Spectrum of ophthalmic diseases in children hospitalized in a tertiary ophthalmology hospital in China from 2010 to 2019.

Spectrum of ophthalmic diseases in children hospitalized in a tertiary ophthalmology hospital in China from 2010 to 2019.
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DOI:
10.1186/s12886-022-02533-5
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发表时间:
2022-07-19
期刊:
影响因子:
2
通讯作者:
Zhu, Wei
Zhu, Wei
中科院分区:
医学4区
文献类型:
--
作者:
Zhang, Xia;Li, Fan;Rao, Jiaming;Fang, Hao;Zhu, Wei

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描述儿童眼病的模式对于儿童的适当眼科护理是必要的。本研究探讨了中国一家典型的三级眼科医院儿童眼科疾病的谱和特点。一项回顾性研究于2010年至2019年在中国广州的一家三级眼科医院进行。这项研究包括44,552名18岁以下的住院患者。从电子病历系统中收集人口统计学和诊断数据。多相回归分析被用来估计10种常见眼科疾病的年百分比趋势。2010年至2019年,44,552名住院患者符合入选标准。大多数是男性(61.9%),年龄在7至12岁(30.3%),自费(56.6%)。前10位分别为屈光不正(41.2%)、斜视(36.1%)、白内障(13.6%)、外伤(11.8%)、先天性上睑下垂(8.8%)、肿瘤(8.1%)、弱视(7.1%)、青光眼(7.0%)、睑内翻倒睫(7.0%)、视网膜脱离(6.5%)。屈光不正、斜视和视网膜脱离的年百分比变化(APC)分别为9.3%(95% CI,8.1-10.5%)、4.7%(95% CI,3.8-5.6%)和− 2.8%(95% CI,− 5.1%至− 0.4%)。对于创伤,平均APC(AAPC =-9.2%,95% CI,-12.1%至6.2%)从2010年至2015年逐渐下降(APC = -4.2%,95% CI,-8.8至0.7%),并从2015年至2019年迅速下降(APC = -15.1%,95% CI,-21.0%至8.7%)。儿童眼科疾病在中国很常见。针对屈光不正、斜视、眼睑内翻和倒睫的预防策略和健康教育将是减少儿童眼科疾病对卫生保健系统和人类发展的负担的关键。在线版本包含补充材料,可通过10.1186/s12886-022-02533-5获取。
Describing the pattern of pediatric eye diseases is necessary for appropriate eye care in children. This study explored the spectrum and characteristics of pediatric ophthalmic diseases in a typical tertiary ophthalmology hospital in China. A retrospective study was conducted at a tertiary ophthalmology hospital between 2010 and 2019 in Guangzhou, China. This study included 44,552 inpatients who were younger than 18 years old. Demographic and diagnostic data were collected from the electronic medical record system. Multiphase regression analysis was used to estimate trends in the annual percentages of ten common ophthalmic diseases. From 2010 to 2019, 44,552 inpatients met the inclusion criteria. The majority were male (61.9%), aged 7 to 12 years (30.3%) and self-paying (56.6%). The top ten conditions were refractive error (41.2%), strabismus (36.1%), cataract (13.6%), trauma (11.8%), congenital ptosis (8.8%), tumor (8.1%), amblyopia (7.1%), glaucoma (7.0%), entropion and trichiasis of eyelid (7.0%), and retinal detachment (6.5%). The annual percentage changes (APCs) for refractive error, strabismus, and retinal detachment were 9.3% (95% CI, 8.1–10.5%), 4.7% (95% CI, 3.8–5.6%) and − 2.8% (95% CI, − 5.1% to − 0.4%) respectively. For trauma, the average APC (AAPC = -9.2%, (95% CI, − 12.1% to − 6.2%) decreased gradually from 2010 to 2015 (APC = -4.2% (95% CI, − 8.8-0.7%)) and decreased rapidly from 2015 to 2019 (APC = -15.1% (95% CI, − 21.0% to − 8.7%)). Pediatric ophthalmic diseases are common in China. Preventive strategies and health education aimed at the prevention of refractive error, strabismus, and entropion and trichiasis of eyelid will be crucial in reducing the burden of pediatric ophthalmic diseases on health care systems and human development. The online version contains supplementary material available at 10.1186/s12886-022-02533-5.
DOI: 10.1016/j.ophtha.2013.03.001
发表时间: 2013-10
期刊: Ophthalmology
影响因子: 13.7
作者:
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作者:
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通讯作者: Epidemiologic Survey Committee of the Korean Ophthalmological Society