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Effect of COVID-19-related lockdown on ophthalmic practice in Italy: A report from 39 institutional centers.
dell'Omo, Roberto; Filippelli, Mariaelena; Virgili, Gianni; Bandello, Francesco; Querques, Giuseppe; Lanzetta, Paolo; Avitabile, Teresio; Viola, Francesco; Reibaldi, Michele; Semeraro, Francesco; Quaranta, Luciano; Rizzo, Stanislao; Midena, Edoardo; Campagna, Giuseppe; Costagliola, Ciro.
  • dell'Omo R; Department of Medicine and Health Sciences "Vincenzo Tiberio," University of Molise, Campobasso, Italy.
  • Filippelli M; Department of Medicine and Health Sciences "Vincenzo Tiberio," University of Molise, Campobasso, Italy.
  • Virgili G; Department of Ophthalmology, University of Florence, Florence, Italy.
  • Bandello F; Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy.
  • Querques G; Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy.
  • Lanzetta P; Department of Medicine - Ophthalmology, University of Udine, Udine, Italy.
  • Avitabile T; Department of Ophthalmology, University Hospital "Policlinico-Vittorio Emanuele," Catania, Italy.
  • Viola F; IRCCS Ca' Granda Ospedale Maggiore Policlinico Foundation, University of Milan, Milan, Italy.
  • Reibaldi M; Eye Clinic, University of Turin, Turin, Italy.
  • Semeraro F; Eye Clinic, Department of Neurological and Vision Sciences, University of Brescia, Brescia, Italy.
  • Quaranta L; Department of Surgical, Clinical, Diagnostic and Pediatric Sciences, Section of Ophthalmology, University of Pavia, Pavia, Italy.
  • Rizzo S; Department of Ophthalmology, Catholic University of Sacred Hearth-Foundation "Policlinico Universitario A. Gemelli"-IRCCS, Rome, Italy.
  • Midena E; Department of Ophthalmology, University of Padua, Padua, Italy.
  • Campagna G; Department of Clinical and Molecular Medicine, "Sapienza" University, Rome, Italy.
  • Costagliola C; Department of Medicine and Health Sciences "Vincenzo Tiberio," University of Molise, Campobasso, Italy.
Eur J Ophthalmol ; 32(1): 695-703, 2022 Jan.
Article in English | MEDLINE | ID: covidwho-1136200
Semantic information from SemMedBD (by NLM)
1. Hospitals LOCATION_OF Analysis
Subject
Hospitals
Predicate
LOCATION_OF
Object
Analysis
2. Hospitals LOCATION_OF Analysis
Subject
Hospitals
Predicate
LOCATION_OF
Object
Analysis
ABSTRACT
BACKGROUND/

OBJECTIVES:

To compare the number of eye surgical procedures performed in Italy in the 2 months following the beginning of lockdown (study period) because of COVID-19 epidemic with those performed in the two earlier months of the same year (intra-year control) and in the period of 2019 corresponding to the lockdown (inter-year control).

METHODS:

Retrospective analysis of surgical procedures carried out at 39 Academic hospitals. A distinction was made between elective and urgent procedures. Intravitreal injections were also considered. Percentages for all surgical procedures and incidence rate ratios (IRR) for rhegmatogenous retinal detachment (RRD) events were calculated. A p value <0.05 was considered significant.

RESULTS:

A total of 20,886 versus 55,259 and 56,640 patients underwent surgery during the lockdown versus intra-and inter-year control periods, respectively. During the lockdown, only 70% of patients for whom an operation/intravitreal injection was recommended, finally underwent surgery; the remaining patients did not attend because afraid of getting infected at the hospital (23%), taking public transportation (6.5%), or unavailable swabs (0.5%). Elective surgeries were reduced by 96.2% and 96.4%, urgent surgeries by 49.7% and 50.2%, and intravitreal injections by 48.5% and 48.6% in the lockdown period in comparison to intra-year and inter-year control periods, respectively. IRRs for RRDs during lockdown dropped significantly in comparison with intra- and inter-year control periods (CI 0.65-0.80 and 0.61-0.75, respectively, p < 0.001 for both).

CONCLUSION:

This study provides a quantitative analysis of the reduction of eye surgical procedures performed in Italy because of the COVID-19 epidemic.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Retinal Detachment / COVID-19 Type of study: Observational study / Risk factors Limits: Humans Language: English Journal: Eur J Ophthalmol Journal subject: Ophthalmology Year: 2022 Document Type: Article Affiliation country: 11206721211002442

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Retinal Detachment / COVID-19 Type of study: Observational study / Risk factors Limits: Humans Language: English Journal: Eur J Ophthalmol Journal subject: Ophthalmology Year: 2022 Document Type: Article Affiliation country: 11206721211002442