PDF(Pubmed)
Abstract：
UNASSIGNED: To assess the delayed presentation of Retinal Detachment (RD), its association from travel distance to the referral hospital (TDH), the period from symptom onset to consultation (SO-C), Proliferative vitreoretinopathy (PVR) severity, and 6 months follow-up attendance (6mo-FA).
UNASSIGNED: A retrospective review based on medical records. Age, sex, initial best-corrected visual acuity (BCVA), TDH, SO-C, PVR type, and 6mo-FA were recorded. Multivariable ordered logistic regression was used to analyze the association between TDH and SO-C, and SO-C and PVR severity. Multivariable logistic regression was used to analyze 6mo-FA according to TDH. Multiple linear regression was used to assess the association between initial BCVA and TDH. Age and sex were included in all multivariable adjustments.
UNASSIGNED: A total of 387 patients had RD with 59.2% predominantly males and the mean age±SD was 46.3±13.9 years. The initial BCVA of less than 3/60 was 81.1%. The averages of SO-C and TDH were 183.5±456 days and 160.9±364 km, respectively. The TDH of more than 120 km distance was significantly associated with longer SO-C (adjusted OR 1.78; CI 95% 1.09-2.92). PVR was noted in 17.6% of patients. The SO-C of 31-60 days was significantly associated with PVR severity (adjusted OR 4.28; CI 95% 1.47-12.51). The TDH of more than 120 km distance was significantly associated with 6mo-FA (adjusted OR 0.46; CI 95% 0.27-0.93).
UNASSIGNED: Long TDH was significantly associated with a longer period from symptom onset to consultation and 6mo-FA. Hence, accessible eye care is essential to refer RD cases in a timely fashion.
UNASSIGNED: A retrospective review based on medical records. Age, sex, initial best-corrected visual acuity (BCVA), TDH, SO-C, PVR type, and 6mo-FA were recorded. Multivariable ordered logistic regression was used to analyze the association between TDH and SO-C, and SO-C and PVR severity. Multivariable logistic regression was used to analyze 6mo-FA according to TDH. Multiple linear regression was used to assess the association between initial BCVA and TDH. Age and sex were included in all multivariable adjustments.
UNASSIGNED: A total of 387 patients had RD with 59.2% predominantly males and the mean age±SD was 46.3±13.9 years. The initial BCVA of less than 3/60 was 81.1%. The averages of SO-C and TDH were 183.5±456 days and 160.9±364 km, respectively. The TDH of more than 120 km distance was significantly associated with longer SO-C (adjusted OR 1.78; CI 95% 1.09-2.92). PVR was noted in 17.6% of patients. The SO-C of 31-60 days was significantly associated with PVR severity (adjusted OR 4.28; CI 95% 1.47-12.51). The TDH of more than 120 km distance was significantly associated with 6mo-FA (adjusted OR 0.46; CI 95% 0.27-0.93).
UNASSIGNED: Long TDH was significantly associated with a longer period from symptom onset to consultation and 6mo-FA. Hence, accessible eye care is essential to refer RD cases in a timely fashion.
摘要：
■为了评估视网膜脱离（RD）的延迟表现，其从旅行距离到转诊医院(TDH)的关联，从症状发作到咨询(SO-C)的时期，增生性玻璃体视网膜病变（PVR）严重程度，6个月随访（6mo-FA）。
■基于病历的回顾性审查。年龄,性别,初始最佳矫正视力（BCVA），TDH,SO-C,PVR型,记录6mo-FA。采用多变量有序logistic回归分析TDH与SO-C之间的关联，以及SO-C和PVR严重程度。根据TDH采用多因素logistic回归分析6mo-FA。多元线性回归用于评估初始BCVA和TDH之间的关联。年龄和性别包括在所有多变量校正中。
■共有387例患者有RD，其中59.2%主要为男性，平均年龄±SD为46.3±13.9岁。小于3/60的初始BCVA为81.1%。SO-C和TDH的平均值为183.5±456天和160.9±364km，分别。超过120km距离的TDH与较长的SO-C显着相关（校正OR1.78；CI95％1.09-2.92）。17.6%的患者发现PVR。31-60天的SO-C与PVR严重程度显着相关（校正OR4.28；CI95％1.47-12.51）。超过120km距离的TDH与6mo-FA显着相关（校正OR0.46；CI95％0.27-0.93）。
■长TDH与从症状发作到咨询和6mo-FA的较长时间显着相关。因此，可获得的眼部护理对于及时转诊RD病例至关重要。
■基于病历的回顾性审查。年龄,性别,初始最佳矫正视力（BCVA），TDH,SO-C,PVR型,记录6mo-FA。采用多变量有序logistic回归分析TDH与SO-C之间的关联，以及SO-C和PVR严重程度。根据TDH采用多因素logistic回归分析6mo-FA。多元线性回归用于评估初始BCVA和TDH之间的关联。年龄和性别包括在所有多变量校正中。
■共有387例患者有RD，其中59.2%主要为男性，平均年龄±SD为46.3±13.9岁。小于3/60的初始BCVA为81.1%。SO-C和TDH的平均值为183.5±456天和160.9±364km，分别。超过120km距离的TDH与较长的SO-C显着相关（校正OR1.78；CI95％1.09-2.92）。17.6%的患者发现PVR。31-60天的SO-C与PVR严重程度显着相关（校正OR4.28；CI95％1.47-12.51）。超过120km距离的TDH与6mo-FA显着相关（校正OR0.46；CI95％0.27-0.93）。
■长TDH与从症状发作到咨询和6mo-FA的较长时间显着相关。因此，可获得的眼部护理对于及时转诊RD病例至关重要。
