Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, Pennsylvania; and.
Vestrum Health, Naperville, Illinois.
Retina. 2022 Apr 1;42(4):607-615. doi: 10.1097/IAE.0000000000003449.
To characterize how community mobility patterns across the United States correlate with local changes in retina visits during the pandemic.
Outpatient retina clinic visits were linked to population mobility by combining multiple public data sets, including the Google Community Mobility Reports and data from the Centers for Disease Control and Infection. Percentage change from baseline in daily-average number of retina visits by county and mobility were measured by county.
A total of 2,159,689 patient visits were examined across 332 counties. Daily-average retina visits decreased by 7.0%, 19.0%, 5.0%, and 4.0% from Quarter 1 to 4 of 2020. This decrease was negatively correlated with increased incident of COVID-19 deaths for Quarters 1 to 3 (r = -0.13, r = -0.16, and r = -0.15, respectively, P < 0.001) and increased incident cases for Quarters 1 and 2 (r = -0.18, r = -0.13, respectively, P < 0.001). Daily-average retina visits relative to baseline were significantly lower for metropolitan counties in Quarters 1 and 2, compared with urban and rural (P < 0.001). The decline in retina visits had greatest association with decline in workplace visits in Quarters 1 to 3 (r = 0.27, r = 0.09, r = 0.12, respectively, P < 0.001 for all).
This study provides insight into how regional mobility patterns may help to explain and predict patient behaviors and retina outpatient visit responses during the COVID-19 pandemic.
描述美国各地社区流动模式如何与大流行期间视网膜就诊量的当地变化相关联。
通过结合多个公共数据集，包括谷歌社区流动性报告和疾病控制与感染中心的数据，将门诊视网膜就诊量与人口流动性联系起来。按县测量了基线每日平均视网膜就诊量和县移动性的百分比变化。
共检查了 332 个县的 2159689 例患者就诊。从 2020 年第一季度到第四季度，每日平均视网膜就诊量分别下降了 7.0%、19.0%、5.0%和 4.0%。这种下降与 COVID-19 死亡人数在第一至第三季度的增加呈负相关(r=-0.13，r=-0.16，r=-0.15，均 P<0.001)，与第一和第二季度的新增病例呈负相关(r=-0.18，r=-0.13，均 P<0.001)。与基线相比，第一和第二季度大都市县的每日平均视网膜就诊量明显较低，与城市和农村相比(P<0.001)。在第一至第三季度，视网膜就诊量下降与工作场所就诊量下降的相关性最大(r=0.27，r=0.09，r=0.12，均 P<0.001)。
本研究提供了一些见解，说明区域流动模式如何帮助解释和预测 COVID-19 大流行期间患者行为和视网膜门诊就诊量的变化。
