糖尿病患者紧急眼科参考的相关危险因素。

IF 0.6 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI:10.24875/GMM.M24000907

Rivera-De La Parra David, Hernandez-Jimenez Sergio, Jiménez-Corona Aida, Peralta Liliana Pérez, Graue-Hernández Enrique O, Aguilar-Salinas Carlos A, Gómez-Pérez J Francisco, Kershenobich-Stalnikowitz David

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引用次数: 0

摘要

背景：糖尿病视网膜病变（DR）是致盲的主要原因。确定视力丧失风险较高的患者的危险因素至关重要。目的：通过眼科检查程序确定糖尿病患者紧急转诊的危险因素。材料和方法：制定了紧急转诊的具体标准，以方便就诊。采用多元logistic回归模型评估与紧急转诊相关的危险因素。结果：共筛选1265例患者。678例（54%）有DR， 245例（19.4%）有糖尿病性黄斑水肿，124例（10%）有明显的白内障。399例（31.4%）患者需要紧急转诊。经性别和年龄调整后，紧急转诊的显著危险因素为糖尿病诊断后10 ~ 20年（OR = 5.71, p < 0.001）、糖尿病诊断后20年以上（OR = 15.36, p < 0.001）、高收缩压（OR = 1.66 / mmHg, p = 0.003）和高HbA1c （OR = 1.15, p = 0.002）。结论：三分之一的患者需要紧急转诊。紧急转诊的主要原因是DME、严重或加重的DR、白内障和高眼压。主要危险因素为糖尿病病程、收缩压和糖化血红蛋白。

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Risk factors associated with urgent ophthalmic reference in diabetic patients.

Background: Diabetic retinopathy (DR) being a leading cause of blindness. Identifying the risk factors for patients with a higher risk of vision loss is crucial.

Objective: To identify the risk factors for urgent referrals in diabetic patients through an ophthalmic examination program.

Material and methods: Specific criteria for urgent referral were established to facilitate attendance. Risk factors related to urgent referral were evaluated in a multiple logistic regression model.

Results: A total of 1,265 patients were screened. 678 (54%) had DR, 245 (19.4%) had diabetic macular edema, and 124 (10%) had visually significant cataracts. 399 (31.4%) patients needed urgent referral. Significant risk factors for urgent referral were 10 to 20 years from diabetes diagnosis (OR = 5.71, p < 0.001), more than 20 years from diabetes diagnosis (OR = 15.36, p < 0.001), high systolic blood pressure (OR = 1.66 per mmHg, p = 0.003), and high HbA1c (OR = 1.15, p = 0.002), after adjusting for sex and age.

Conclusions: A third of the patients require urgent referral. Main causes of urgent referral were DME, severe or worse DR, cataract and high intraocular pressure. Principal risk factors were diabetes duration, systolic blood pressure and HbA1c.

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来源期刊

Gaceta medica de Mexico 医学-医学：内科

CiteScore

1.00

自引率

0.00%

发文量

216

审稿时长

6-12 weeks

期刊介绍： Gaceta Médica de México México is the official scientific journal of the Academia Nacional de Medicina de México, A.C. Its goal is to contribute to health professionals by publishing the most relevant progress both in research and clinical practice. Gaceta Médica de México is a bimonthly peer reviewed journal, published both in paper and online in open access, both in Spanish and English. It has a brilliant editorial board formed by national and international experts.