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COVID-19大流行减少了台湾一家社区医院的眼科门诊量并改变了诊断分布:一项观察性研究。

COVID-19 pandemic decreased the ophthalmic outpatient numbers and altered the diagnosis distribution in a community hospital in Taiwan: An observational study.

作者信息

Yen Chu-Yu, Fang I-Mo, Tang Huei-Fen, Lee Hsin-Jui, Yang Shang-Hsien

机构信息

Department of Ophthalmology, Taipei City Hospital, Ren-Ai Branch, Taipei, Taiwan.

Department of Ophthalmology, Taipei City Hospital, Zhongxiao Branch, Taipei, Taiwan.

出版信息

PLoS One. 2022 Mar 8;17(3):e0264976. doi: 10.1371/journal.pone.0264976. eCollection 2022.

Abstract

The aim of this study was to determine the effect of Coronavirus disease 2019 (COVID-19) pandemic on ophthalmic outpatient numbers and ophthalmic diagnosis distribution in a community hospital (Taipei City Hospital Zhongxiao Branch) in Taiwan. The COVID-19 pandemic period in Taiwan was defined as May 1 to July 31, 2021. Demographic data, including age, gender, and top 10 diagnoses from ophthalmic outpatients during this period, were collected. A corresponding control group from the same time in 2020 was also collected. The distribution of different diagnoses was analyzed, and the data of 10 most prominent diagnoses with decreased percentage of case numbers during the COVID-19 pandemic period were obtained. The number of cases during the COVID-19 pandemic decreased by 46.9% compared to the control group. The top three most common diagnoses were dry eye syndrome, glaucoma, and macular diseases. The 10 most prominent diagnoses with decreased number of cases during the COVID-19 pandemic were cataract, refraction & accommodation, macular degeneration, conjunctivitis, retinal detachment, vitreous body disorders, ophthalmic complications of diabetes mellitus, glaucoma, dry eye, and retinal vein occlusion. Identifying and treating these patients as scheduled may yield the highest cost-benefit effect in preventing visual loss during the COVID-19 pandemic.

摘要

本研究旨在确定2019冠状病毒病(COVID-19)大流行对台湾一家社区医院(台北市立联合医院忠孝院区)眼科门诊量及眼科诊断分布的影响。台湾的COVID-19大流行期定义为2021年5月1日至7月31日。收集了人口统计学数据,包括年龄、性别以及该期间眼科门诊患者的前10大诊断。同时还收集了2020年同期相应的对照组数据。分析了不同诊断的分布情况,得出了COVID-19大流行期间病例数百分比下降的10个最突出诊断的数据。与对照组相比,COVID-19大流行期间的病例数减少了46.9%。最常见的三大诊断是干眼症、青光眼和黄斑疾病。COVID-19大流行期间病例数减少的10个最突出诊断是白内障、屈光与调节、黄斑变性、结膜炎、视网膜脱离、玻璃体疾病、糖尿病眼部并发症、青光眼、干眼症和视网膜静脉阻塞。在COVID-19大流行期间,按计划识别和治疗这些患者在预防视力丧失方面可能产生最高的成本效益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cea/8903288/926ffe869996/pone.0264976.g001.jpg

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