Dalia Abdulhussein, Lee Jones, Sri Harsha Dintakurti, Mariya Moosajee
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CBS can negatively impact psychological well-being, and the COVID-19 pandemic period was associated with an exacerbation of symptoms.</p><p><strong>Objectives: </strong>To compare clinical practice patterns and reporting of CBS at a tertiary eye care center between an interval prior to the COVID-19 pandemic and an interval during the pandemic.</p><p><strong>Design: </strong>Retrospective chart review.</p><p><strong>Methods: </strong>A search of electronic medical records for all suspected CBS cases was conducted between 1 March 2019 and 29 February 2020 (prior pandemic interval) and between 1 September 2020 and 29 August 2021 (peri-pandemic interval). Data retrieved from records included patient demographics, visual acuity at the time of CBS onset, type of hallucinations, reporting healthcare professional, management strategies and patient-reported impact of hallucinations.</p><p><strong>Results: </strong>In total, 223 appointments referred to CBS in 156 patients at the prior interval, while 239 appointments referred to CBS in 155 patients at the peri-pandemic interval, representing 0.07% and 0.09% of all hospital attendance, respectively. Clinical subspecialty where CBS was most commonly reported was medical retina, and a greater proportion of patients at both time intervals were female. Types of hallucinations, management strategies and patient-reported impact were seldom reported, although documentation improved at the latter interval.</p><p><strong>Conclusion: </strong>Practice patterns and patient characteristics were similar between the two intervals; however, subtle differences suggest a growing awareness of CBS. Targeted interventions in high-burden clinical subspecialties may encourage reporting and improve documentation of CBS.</p>","PeriodicalId":23054,"journal":{"name":"Therapeutic Advances in Ophthalmology","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10976482/pdf/","citationCount":"0","resultStr":"{\"title\":\"Practice patterns in reporting and documentation of Charles Bonnet syndrome: a retrospective review following COVID-19.\",\"authors\":\"Dalia Abdulhussein, Lee Jones, Sri Harsha Dintakurti, Mariya Moosajee\",\"doi\":\"10.1177/25158414241232285\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Charles Bonnet syndrome (CBS) is characterized by visual hallucinations occurring in people with visual impairment. CBS can negatively impact psychological well-being, and the COVID-19 pandemic period was associated with an exacerbation of symptoms.</p><p><strong>Objectives: </strong>To compare clinical practice patterns and reporting of CBS at a tertiary eye care center between an interval prior to the COVID-19 pandemic and an interval during the pandemic.</p><p><strong>Design: </strong>Retrospective chart review.</p><p><strong>Methods: </strong>A search of electronic medical records for all suspected CBS cases was conducted between 1 March 2019 and 29 February 2020 (prior pandemic interval) and between 1 September 2020 and 29 August 2021 (peri-pandemic interval). Data retrieved from records included patient demographics, visual acuity at the time of CBS onset, type of hallucinations, reporting healthcare professional, management strategies and patient-reported impact of hallucinations.</p><p><strong>Results: </strong>In total, 223 appointments referred to CBS in 156 patients at the prior interval, while 239 appointments referred to CBS in 155 patients at the peri-pandemic interval, representing 0.07% and 0.09% of all hospital attendance, respectively. Clinical subspecialty where CBS was most commonly reported was medical retina, and a greater proportion of patients at both time intervals were female. Types of hallucinations, management strategies and patient-reported impact were seldom reported, although documentation improved at the latter interval.</p><p><strong>Conclusion: </strong>Practice patterns and patient characteristics were similar between the two intervals; however, subtle differences suggest a growing awareness of CBS. 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引用次数: 0
摘要
背景:查尔斯-波奈综合征(CBS)的特征是视力受损者出现视幻觉。CBS 可对心理健康产生负面影响,COVID-19 大流行期间症状加剧:目的:比较一家三级眼科医疗中心在 COVID-19 大流行前和大流行期间的临床实践模式和 CBS 报告情况:设计:回顾性病历审查:方法:对2019年3月1日至2020年2月29日(大流行前)和2020年9月1日至2021年8月29日(大流行期间)期间所有疑似CBS病例的电子病历进行检索。从记录中检索到的数据包括患者人口统计学特征、CBS发病时的视力、幻觉类型、报告的医护人员、管理策略以及患者报告的幻觉影响:在之前的间歇期,共有156名患者的223次就诊涉及CBS,而在围大流行期间,共有155名患者的239次就诊涉及CBS,分别占所有就诊人数的0.07%和0.09%。最常报告 CBS 的临床亚专科是内科视网膜,两个时间段中女性患者的比例都较高。幻觉的类型、处理策略和患者报告的影响很少被报告,尽管在后一个时间段记录的情况有所改善:结论:两个时间段的实践模式和患者特征相似;但细微的差异表明,人们对 CBS 的认识在不断提高。在高负担临床亚专科采取有针对性的干预措施可鼓励报告并改善 CBS 的记录。
Practice patterns in reporting and documentation of Charles Bonnet syndrome: a retrospective review following COVID-19.
Background: Charles Bonnet syndrome (CBS) is characterized by visual hallucinations occurring in people with visual impairment. CBS can negatively impact psychological well-being, and the COVID-19 pandemic period was associated with an exacerbation of symptoms.
Objectives: To compare clinical practice patterns and reporting of CBS at a tertiary eye care center between an interval prior to the COVID-19 pandemic and an interval during the pandemic.
Design: Retrospective chart review.
Methods: A search of electronic medical records for all suspected CBS cases was conducted between 1 March 2019 and 29 February 2020 (prior pandemic interval) and between 1 September 2020 and 29 August 2021 (peri-pandemic interval). Data retrieved from records included patient demographics, visual acuity at the time of CBS onset, type of hallucinations, reporting healthcare professional, management strategies and patient-reported impact of hallucinations.
Results: In total, 223 appointments referred to CBS in 156 patients at the prior interval, while 239 appointments referred to CBS in 155 patients at the peri-pandemic interval, representing 0.07% and 0.09% of all hospital attendance, respectively. Clinical subspecialty where CBS was most commonly reported was medical retina, and a greater proportion of patients at both time intervals were female. Types of hallucinations, management strategies and patient-reported impact were seldom reported, although documentation improved at the latter interval.
Conclusion: Practice patterns and patient characteristics were similar between the two intervals; however, subtle differences suggest a growing awareness of CBS. Targeted interventions in high-burden clinical subspecialties may encourage reporting and improve documentation of CBS.