Scholarlink

Purpose <p>To investigate the main reasons related to non-surgical discharge (NSDS) among patients recruited for cataract surgery in the Northwest Indian screening camps (SCs) and evaluate the potential actions that could be undertaken to improve the SC programs in India.</p> Methods <p>Retrospective cross-sectional analysis of patients’ medical records selected for elective cataract surgery at Sankara Eye Hospital, a tertiary eye care center in Jaipur, Rajasthan, between January 1 and December 31, 2023. After SCs’ thorough examination, recruited patients suitable for cataract surgery were further evaluated in the hospital to assess anesthetic and ophthalmic suitability. Reasons for NSDS, classified as patient-related, administrative-related, and anesthesia-related, were recorded. Univariate and multivariablelogistic regression were conducted to evaluate the effects of statistically significant variables on the reasons for NSDS.</p> Results <p>13,219 patients were recruited from screening to undergo cataract surgery. Of 13,219, 1036 (7.8%) were discharged without surgical interventions. Patient-related reasons accounted for 57.14% of total causes, with 301 (29.06%) patients refusing to consent to surgery. 78 patients (7.5%) were discharged due to the lack of the required intraocular lens, whereas 288 patients (27.8%) reported a blood pressure &gt; 140/90&#xa0;mmHg, whereas 22 (2.1%) were discharged due to uncontrolled diabetes. Patients aged 65&#xa0;years or older had 1.61-fold greater odds of being discharged due to anesthesia-related causes (95% Confidence Interval [CI]: 1.23–2.10, <i>p</i> &lt; 0.001) compared to patients aged less than 65&#xa0;years.</p> Conclusions <p>Albeit rare, NSDS-related factors should be considered to better counsel patients in SCs and prevent avoidable blindness in India.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Non-surgical discharge causes in screening camp-recruited cataract patients: a study in North-Western India

  • 期刊论文

  • 发表日期：

    2025年6月20日

查看全文
  • Matteo Ripa,
  • Gaurav Khade,
  • Neeraj Apoorva Shah

摘要

Purpose

To investigate the main reasons related to non-surgical discharge (NSDS) among patients recruited for cataract surgery in the Northwest Indian screening camps (SCs) and evaluate the potential actions that could be undertaken to improve the SC programs in India.

Methods

Retrospective cross-sectional analysis of patients’ medical records selected for elective cataract surgery at Sankara Eye Hospital, a tertiary eye care center in Jaipur, Rajasthan, between January 1 and December 31, 2023. After SCs’ thorough examination, recruited patients suitable for cataract surgery were further evaluated in the hospital to assess anesthetic and ophthalmic suitability. Reasons for NSDS, classified as patient-related, administrative-related, and anesthesia-related, were recorded. Univariate and multivariablelogistic regression were conducted to evaluate the effects of statistically significant variables on the reasons for NSDS.

Results

13,219 patients were recruited from screening to undergo cataract surgery. Of 13,219, 1036 (7.8%) were discharged without surgical interventions. Patient-related reasons accounted for 57.14% of total causes, with 301 (29.06%) patients refusing to consent to surgery. 78 patients (7.5%) were discharged due to the lack of the required intraocular lens, whereas 288 patients (27.8%) reported a blood pressure > 140/90 mmHg, whereas 22 (2.1%) were discharged due to uncontrolled diabetes. Patients aged 65 years or older had 1.61-fold greater odds of being discharged due to anesthesia-related causes (95% Confidence Interval [CI]: 1.23–2.10, p < 0.001) compared to patients aged less than 65 years.

Conclusions

Albeit rare, NSDS-related factors should be considered to better counsel patients in SCs and prevent avoidable blindness in India.