Resultados de la cirugía de la catarata en un hospital docente de tercer nivel. Más allá del simple número / Results of cataract surgery in a third-level teaching hospital. More than just a simple number

Objetivo: Analizar una serie de cirugías de catarata realizadas en un hospital docente de tercer-cuarto nivel aportando datos complementarios al número de cirugías que puedan servir como referencia a análisis posteriores y contrastar los resultados con los publicados en otros sistemas sanitarios públicos, fundamentalmente el británico. Métodos: Estudio retrospectivo sobre 1052 ojos intervenidos de catarata en el Hospital Clínico Universitario de Valladolid desde enero de 2016 a julio de 2016. Variables recogidas: edad, sexo, agudeza visual pre- y posquirúrgica, grado de complejidad de la catarata, tiempo quirúrgico, tasa y tipo de complicaciones quirúrgicas. Resultados: La edad media de los pacientes fue de 74,1 ± 9,5 años. El 81,61% partió de una AV < 0,5. Solo se recogieron tiempos quirúrgicos en el 12% de las cirugías. La tasa de complicaciones fue de 1,8% con un caso de endoftalmitis. Solo se realizó refracción posquirúrgica final en el 44,7% de los casos. Se alcanzó una AV ≥ 0,5 tras la cirugía en el 87,2% de los ojos. Conclusiones: Los resultados de la serie muestran diferencias importantes respecto a los aportados por la auditoría del Sistema de Salud Nacional Inglés siendo en general nuestros pacientes más complejos y nuestras complicaciones menos frecuentes. Hay carencias en la recogida de datos importantes tales como la refracción posquirúrgica o los tiempos reales de la cirugía, a pesar de lo cual este trabajo puede ser una buena referencia

Objective: To analyse a series of cataract surgeries performed in a third-fourth level teaching hospital, providing complementary data to the number of surgeries that can be used as a further reference, and to compare them with those published by other Public Health Systems, mainly the British one. Methods: Retrospective study of 1052 cataract procedures at the University Hospital of Valladolid from January 2016 to July 2016. Collected variables: age, gender, pre- and postsurgical visual acuity, degree of complexity of the cataract, duration of the surgery, and surgical complications. Results: The mean age of the patients was 74.1 ± 9.5 years, and 81.61% started from a VA < 0.5. The duration of the surgery was collected only in 12% of the procedures. The complications rate was 1.8%, with one case of endophthalmitis. A final postoperative refraction was performed in only 44.7% of the cases. A total of 87.2% of the eyes achieved a VA ≥ 0.5 after surgery. Conclusions: The results of the series show significant differences from those from the audit of the English National Healthcare System, with our patients being more complex and having less complications. There are missing-data in the collection of important variables such as post-surgical refraction or the duration of the surgery, which despite this, this work can be a good reference

Results of cataract surgery in a third-level teaching hospital. More than just a simple number. / Resultados de la cirugía de la catarata en un hospital docente de tercer nivel. Más allá del simple número.

OBJECTIVE: To analyse a series of cataract surgeries performed in a third-fourth level teaching hospital, providing complementary data to the number of surgeries that can be used as a further reference, and to compare them with those published by other Public Health Systems, mainly the British one. METHODS: Retrospective study of 1052 cataract procedures at the University Hospital of Valladolid from January 2016 to July 2016. Collected variables: age, gender, pre- and postsurgical visual acuity, degree of complexity of the cataract, duration of the surgery, and surgical complications. RESULTS: The mean age of the patients was 74.1 ± 9.5 years, and 81.61% started from a VA <0.5. The duration of the surgery was collected only in 12% of the procedures. The complications rate was 1.8%, with one case of endophthalmitis. A final postoperative refraction was performed in only 44.7% of the cases. A total of 87.2% of the eyes achieved a VA ≥ 0.5 after surgery. CONCLUSIONS: The results of the series show significant differences from those from the audit of the English National Healthcare System, with our patients being more complex and having less complications. There are missing-data in the collection of important variables such as post-surgical refraction or the duration of the surgery, which despite this, this work can be a good reference.