The Impact of Covid-19 in the Follow-Up of Glaucoma Patients in a Tertiary Center: A Comparison Between Pre-Pandemic and Pandemic Periods

Gabriel Ayub, José Paulo Cabral de Vasconcelos, Vital Paulino Costa Department of Ophthalmology, University of Campinas, Campinas, São Paulo, BrazilCorrespondence: Gabriel AyubDepartment of Ophthalmology, University of Campinas, 251 Vital Brazil St., Campinas, SP, 13083-888, Brazil, Tel/Fax +55 (19)...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ayub G, Vasconcelos JPC, Costa VP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	glaucoma covid-19 sars-cov-2 pandemic. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c863cc21342246eea1ff4b9ce7ca07d6
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c863cc21342246eea1ff4b9ce7ca07d6
record_format	dspace
spelling	oai:doaj.org-article:c863cc21342246eea1ff4b9ce7ca07d62021-12-02T17:25:13ZThe Impact of Covid-19 in the Follow-Up of Glaucoma Patients in a Tertiary Center: A Comparison Between Pre-Pandemic and Pandemic Periods1177-5483https://doaj.org/article/c863cc21342246eea1ff4b9ce7ca07d62021-11-01T00:00:00Zhttps://www.dovepress.com/the-impact-of-covid-19-in-the-follow-up-of-glaucoma-patients-in-a-tert-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Gabriel Ayub, José Paulo Cabral de Vasconcelos, Vital Paulino Costa Department of Ophthalmology, University of Campinas, Campinas, São Paulo, BrazilCorrespondence: Gabriel AyubDepartment of Ophthalmology, University of Campinas, 251 Vital Brazil St., Campinas, SP, 13083-888, Brazil, Tel/Fax +55 (19) 3521-7337Email gabriel.ayub@gmail.comPurpose: To evaluate the impact of Covid-19 on the treatment and follow-up of glaucoma patients in a tertiary center.Materials and Methods: We compared the total number of outpatient clinical visits, visual field exams, surgical procedures and medications released in the pre-pandemic period (March 2019–February 2020) and pandemic period (March 2020–February 2021). We also performed a paired analysis, which included patients who were examined in both periods, comparing the number of visits and medications.Results: The total number of outpatients clinical visits, visual field exams, surgical procedures and medications released decreased 92.52% (7117 vs 532), 93.84% (1525 vs 94), 72.74% (682 vs 145) and 19.63% (23,259 vs 18,692), respectively, when the pre-pandemic and pandemic periods were compared. The mean number of annual clinical visits per patient (1.8 ± 0.79 vs 1.04 ± 0.18, p< 0.0001) and surgical procedures per patient (1.46 ± 0.92 vs 1.13 ± 0.41, p< 0.0001) decreased significantly, whereas the mean number of medications released per patient did not change significantly (28.62 ± 19.11 vs 30.34 ± 20.15, p=0.97). In the paired analysis, the mean number of visits (n=423 patients) decreased from 1.86 ± 0.76 to 1.04 ± 0.19 (p< 0.0001) and the mean number of medications (n=561 patients) decreased from 33.44 ± 18.61 to 31.97 ± 19.86 in the pre-pandemic and pandemic periods, respectively (p=0.393).Conclusion: The Covid-19 pandemic dramatically decreased the number of outpatient visits and surgical procedures, impacting the follow-up of glaucoma patients in our service. We encourage other health care units to verify the impact of the pandemic in their own population to better prepare for a possible overload of uncontrolled glaucoma patients in the future.Keywords: glaucoma, Covid-19, SARS-CoV-2, pandemicAyub GVasconcelos JPCCosta VPDove Medical Pressarticleglaucomacovid-19sars-cov-2pandemic.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 4381-4387 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	glaucoma covid-19 sars-cov-2 pandemic. Ophthalmology RE1-994
spellingShingle	glaucoma covid-19 sars-cov-2 pandemic. Ophthalmology RE1-994 Ayub G Vasconcelos JPC Costa VP The Impact of Covid-19 in the Follow-Up of Glaucoma Patients in a Tertiary Center: A Comparison Between Pre-Pandemic and Pandemic Periods
