Practice Patterns After Acute Embolic Retinal Artery Occlusion
Practice Patterns After Acute Embolic Retinal Artery Occlusion
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DOI：
10.22608/apo.201690
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发表时间：
2017-01-01
影响因子：
4.4
通讯作者：
Lee, Michael S.
中科院分区：
文献类型：
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作者：
Abel, Anne S.;Suresh, Sandip;Lee, Michael S.
目的：比较视网膜专家和神经科医生推荐的视网膜动脉闭塞（RAO）评估。设计：横断面调查。方法：通过电子邮件向美国神经病学学会中风科列表服务成员和在美国眼科学会注册的玻璃体视网膜专家发送匿名调查。调查根据接触前症状持续时间分为：少于 12 小时、24-48 小时和超过 1 周。数据收集前已获得机构审查委员会的批准。结果：完成了 448 项调查（281 名视网膜科医生和 167 名神经科医生）。 RAO 后 12 小时内，大多数神经科医生 (75%) 会进行医院评估，而大多数视网膜科医生 (82%) 会进行门诊检查 (P < 0.0001)。如果症状出现超过 7 天，大多数神经科医生 (92%) 和视网膜科医生 (98%) 会在门诊进行卒中检查。结论：神经科医生在 RAO 后寻求更高的护理，而大多数视网膜科医生会要求门诊评估。视网膜专家应考虑紧急中风评估，以减轻中风危险因素。
Purpose: To compare stroke evaluations recommended by retina specialists and neurologists for retinal artery occlusion (RAO).Design: A cross-sectional survey.Methods: An anonymous survey was emailed to members of the American Academy of Neurology Stroke Section listserv and vitreoretinal specialists registered with the American Academy of Ophthalmology. The survey was divided based on duration of symptoms before encounter: less than 12 hours, 24-48 hours, and more than 1 week. Institutional review board approval was obtained before data collection.Results: Four hundred forty-eight surveys were completed (281 retinologists and 167 neurologists). Within 12 hours of RAO, most neurologists (75%) pursue a hospital-based evaluation, whereas the majority of retinologists (82%) pursue outpatient workup (P < 0.0001). Most neurologists (92%) and retinologists (98%) pursue outpatient stroke workup if symptoms have been present for more than 7 days.Conclusions: Neurologists pursue higher acuity care after RAO, whereas most retinologists order outpatient evaluations. Retina specialists should consider urgent stroke evaluation to mitigate stroke risk factors.