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10.1186/s12886-021-01886-7

http://scihub22266oqcxt.onion/10.1186/s12886-021-01886-7
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33743634!7980730!33743634
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suck abstract from ncbi


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pmid33743634      BMC+Ophthalmol 2021 ; 21 (1): 139
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  • Changes in patient visits and diagnoses in a large academic center during the COVID-19 pandemic #MMPMID33743634
  • Berkenstock MK; Liberman P; McDonnell PJ; Chaon BC
  • BMC Ophthalmol 2021[Mar]; 21 (1): 139 PMID33743634show ga
  • BACKGROUND: To minimize the risk of viral transmission, ophthalmology practices limited face-to-face encounters to only patients with urgent and emergent ophthalmic conditions in the weeks after the start of the COVID-19 epidemic in the United States. The impact of this is unknown. METHODS: We did a retrospective analysis of the change in the frequency of ICD-10 code use and patient volumes in the 6 weeks before and after the changes in clinical practice associated with COVID-19. RESULTS: The total number of encounters decreased four-fold after the implementation of clinic changes associated with COVID-19. The low vision, pediatric ophthalmology, general ophthalmology, and cornea divisions had the largest total decrease of in-person visits. Conversely, the number of telemedicine visits increased sixty-fold. The number of diagnostic codes associated with ocular malignancies, most ocular inflammatory disorders, and retinal conditions requiring intravitreal injections increased. ICD-10 codes associated with ocular screening exams for systemic disorders decreased during the weeks post COVID-19. CONCLUSION: Ophthalmology practices need to be prepared to experience changes in practice patterns, implementation of telemedicine, and decreased patient volumes during a pandemic. Knowing the changes specific to each subspecialty clinic is vital to redistribute available resources correctly.
  • |*SARS-CoV-2[MESH]
  • |Academic Medical Centers/*trends[MESH]
  • |Ambulatory Care/*trends[MESH]
  • |COVID-19/*epidemiology/transmission[MESH]
  • |Communicable Disease Control[MESH]
  • |Eye Diseases/*diagnosis[MESH]
  • |Humans[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH]
  • |International Classification of Diseases[MESH]
  • |Ophthalmology/methods/*trends[MESH]
  • |Practice Guidelines as Topic[MESH]
  • |Practice Patterns, Physicians'/*trends[MESH]
  • |Retrospective Studies[MESH]
  • |Telemedicine/methods[MESH]


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