18%），尽管超过一半被归类为非紧急情况，但这表明民众对真正的紧急眼部疾病认识不足。
