Effect of COVID-19-related lockdown on ophthalmic practice in Italy: A report from 39 institutional centers.
Trauma
choroidal neovascular membranes
corneal transplantation
glaucoma
phacoemulsification
retinal detachment
venous occlusive disease
Journal
European journal of ophthalmology
ISSN: 1724-6016
Titre abrégé: Eur J Ophthalmol
Pays: United States
ID NLM: 9110772
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
pubmed:
17
3
2021
medline:
21
1
2022
entrez:
16
3
2021
Statut:
ppublish
Résumé
To compare the number of eye surgical procedures performed in Italy in the 2 months following the beginning of lockdown (study period) because of COVID-19 epidemic with those performed in the two earlier months of the same year (intra-year control) and in the period of 2019 corresponding to the lockdown (inter-year control). Retrospective analysis of surgical procedures carried out at 39 Academic hospitals. A distinction was made between elective and urgent procedures. Intravitreal injections were also considered. Percentages for all surgical procedures and incidence rate ratios (IRR) for rhegmatogenous retinal detachment (RRD) events were calculated. A A total of 20,886 versus 55,259 and 56,640 patients underwent surgery during the lockdown versus intra-and inter-year control periods, respectively. During the lockdown, only 70% of patients for whom an operation/intravitreal injection was recommended, finally underwent surgery; the remaining patients did not attend because afraid of getting infected at the hospital (23%), taking public transportation (6.5%), or unavailable swabs (0.5%). Elective surgeries were reduced by 96.2% and 96.4%, urgent surgeries by 49.7% and 50.2%, and intravitreal injections by 48.5% and 48.6% in the lockdown period in comparison to intra-year and inter-year control periods, respectively. IRRs for RRDs during lockdown dropped significantly in comparison with intra- and inter-year control periods (CI: 0.65-0.80 and 0.61-0.75, respectively, This study provides a quantitative analysis of the reduction of eye surgical procedures performed in Italy because of the COVID-19 epidemic.
Sections du résumé
BACKGROUND/OBJECTIVES
OBJECTIVE
To compare the number of eye surgical procedures performed in Italy in the 2 months following the beginning of lockdown (study period) because of COVID-19 epidemic with those performed in the two earlier months of the same year (intra-year control) and in the period of 2019 corresponding to the lockdown (inter-year control).
METHODS
METHODS
Retrospective analysis of surgical procedures carried out at 39 Academic hospitals. A distinction was made between elective and urgent procedures. Intravitreal injections were also considered. Percentages for all surgical procedures and incidence rate ratios (IRR) for rhegmatogenous retinal detachment (RRD) events were calculated. A
RESULTS
RESULTS
A total of 20,886 versus 55,259 and 56,640 patients underwent surgery during the lockdown versus intra-and inter-year control periods, respectively. During the lockdown, only 70% of patients for whom an operation/intravitreal injection was recommended, finally underwent surgery; the remaining patients did not attend because afraid of getting infected at the hospital (23%), taking public transportation (6.5%), or unavailable swabs (0.5%). Elective surgeries were reduced by 96.2% and 96.4%, urgent surgeries by 49.7% and 50.2%, and intravitreal injections by 48.5% and 48.6% in the lockdown period in comparison to intra-year and inter-year control periods, respectively. IRRs for RRDs during lockdown dropped significantly in comparison with intra- and inter-year control periods (CI: 0.65-0.80 and 0.61-0.75, respectively,
CONCLUSION
CONCLUSIONS
This study provides a quantitative analysis of the reduction of eye surgical procedures performed in Italy because of the COVID-19 epidemic.
Identifiants
pubmed: 33724078
doi: 10.1177/11206721211002442
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
695-703Investigateurs
Paola Marolo
(P)
Carlo Enrico Traverso
(CE)
Michele Iester
(M)
Carlo Alberto Cutolo
(CA)
Claudio Azzolini
(C)
Simone Donati
(S)
Elias Premi
(E)
Paolo Nucci
(P)
Stela Vujosevic
(S)
Giovanni Staurenghi
(G)
Ferdinando Bottoni
(F)
Francesco Romano
(F)
Domenico Grosso
(D)
Enrico Borrelli
(E)
Riccardo Sacconi
(R)
Paolo Milella
(P)
Simone Ganci
(S)
Mario R Romano
(MR)
Gabriella Ricciardelli
(G)
Davide Allegrini
(D)
Marco Casaluci
(M)
Davide Romano
(D)
Giorgio Marchini
(G)
Francesca Chemello
(F)
Camilla Amantea
(C)
Rino Frisina
(R)
Elisabetta Pilotto
(E)
Raffaele Parrozzani
(R)
Daniele Veritti
(D)
Valentina Sarao
(V)
Tognetto Daniele
(T)
Massimo Busin
(M)
Francesco Parmeggiani
(F)
Katia De Nadai
(K)
Luca Furiosi
(L)
Rodolfo Mastropasqua
(R)
Bruno Battaglia
(B)
Matteo Gironi
(M)
Stefano Gandolfi
(S)
Enrico Luciani
(E)
Paolo Mora
(P)
Costantino Schiavi
(C)
Patrizia Bertaccini
(P)
Alessandro Finzi
(A)
Matilde Roda
(M)
Carlo Cagini
(C)
Marco Lupidi
(M)
Fabrizio Giansanti
(F)
Daniela Bacherini
(D)
Gianmarco Tosi
(G)
Elena De Benedetto
(E)
Marco Nardi
(M)
Michele Figus
(M)
Chiara Posarelli
(C)
Cesare Mariotti
(C)
Vittorio Pirani
(V)
Michele Nicolai
(M)
Stefano Bonini
(S)
Marco Coassin
(M)
Antonio Di Zazzo
(A)
Mariacristina Savastano
(M)
Alfonso Savastano
(A)
Gloria Gambini
(G)
Umberto De Vico
(U)
Leopoldo Spadea
(L)
Andrea Iannaccone
(A)
Carlo Nucci
(C)
Federico Ricci
(F)
Francesco Aiello
(F)
Gabriele Gallo Afflitto
(GG)
Leonardo Mastropasqua
(L)
Giada D'Onofio
(G)
Federica Evangelista
(F)
Lorenza Brescia
(L)
Pasquale Napolitano
(P)
Paolo Polisena
(P)
Nicolina Gianfrancesco
(N)
Domenico Trivisonno
(D)
Francesco Petti
(F)
Francesca Simonelli
(F)
Settimio Rossi
(S)
Antonio Tartaglione
(A)
Nicola Rosa
(N)
Maddalena De Bernardo
(M)
Cristiana Iaculli
(C)
Anna Valeria Bux
(A)
Giulia Maggiore
(G)
Francesco Boscia
(F)
Giancarlo Sborgia
(G)
Maria Oliva Grassi
(MO)
Vincenzo Scorcia
(V)
Giuseppe Giannaccare
(G)
Guglielmo Parisi
(G)
Salvatore Cillino
(S)
Francesco Alaimo
(F)
Pasquale Aragona
(P)
Alessandro Meduri
(A)
Antonio Pinna
(A)
Andrea Sollazzo
(A)
Enrico Peiretti
(E)
Emanuele Siotto
(E)