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10.1136/bmjophth-2020-000560

http://scihub22266oqcxt.onion/10.1136/bmjophth-2020-000560
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suck abstract from ncbi


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pmid34192151      BMJ+Open+Ophthalmol 2020 ; 5 (1): e000560
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  • Remodelling intravitreal therapy pathways for macular disease during the COVID-19 pandemic and an Austrian national lockdown #MMPMID34192151
  • Huemer J; Hienert J; Hirn C; Hackl C; Radda SM; Findl O
  • BMJ Open Ophthalmol 2020[]; 5 (1): e000560 PMID34192151show ga
  • OBJECTIVE: To analyse the remodelling and recovery of a relocated intravitreal injection (IVI) service with an adapted treatment regimen in a tertiary referral centre during a nationwide lockdown with initial cancellation of all non-emergency treatments caused by the COVID-19 pandemic. METHODS AND ANALYSIS: For this retrospective observational study at Hanusch Hospital, Vienna, between 16 March 2020 and 5 May 2020, we conducted an analysis of an appointment booking system based on prioritisation incorporating disease class, severity and fellow eye status by evidence-based impact on irreversible structural impairment and survey data from telephone interviews. Recapture time was defined as the time-to-discard the backlog of patients in need for treatment. Non-attendance was stratified as treatment refusal for personal reasons and non-attendance due to lockdown-related restrictions. RESULTS: Of the 1109 patients, 241 (21.7%) were considered as highly urgent, 269 (24.3%) as urgent, 402 (36.2%) as semiurgent and 197 (17.8%) as non-urgent. Recapture time was 15 days for highly urgent patients, 22 days for urgent patients, 43 days for semiurgent patients and 46 days for non-urgent patients. The proportion of patients who refused treatment due to personal reasons was 5.2%, with a mean age of 82.4 years; 29 patients (2.6%) could not attend due to lockdown-related restrictions. CONCLUSION: By streamlining treatment based on urgency as well as increasing the number of bilateral IVI, recapture time was fast. We could provide a safe treatment environment for healthcare professionals and patients after resetting the injection service outside of the hospital with increased levels of protection.
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