Endophthalmitis Rates among Medicare Beneficiaries Undergoing Cataract Surgery between 2011 and 2019
| Autor: | Fasika A. Woreta, Divya Srikumaran, Peiqi Wang, Sidra Zafar, Oliver D. Schein, Martin A. Makary, Chen Dun |
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| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
genetic structures business.industry medicine.medical_treatment Patient risk Incidence (epidemiology) Medicare beneficiary Cataract surgery medicine.disease Logistic regression eye diseases Surgery Ophthalmology Endophthalmitis Patient age medicine sense organs Diagnosis code business |
| Zdroj: | Ophthalmology. 129:250-257 |
| ISSN: | 0161-6420 |
| DOI: | 10.1016/j.ophtha.2021.09.004 |
| Popis: | Purpose To determine national incidence and risk factors associated with developing endophthalmitis after cataract surgery in the United States. Design Retrospective, cross-sectional analysis. Participants Medicare beneficiaries aged ≥65 years undergoing cataract surgery between 2011 and 2019. Methods Medicare claims were used to identify all patients who underwent ≥1 cataract surgery between 2011 and 2019. Endophthalmitis cases within 90 days of the cataract surgery were identified using diagnostic codes. Patients with a history of endophthalmitis 12 months before their cataract surgery procedure were excluded. Annual and aggregate 9-year incidences were determined for all cataract surgeries and for stand-alone cataract procedures. A stepwise multivariable logistic regression model using generalized estimating equations was used to evaluate factors associated with occurrence of postoperative endophthalmitis. Main Outcome Measures The 90-day postoperative endophthalmitis rate and patient risk factors associated with onset of endophthalmitis after cataract surgery. Results A total of 14 396 438 cataract surgeries were performed among Medicare beneficiaries between 2011 and 2019. The overall 90-day postoperative endophthalmitis rate was 1.36 per 1000 cataract surgeries for all cataract procedures and 1.30 per 1000 cataract surgeries for stand-alone cataract procedures. A decreasing trend was noted for postoperative endophthalmitis rates during the 9-year study period. On multivariable analysis, the risk of endophthalmitis after cataract surgery was increased for cases performed among those aged ≥75 years versus those aged Conclusions The overall 90-day postoperative endophthalmitis rate after cataract surgery was 1.36 per 1000 cataract surgeries between 2011 and 2019. Patient age, gender, race, and CCI were associated with risk of endophthalmitis. |
| Databáze: | OpenAIRE |
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