Moreira Taís de Campos, Chagas Maria Eulália Vinadé, Pagano Cassia Garcia Moraes, Araújo Aline Lutz de, Umpierre Roberto Nunes, Oliveira Barbara Carvalho de, Guattini Veronica Lucas de Olivera, Katz Natan, Cabral Felipe Cezar
Hospital Moinhos de Vento, Porto Alegre, Brasil.
Núcleo de Telessaúde, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil.
Cad Saude Publica. 2022 Jun 27;38(6):e00281321. doi: 10.1590/0102-311XPT281321. eCollection 2022.
The use of teleophthalmology may be a viable strategy to track and to diagnose major eye diseases primary health care patients. This study aimed to describe the performance of 30,315 telediagnoses in ophthalmology in primary care patients and the case management of this service. This is a cross-sectional study to evaluate the telediagnosis performed in patients treated at the eight remote points of the TeleOftalmo project from January 2nd, 2018, to December 31st, 2020. The patients' demographic characteristics, the reasons for referral, the diagnoses made according to age group, and the case management of the telediagnosis were evaluated. Most patients were female (66.1%), adults (70.3%), and referred to telediagnosis mainly due to reduced visual acuity (60.5%). Refractive errors were the most prevalent diagnosis in all age groups. Presbyopia was the most prevalent eye disease in adults (65.4%) and older adults (64%), followed by cataracts (41.3%) and suspected glaucoma (10.6%) in older adults. In total, 30,315 patients underwent telediagnosis, 70.5% had their ocular complaints fully resolved, without the need for referral to an in-person ophthalmologist. Telemedicine can be resolutory for the most prevalent eye diseases in the population, increasing the supply of diagnoses, qualifying and assisting in reducing waiting lines for ophthalmologic care.
使用远程眼科可能是追踪和诊断基层医疗患者主要眼病的一种可行策略。本研究旨在描述在基层医疗患者中进行的30315例眼科远程诊断的表现以及该服务的病例管理情况。这是一项横断面研究，旨在评估2018年1月2日至2020年12月31日期间在TeleOftalmo项目的8个偏远地点接受治疗的患者所进行的远程诊断。对患者的人口统计学特征、转诊原因、按年龄组做出的诊断以及远程诊断的病例管理进行了评估。大多数患者为女性（66.1%）、成年人（70.3%），转诊进行远程诊断主要是由于视力下降（60.5%）。屈光不正为所有年龄组中最常见的诊断。老花眼是成年人（65.4%）和老年人（64%）中最常见的眼病，其次是老年人中的白内障（41.3%）和疑似青光眼（10.6%）。共有30315名患者接受了远程诊断，70.5%的患者眼部不适完全得到解决，无需转诊至面对面的眼科医生处。远程医疗对于人群中最常见的眼病可能具有解决作用，可增加诊断量，提升质量并有助于减少眼科护理的候诊队伍。
