三级眼科医院取消或推迟白内障手术的原因:回顾性分析

A. Pai, R. Sankarananthan, S. Prasad, H. Bhanumathi, T. Koshy, M. Shekhar
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引用次数: 0

摘要

目的:探讨三级眼科医院白内障手术当日取消或推迟的原因。方法:回顾性研究纳入2017年1月1日至2019年12月31日期间诊断为白内障并拟行白内障手术的所有成年患者,这些患者在手术当天或手术前一天就诊后取消了手术。从患者文件和电子医疗记录中检索取消原因。结果:320632例白内障手术患者中,因各种原因取消手术8483例,累计取消率为2.65%。2909例(34.3%)患者手术当日取消手术的最常见原因是全身性疾病,其次是2450例(28.9%)患者拒绝手术,1243例(14.6%)患者因眼部感染和炎症原因取消手术。结论:某三级眼科医院白内障手术取消当日最常见的原因是全身性疾病,其次是患者拒绝手术。全面的术前评估、系统的检查和适当的咨询是提高白内障手术效率的重要因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Causes behind cancelled or postponed cataract surgeries in a tertiary eye care hospital: A retrospective analysis
Purpose: To study the causes leading to the cancellation or postponement of cataract surgery on the day of surgery in a tertiary eye hospital. Methods: All adult patients diagnosed with cataract and posted for cataract surgery from 1 January 2017 to 31 December 2019 and for whom surgeries were cancelled on the day of surgery or one day preceding the surgery after the patient has presented to the hospital were included in this retrospective study. The causes for cancellation were retrieved from the patient files and the electronic medical records. Results: Out of 320,632 patients for cataract surgery, surgeries of 8483 were cancelled because of various causes, resulting in a cumulative cancellation rate of 2.65%. The most common cause for cancellation on the day of surgery was systemic illness in 2909 patients (34.3%), followed by refusal by the patient seen in 2450 patients (28.9%) and infective and inflammatory causes of the eye in 1243 patients (14.6%). Conclusion: Systemic illness is the most common cause on the day of cancellation of cataract surgery in a tertiary eye hospital, followed by the refusal by the patient to get operated on. Thorough pre-operative evaluation, systemic examination, and proper counselling play an important role in improving the efficiency of cataract surgeries.
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