■CharlesBonnet综合征(CBS)的特征是视觉障碍患者出现视觉幻觉。CBS会对心理健康产生负面影响,COVID-19大流行期与症状加重有关。
■比较三级眼科护理中心在COVID-19大流行前的间隔和大流行期间的CBS临床实践模式和报告。
■回顾性图表回顾。
在2019年3月1日至2020年2月29日(先前的大流行间隔)和2020年9月1日至2021年8月29日(大流行间隔)之间对所有可疑CBS病例的电子病历进行了搜索。从记录中检索到的数据包括患者人口统计,CBS发病时的视力,幻觉的类型,报告医疗保健专业人士,管理策略和患者报告的幻觉影响。
■总共,在先前的间隔中,156名患者中有223次预约提到CBS,虽然239次预约在大流行期间提到155名患者的CBS,分别占所有住院人数的0.07%和0.09%,分别。CBS最常报道的临床亚专科是医学视网膜,在两个时间间隔中,女性患者比例更高。幻觉的类型,管理策略和患者报告的影响很少报告,尽管文档在后一个间隔有所改善。
■两个间隔之间的实践模式和患者特征相似;但是,细微的差异表明人们对CBS的认识日益提高。高负担临床亚专科的有针对性的干预措施可能会鼓励报告并改善CBS的记录。
UNASSIGNED: Charles Bonnet syndrome (CBS) is characterized by visual hallucinations occurring in people with visual impairment. CBS can negatively impact psychological well-being, and the COVID-19 pandemic period was associated with an exacerbation of symptoms.
UNASSIGNED: To compare clinical practice patterns and reporting of CBS at a tertiary eye care center between an interval prior to the COVID-19 pandemic and an interval during the pandemic.
UNASSIGNED: Retrospective chart review.
UNASSIGNED: A search of electronic medical records for all suspected CBS cases was conducted between 1 March 2019 and 29 February 2020 (prior pandemic interval) and between 1 September 2020 and 29 August 2021 (peri-pandemic interval). Data retrieved from records included patient demographics, visual acuity at the time of CBS onset, type of hallucinations, reporting healthcare professional, management strategies and patient-reported impact of hallucinations.
UNASSIGNED: In total, 223 appointments referred to CBS in 156 patients at the prior interval, while 239 appointments referred to CBS in 155 patients at the peri-pandemic interval, representing 0.07% and 0.09% of all hospital attendance, respectively. Clinical subspecialty where CBS was most commonly reported was medical retina, and a greater proportion of patients at both time intervals were female. Types of hallucinations, management strategies and patient-reported impact were seldom reported, although documentation improved at the latter interval.
UNASSIGNED: Practice patterns and patient characteristics were similar between the two intervals; however, subtle differences suggest a growing awareness of CBS. Targeted interventions in high-burden clinical subspecialties may encourage reporting and improve documentation of CBS.