FOLLOW-UP ADHERENCE IN PATIENTS WITH NONPROLIFERATIVE DIABETIC RETINOPATHY PRESENTING TO AN OPHTHALMIC EMERGENCY DEPARTMENT.
Retina
; 41(6): 1293-1301, 2021 Jun 01.
Article
en En
| MEDLINE
| ID: mdl-33252579
ABSTRACT
PURPOSE:
To determine the rate of follow-up after emergent encounters for nonproliferative diabetic retinopathy and to identify patient or visit characteristics associated with follow-up adherence.METHODS:
A retrospective cohort study of patients presenting to an ophthalmic emergency department with nonproliferative diabetic retinopathy between May 2014 and December 2018 was conducted. Demographic and encounter data were gathered. Adherence to follow-up was defined as a completed encounter within 5 weeks of the recommended follow-up.RESULTS:
A total of 1,248 patients were included. The overall follow-up rate was 53%. Significantly decreased odds of follow-up adherence were associated with longer physician recommended follow-up intervals (odds ratio 0.81, P < 0.001), longer interval to scheduled appointment (OR 0.98, P < 0.001), commercial insurance (OR 0.76, P = 0.01), and lack of any insurance (OR 0.57, P < 0.01). Significantly increased odds were associated with a longer emergency department visit duration (OR 1.002, P = 0.001), farther home distance (1.02, P < 0.01), increased likelihood of living in a higher income area (OR 1.07, P = 0.04), greater NPDR severity (OR 1.23, P < 0.01), Medicare (OR 1.38, P = 0.04), presence of macular edema (OR 1.66, P < 0.001), and worse vision (OR 1.73, P < 0.001).CONCLUSION:
Patients presenting emergently with non-proliferative diabetic retinopathy are at high risk for follow-up nonadherence. Several patient and encounter characteristics were associated with follow-up adherence.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Agudeza Visual
/
Cooperación del Paciente
/
Retinopatía Diabética
/
Servicio de Urgencia en Hospital
/
Hospitalización
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Retina
Año:
2021
Tipo del documento:
Article