Impact of the COVID-19 pandemic on ophthalmic surgery at a tertiary hospital in South Africa

Ismail Makda, A. Makgotloe, N. Ally
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Abstract

Background: The coronavirus disease 2019 (COVID-19) pandemic impacted the provision of ophthalmic care.Aim: This study aimed to quantify the pandemic on the number of ophthalmic surgeries.Setting: The study was conducted at a South African tertiary academic hospital.Methods: A retrospective comparative analysis of eye surgeries 1 year pre- and post- onset of the COVID-19 lockdown (27 March 2019 to 26 March 2021) was conducted. Theatre surgical records were analysed 1-year pre- and post-lockdown. All surgical procedures were recorded and subcategorised into cataract, cornea, glaucoma, oncologic, orbital, oculoplastic, strabismus, trauma, vitreoretinal, and other. Trauma surgeries in the post-pandemic year were sub-analysed based on the level alcohol restriction level.Results: Total surgeries decreased from 3521 to 1551 (P  0.001). Using multivariate analysis, the incidence rate ratio (IRR) for all surgeries during the pandemic was 0.47 (P  0.001) with a significantly reduced IRR during the first wave of 0.427 (P = 0.003) and a non-significant change during wave two; IRR 1.25 (P = 0.36). All surgical subgroups decreased significantly except oncology, insignificant decrease from 211 to 180 (P = 0.12). Trauma significantly decreased during periods of total alcohol bans; IRR of 0.50 (P  0.001). An insignificant decrease was found during periods of partial ban with an IRR of 0.83 (P = 0.06) compared with periods without alcohol restrictions.Conclusion: Post lockdown, the total number of surgeries decreased in all subgroups except oncology. Alcohol bans significantly decreased trauma surgeries.Contribution: This article provides valuable insight, which may inform public health policy.
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COVID-19 大流行对南非一家三级医院眼科手术的影响
背景:2019年冠状病毒病(COVID-19)大流行影响了眼科医疗服务的提供。目的:本研究旨在量化大流行对眼科手术数量的影响:研究在南非一家三级学术医院进行:对 COVID-19 封锁(2019 年 3 月 27 日至 2021 年 3 月 26 日)前后 1 年的眼科手术进行了回顾性比较分析。对封锁前后 1 年的手术室手术记录进行了分析。所有手术均有记录,并细分为白内障、角膜、青光眼、肿瘤、眼眶、眼部整形、斜视、外伤、玻璃体视网膜和其他手术。根据酒精限制水平对大流行后一年的外伤手术进行了细分分析:手术总数从 3521 例降至 1551 例(P 0.001)。通过多变量分析,大流行期间所有手术的发病率比(IRR)为 0.47 (P 0.001),第一波的发病率比显著降低,为 0.427 (P = 0.003),第二波的变化不显著;发病率比为 1.25 (P = 0.36)。除肿瘤科外,所有外科分组均有显著下降,从 211 例下降到 180 例(P = 0.12),降幅不明显。在全面禁酒期间,外伤病例明显减少;IRR 为 0.50(P 0.001)。在部分禁酒期间,与不限制饮酒期间相比,创伤的减少并不明显,IRR 为 0.83 (P = 0.06):结论:封锁后,除肿瘤科外,所有分组的手术总数都有所下降。禁酒令明显减少了外伤手术:本文提供了有价值的见解,可为公共卫生政策提供参考。
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来源期刊
African Vision and Eye Health
African Vision and Eye Health Health Professions-Optometry
CiteScore
1.00
自引率
0.00%
发文量
46
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