Comparison of optometrist glaucoma referrals against published guidelines

Comparison of optometrist glaucoma referrals against published guidelines
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DOI:
10.1111/j.1475-1313.2012.00943.x
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发表时间:
2012-11-01
影响因子:
2.9
通讯作者:
Kotecha, Aachal
Kotecha, Aachal
中科院分区:
医学2区
文献类型:
--
作者:
Khan, Sheema;Clarke, Jonathan;Kotecha, Aachal

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目的探讨社区验光师是否遵循已公布的指南,将疑似青光眼患者转诊至医院眼科服务。方法对伦敦Moorfields眼科医院青光眼服务中心的新验光师发起的转诊进行回顾性审计。记录的转诊信中的临床数据包括眼内压(IOP)测量和使用的眼压计的证据。将转诊信信息与2009年验光师学院和皇家眼科医师学院联合发布的关于转诊青光眼疑似患者的指南进行比较。结果自2011年1月4日起的6周内,共有289名新患者在青光眼服务中就诊;医院记录检索率为100%。其中,114人(39%)是验光师发起的转介。105名患者的验光师信函可用。102例(97%)记录了IOP测量值;大多数从业者使用非接触式眼压计(NCT; n = 69; 68%)。从业人员记录
Purpose To examine if community optometrists follow published guidelines for referral of patients with suspect glaucoma to the hospital eye service. Methods A retrospective audit of new optometrist-initiated referrals to the Glaucoma Service at Moorfields Eye Hospital, London was performed. Clinical data from referral letters recorded included evidence of intraocular pressure (IOP) measurement and tonometer used. Referral letter information was compared to 2009 guidelines published jointly by the College of Optometrists and Royal College of Ophthalmologists on referring glaucoma suspect patients. Results A total of 289 new patients were seen in the Glaucoma Service over a 6 week period from 4th January 2011; a 100% hospital record retrieval rate was obtained. Of these, 114 (39%) were optometrists initiated referrals. Optometrist letters were available for 105 patients. IOP measurements were recorded in 102 (97%); most practitioners used non-contact tonometry (NCT; n = 69; 68%). Practitioners recorded