The effect of COVID-19 on referral patterns for clinical electrophysiological testing.

IF 2.6 4区医学 Q2 OPHTHALMOLOGY Documenta Ophthalmologica Pub Date : 2023-02-01 DOI:10.1007/s10633-022-09908-5

Michael E Grinton, Peng Yan, Tom Wright

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Abstract

Purpose: To provide an overview of the effect that the COVID-19 pandemic has had on visual electrophysiology referral patterns and the subsequent effect this may have on patients.

Methods: All electrodiagnostic tests performed at Kensington Vision and Research Centre, Toronto Canada, in a 3-month period prior to the COVID-19 pandemic (1 September 2019 to 30 November 2019) were compared to a 3-month period after the start of the COVID-19 pandemic (1 September 2021 to 30 November 2021).

Results: A total of 502 patients had electrodiagnostic testing carried out in the designated time periods: 292 in the time period prior to the COVID-19 pandemic and 210 patients after. There was a significant change in the reason for referral in patients pre-COVID compared to post-COVID (p = 0.004). There was a 43% reduction in referrals for drug monitoring, 25% reduction for hereditary pathology and a 27% increase in acquired pathology after the start of the COVID-19 pandemic compared to before.

Conclusions: There was a substantial decrease in the total number of patients referred after the start of the COVID-19 pandemic compared to pre-COVID with inherited retinal pathology and drug monitoring patients being 2 populations most affected by the disruption to healthcare services.

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新冠肺炎疫情对临床电生理检测转诊方式的影响

目的:概述COVID-19大流行对视觉电生理转诊模式的影响及其可能对患者产生的后续影响。方法:将2019冠状病毒病大流行前3个月(2019年9月1日至2019年11月30日)在加拿大多伦多肯辛顿视觉和研究中心进行的所有电诊断测试与2019冠状病毒病大流行开始后3个月(2021年9月1日至2021年11月30日)进行比较。结果:共有502例患者在指定时间段内进行了电诊断检测，其中疫情前292例，疫情后210例。与冠状病毒感染后患者相比，冠状病毒感染前患者转诊的原因有显著变化(p = 0.004)。与之前相比，COVID-19大流行开始后，药物监测转诊减少了43%，遗传病理减少了25%，获得性病理增加了27%。结论:与COVID-19大流行前相比，在COVID-19大流行开始后转诊的遗传性视网膜病变患者总数大幅减少，药物监测患者是受医疗服务中断影响最大的两个人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Documenta Ophthalmologica 医学-眼科学

CiteScore

3.50

自引率

21.40%

发文量

审稿时长

>12 weeks

期刊介绍： Documenta Ophthalmologica is an official publication of the International Society for Clinical Electrophysiology of Vision. The purpose of the journal is to promote the understanding and application of clinical electrophysiology of vision. Documenta Ophthalmologica will publish reviews, research articles, technical notes, brief reports and case studies which inform the readers about basic and clinical sciences related to visual electrodiagnosis and means to improve diagnosis and clinical management of patients using visual electrophysiology. Studies may involve animals or humans. In either case appropriate care must be taken to follow the Declaration of Helsinki for human subject or appropriate humane standards of animal care (e.g., the ARVO standards on Animal Care and Use).