Department of Telemedicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Ophthalmol. 2022 Dec;70(12):4238-4243. doi: 10.4103/ijo.IJO_781_22.
To report the demographic profile of patients registered through e-Sanjeevani OPD seeking teleophthalmology services.
This was a cross-sectional data analysis of patients with ocular complaints registered through the e-Sanjeevani platform at a tertiary care center. It was a doctor-to-doctor consultation, where teleophthalmology consultants provided teleconsultation services at subcenters (SCs), primary health centers (PHCs), and community health centers (CHCs). Data regarding the patient's age, gender, residential address, provisional diagnosis, and treatment prescribed were recorded from May 2021 to February 2022 (9 months).
In total, 5138 patients were teleconsulted from the mean age of the patients was 37.64 ± 19.34 years. Among these patients, 44% were males and 56% were females. Most of the teleconsultation calls were made from Palwal district (19.8%), followed by Hisar (14.5%) and Sonipat. The most common provisional diagnosis was dry eyes (21%), followed by allergic conjunctivitis (18%), refractive error (15%), and cataract (14%). These constituted approximately 70% of the diagnosis made through teleconsultations. The rest of the eye problems were diagnosed as stye, blepharitis, nasolacrimal duct obstruction, pterygium, subconjunctival hemorrhage, etc., The majority of the patients were managed medically (56.6%) and approximately 11.6% of the patients were referred for surgical intervention.
e-Sanjeevani is an effective way to provide teleconsultations to patients in remote locations. The majority of the patients seeking ophthalmology consultations can be managed conservatively. Patients requiring surgical intervention can be referred timely, thus avoiding any delay in treatment.
报告通过电子 sanjeevani 门诊寻求远程眼科服务的患者的人口统计学特征。
这是对在三级保健中心通过电子 sanjeevani 平台注册的有眼部主诉的患者进行的横断面数据分析。这是一种医生对医生的咨询，远程眼科顾问在分中心 (SCs)、初级保健中心 (PHCs) 和社区保健中心 (CHCs) 提供远程咨询服务。从 2021 年 5 月至 2022 年 2 月（9 个月）期间，记录患者的年龄、性别、居住地址、临时诊断和规定的治疗方法等数据。
共有 5138 名患者进行了远程咨询，患者的平均年龄为 37.64 ± 19.34 岁。其中 44%为男性，56%为女性。大多数远程咨询电话来自帕尔瓦尔区（19.8%），其次是哈里亚纳邦（14.5%）和索尼帕特。最常见的临时诊断是干眼症（21%），其次是过敏性结膜炎（18%）、屈光不正（15%）和白内障（14%）。这些约占远程咨询做出的诊断的 70%。其余的眼部问题被诊断为麦粒肿、睑缘炎、鼻泪管阻塞、翼状胬肉、结膜下出血等。大多数患者接受药物治疗（56.6%），约 11.6%的患者被转介进行手术干预。
电子 sanjeevani 是向偏远地区患者提供远程咨询的有效途径。大多数寻求眼科咨询的患者可以进行保守治疗。需要手术干预的患者可以及时转介，从而避免治疗延误。
