COVID-19 对眼科住院医师白内障手术能力的影响。

Impact of COVID-19 on cataract surgical competency of ophthalmology residents.

机构信息

Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran.

Department of Ophthalmology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

Indian J Ophthalmol. 2023 Dec 1;71(12):3696-3700. doi: 10.4103/IJO.IJO_1242_23. Epub 2023 Nov 20.

DOI:10.4103/IJO.IJO_1242_23

PMID:37991306

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10788761/

Abstract

CONTEXT

Coronavirus disease 2019 (COVID-19) pandemic led to a decrease in elective surgeries.

PURPOSE

To compare the performance of postgraduate year 4 prepandemic (2018-2019) and pandemic (2021-2022) ophthalmology residents.

SETTINGS AND DESIGN

This was an observational comparative study conducted at a university-based hospital.

METHODS

Ophthalmology residents of postgraduate year 4 during prepandemic (2018-2019) and pandemic (2021-2022) time periods were included. The performances of residents in phacoemulsification were scored by a single faculty assessor using the International Council of Ophthalmology's Ophthalmology Surgical Competency Assessment Rubric for phacoemulsification (ICO-OSCAR: phaco). The scores were compared between the two groups.

STATISTICAL ANALYSIS USED

The comparisons between the pre- and post-pandemic groups were performed using the Chi-square and Mann-Whitney U test.

RESULTS

Seventy-one surgeries were rated in each group. All task-specific and global scores of the pandemic group were lower than those of the prepandemic group (all P values < 0.001). The maximum intergroup difference was in capsulorrhexis circular completion (difference of 1.21 score, P < 0.001) and tissue handling (difference of 1.21 score, P < 0.001) among task-specific and global scores, respectively. The residents of the two groups had the highest similarity in irrigation and aspiration (difference of 0.61 score, P < 0.001) from task-specific scores and central eye position from global scores (difference of 0.93 score, P < 0.001).

CONCLUSION

The COVID-19 pandemic has negatively affected the surgical competency of ophthalmology residents in phacoemulsification.

摘要

背景

2019 年冠状病毒病（COVID-19）大流行导致择期手术减少。

目的

比较研究生四年级医学生在大流行前（2018-2019 年）和大流行期间（2021-2022 年）的表现。

地点和设计

这是一项在大学附属医院进行的观察性比较研究。

方法

纳入大流行前（2018-2019 年）和大流行期间（2021-2022 年）研究生四年级的眼科住院医师。由一名教员评估员使用国际眼科理事会白内障超声乳化手术能力评估量表（ICO-OSCAR：phaco）对住院医师的白内障超声乳化术表现进行评分。比较两组的评分。

统计学分析

使用卡方检验和曼-惠特尼 U 检验比较两组间的差异。

结果

每组评分 71 例。大流行组的所有特定任务和总体评分均低于大流行前组（所有 P 值均<0.001）。最大的组间差异是在撕囊的圆形完成度（评分差异为 1.21 分，P<0.001）和组织处理（评分差异为 1.21 分，P<0.001），这分别是特定任务和总体评分中的最高差异。两组住院医师在冲洗和抽吸（评分差异为 0.61 分，P<0.001）和中央眼位（评分差异为 0.93 分，P<0.001）方面具有最高的相似性。