Amaurosis fugax – delay between symptoms and surgery by specialty

Pia Kvickström,1 Bertil Lindblom,2,3 Göran Bergström,4,5 Madeleine Zetterberg2,3 1Department of Ophthalmology, Skaraborg Hospital, Skövde, 2Department of Clinical Neuroscience/Ophthalmology, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at Uni...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kvickström P, Lindblom B, Bergström G, Zetterberg M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Amaurosis fugax Carotid endarterectomy Carotid stenosis Carotid ultrasound Transient ischemic attack Transient monocular visual loss Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c24a70901c834172b6cb96a3b1f7172c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c24a70901c834172b6cb96a3b1f7172c
record_format	dspace
spelling	oai:doaj.org-article:c24a70901c834172b6cb96a3b1f7172c2021-12-02T09:07:05ZAmaurosis fugax – delay between symptoms and surgery by specialty1177-5483https://doaj.org/article/c24a70901c834172b6cb96a3b1f7172c2016-11-01T00:00:00Zhttps://www.dovepress.com/amaurosis-fugax-ndash-delay-between-symptoms-and-surgery-by-specialty-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Pia Kvickström,1 Bertil Lindblom,2,3 Göran Bergström,4,5 Madeleine Zetterberg2,3 1Department of Ophthalmology, Skaraborg Hospital, Skövde, 2Department of Clinical Neuroscience/Ophthalmology, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, 3Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, 4Department of Molecular and Clinical Medicine, The Sahlgrenska Academy at University of Gothenburg, 5Department of Clinical Physiology, Sahlgrenska University Hospital, Gothenburg, Sweden Purpose: To describe the time course of management of patients with amaurosis fugax and analyze differences in management by different specialties.Methods: Patients diagnosed with amaurosis fugax and subjected to carotid ultrasound in 2004–2010 at the Sahlgrenska University Hospital, Gothenburg, Sweden (n=302) were included in this retrospective cohort study, and data were collected from medical records.Results: The prevalence of significant carotid stenosis was 18.9%, and 14.2% were subjected to carotid endarterectomy. A trend of longer delay for surgery was noted for patients first consulting a general practitioner (P=0.069) as compared to hospital-based specialties. For 46.3% of the patients, an ophthalmologist was their first medical contact. No significant difference in time interval to endarterectomy was seen between ophthalmologists and neurologists/internists. Only 31.8% of the patients with significant carotid stenosis had carotid endarterectomy within 2 weeks from the debut of symptoms, and this proportion was smaller for patients residing outside the Gothenburg city area (P=0.038).Conclusion: Initially consulting an ophthalmologist does not delay the time to ultrasound or carotid endarterectomy. The overall time from symptoms to surgery is longer than recommended for a majority of the patients, especially for patients from rural areas and for patients initially consulting a general practitioner. Keywords: amaurosis fugax, carotid endarterectomy, carotid stenosis, carotid ultrasound, transient ischemic attack, transient monocular visual loss Kvickström PLindblom BBergström GZetterberg MDove Medical PressarticleAmaurosis fugaxCarotid endarterectomyCarotid stenosisCarotid ultrasoundTransient ischemic attackTransient monocular visual lossOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 2291-2296 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Amaurosis fugax Carotid endarterectomy Carotid stenosis Carotid ultrasound Transient ischemic attack Transient monocular visual loss Ophthalmology RE1-994
spellingShingle	Amaurosis fugax Carotid endarterectomy Carotid stenosis Carotid ultrasound Transient ischemic attack Transient monocular visual loss Ophthalmology RE1-994 Kvickström P Lindblom B Bergström G Zetterberg M Amaurosis fugax – delay between symptoms and surgery by specialty
description	Pia Kvickström,1 Bertil Lindblom,2,3 Göran Bergström,4,5 Madeleine Zetterberg2,3 1Department of Ophthalmology, Skaraborg Hospital, Skövde, 2Department of Clinical Neuroscience/Ophthalmology, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, 3Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, 4Department of Molecular and Clinical Medicine, The Sahlgrenska Academy at University of Gothenburg, 5Department of Clinical Physiology, Sahlgrenska University Hospital, Gothenburg, Sweden Purpose: To describe the time course of management of patients with amaurosis fugax and analyze differences in management by different specialties.Methods: Patients diagnosed with amaurosis fugax and subjected to carotid ultrasound in 2004–2010 at the Sahlgrenska University Hospital, Gothenburg, Sweden (n=302) were included in this retrospective cohort study, and data were collected from medical records.Results: The prevalence of significant carotid stenosis was 18.9%, and 14.2% were subjected to carotid endarterectomy. A trend of longer delay for surgery was noted for patients first consulting a general practitioner (P=0.069) as compared to hospital-based specialties. For 46.3% of the patients, an ophthalmologist was their first medical contact. No significant difference in time interval to endarterectomy was seen between ophthalmologists and neurologists/internists. Only 31.8% of the patients with significant carotid stenosis had carotid endarterectomy within 2 weeks from the debut of symptoms, and this proportion was smaller for patients residing outside the Gothenburg city area (P=0.038).Conclusion: Initially consulting an ophthalmologist does not delay the time to ultrasound or carotid endarterectomy. The overall time from symptoms to surgery is longer than recommended for a majority of the patients, especially for patients from rural areas and for patients initially consulting a general practitioner. Keywords: amaurosis fugax, carotid endarterectomy, carotid stenosis, carotid ultrasound, transient ischemic attack, transient monocular visual loss
format	article
author	Kvickström P Lindblom B Bergström G Zetterberg M
author_facet	Kvickström P Lindblom B Bergström G Zetterberg M
author_sort	Kvickström P
title	Amaurosis fugax – delay between symptoms and surgery by specialty
title_short	Amaurosis fugax – delay between symptoms and surgery by specialty
title_full	Amaurosis fugax – delay between symptoms and surgery by specialty
title_fullStr	Amaurosis fugax – delay between symptoms and surgery by specialty
title_full_unstemmed	Amaurosis fugax – delay between symptoms and surgery by specialty
title_sort	amaurosis fugax – delay between symptoms and surgery by specialty
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/c24a70901c834172b6cb96a3b1f7172c
work_keys_str_mv	AT kvickstromp amaurosisfugaxndashdelaybetweensymptomsandsurgerybyspecialty AT lindblomb amaurosisfugaxndashdelaybetweensymptomsandsurgerybyspecialty AT bergstromg amaurosisfugaxndashdelaybetweensymptomsandsurgerybyspecialty AT zetterbergm amaurosisfugaxndashdelaybetweensymptomsandsurgerybyspecialty
_version_	1718398269549182976

Amaurosis fugax &ndash; delay between symptoms and surgery by specialty

Ejemplares similares

Amaurosis fugax – delay between symptoms and surgery by specialty