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2019 年至 2021 年期间西班牙一家综合医院 18 岁以下儿童眼部急症的流行病学研究。

Epidemiology of eye-related emergencies in children under 18 years of age at a General Hospital in Spain from 2019 to 2021.

机构信息

Oftalmología, Hospital de Mataró (CSDM), Barcelona, Spain.

Optometría, Hospital de Mataró (CSDM), Barcelona, Spain.

出版信息

Arch Soc Esp Oftalmol (Engl Ed). 2023 Oct;98(10):564-567. doi: 10.1016/j.oftale.2023.08.006. Epub 2023 Aug 26.

Abstract

PURPOSE

To know which ophthalmological pathologies are the most prevalent attending the emergency department. To assess what changes have occurred because of the COVID pandemic.

METHOD

Review of emergency reports in children under 18 years of age attended in our Hospital from January 2019 to December 2021. Comparison of pre-pandemic, pandemic and "back-to-normal" data when comparing the periods 2019-2021 with each other.

RESULTS

There is a 57% reduction in the eye-related emergency visits in 2020. This reduction affects the three more prevalent diagnostic groups: conjunctivitis and red eye (69% fall), trauma and foreign body (45% decrease) and palpebral pathology (35% less). In 2021 there is a partial recovery in the three groups, but not reaching the 2019 data. On the other side, eye and periocular pain show an increase in consultation in both 2020 (16,7% more) and 2021 (100% increase).

CONCLUSION

There are differences in the distribution of eye-related conditions that consulted at the Emergency Department at our hospital during years 2019-2021. This suggests a more rational use of the Health System, less banal pathology attending and an impact of mobility restrictions, handwashing and face masks wearing on ophthalmological pathology.

摘要

目的

了解在急诊就诊的最常见眼科疾病。评估 COVID 大流行带来的变化。

方法

回顾 2019 年 1 月至 2021 年 12 月在我院就诊的 18 岁以下儿童的急诊报告。比较大流行前、大流行期间和“恢复正常”时的情况,将 2019-2021 年期间的数据相互比较。

结果

2020 年与眼部相关的急诊就诊减少了 57%。这种减少影响了三个更常见的诊断组:结膜炎和眼红(下降 69%)、创伤和异物(下降 45%)和眼睑病变(减少 35%)。2021 年这三个组有部分恢复,但未达到 2019 年的数据。另一方面,眼部和眼周疼痛在 2020 年(增加 16.7%)和 2021 年(增加 100%)就诊咨询中都有所增加。

结论

2019-2021 年期间,我院急诊就诊的眼部相关疾病分布存在差异。这表明对卫生系统的使用更加合理,就诊的非典型性疾病减少,以及移动限制、勤洗手和戴口罩对面眼科疾病的影响。

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