description	Gabriel Ayub, José Paulo Cabral de Vasconcelos, Vital Paulino Costa Department of Ophthalmology, University of Campinas, Campinas, São Paulo, BrazilCorrespondence: Gabriel AyubDepartment of Ophthalmology, University of Campinas, 251 Vital Brazil St., Campinas, SP, 13083-888, Brazil, Tel/Fax +55 (19) 3521-7337Email gabriel.ayub@gmail.comPurpose: To evaluate the impact of Covid-19 on the treatment and follow-up of glaucoma patients in a tertiary center.Materials and Methods: We compared the total number of outpatient clinical visits, visual field exams, surgical procedures and medications released in the pre-pandemic period (March 2019–February 2020) and pandemic period (March 2020–February 2021). We also performed a paired analysis, which included patients who were examined in both periods, comparing the number of visits and medications.Results: The total number of outpatients clinical visits, visual field exams, surgical procedures and medications released decreased 92.52% (7117 vs 532), 93.84% (1525 vs 94), 72.74% (682 vs 145) and 19.63% (23,259 vs 18,692), respectively, when the pre-pandemic and pandemic periods were compared. The mean number of annual clinical visits per patient (1.8 ± 0.79 vs 1.04 ± 0.18, p< 0.0001) and surgical procedures per patient (1.46 ± 0.92 vs 1.13 ± 0.41, p< 0.0001) decreased significantly, whereas the mean number of medications released per patient did not change significantly (28.62 ± 19.11 vs 30.34 ± 20.15, p=0.97). In the paired analysis, the mean number of visits (n=423 patients) decreased from 1.86 ± 0.76 to 1.04 ± 0.19 (p< 0.0001) and the mean number of medications (n=561 patients) decreased from 33.44 ± 18.61 to 31.97 ± 19.86 in the pre-pandemic and pandemic periods, respectively (p=0.393).Conclusion: The Covid-19 pandemic dramatically decreased the number of outpatient visits and surgical procedures, impacting the follow-up of glaucoma patients in our service. We encourage other health care units to verify the impact of the pandemic in their own population to better prepare for a possible overload of uncontrolled glaucoma patients in the future.Keywords: glaucoma, Covid-19, SARS-CoV-2, pandemic
format	article
author	Ayub G Vasconcelos JPC Costa VP
author_facet	Ayub G Vasconcelos JPC Costa VP
author_sort	Ayub G
title	The Impact of Covid-19 in the Follow-Up of Glaucoma Patients in a Tertiary Center: A Comparison Between Pre-Pandemic and Pandemic Periods
title_short	The Impact of Covid-19 in the Follow-Up of Glaucoma Patients in a Tertiary Center: A Comparison Between Pre-Pandemic and Pandemic Periods
title_full	The Impact of Covid-19 in the Follow-Up of Glaucoma Patients in a Tertiary Center: A Comparison Between Pre-Pandemic and Pandemic Periods
title_fullStr	The Impact of Covid-19 in the Follow-Up of Glaucoma Patients in a Tertiary Center: A Comparison Between Pre-Pandemic and Pandemic Periods
title_full_unstemmed	The Impact of Covid-19 in the Follow-Up of Glaucoma Patients in a Tertiary Center: A Comparison Between Pre-Pandemic and Pandemic Periods
title_sort	impact of covid-19 in the follow-up of glaucoma patients in a tertiary center: a comparison between pre-pandemic and pandemic periods
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/c863cc21342246eea1ff4b9ce7ca07d6
work_keys_str_mv	AT ayubg theimpactofcovid19inthefollowupofglaucomapatientsinatertiarycenteracomparisonbetweenprepandemicandpandemicperiods AT vasconcelosjpc theimpactofcovid19inthefollowupofglaucomapatientsinatertiarycenteracomparisonbetweenprepandemicandpandemicperiods AT costavp theimpactofcovid19inthefollowupofglaucomapatientsinatertiarycenteracomparisonbetweenprepandemicandpandemicperiods AT ayubg impactofcovid19inthefollowupofglaucomapatientsinatertiarycenteracomparisonbetweenprepandemicandpandemicperiods AT vasconcelosjpc impactofcovid19inthefollowupofglaucomapatientsinatertiarycenteracomparisonbetweenprepandemicandpandemicperiods AT costavp impactofcovid19inthefollowupofglaucomapatientsinatertiarycenteracomparisonbetweenprepandemicandpandemicperiods
_version_	1718380935257260032

The Impact of Covid-19 in the Follow-Up of Glaucoma Patients in a Tertiary Center: A Comparison Between Pre-Pandemic and Pandemic Periods

Ejemplares similares