Is combined cataract surgery associated with acute postoperative endophthalmitis? A nationwide study from 2005 to 2014
| Autor: | Vincent Daien, Jean-François Korobelnik, Eric Benzenine, Alain M. Bron, Catherine Quantin, Anne Sophie Mariet, Catherine Creuzot-Garcher |
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| Přispěvatelé: | Université Bourgogne Franche-Comté [COMUE] (UBFC), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Centre des Sciences du Goût et de l'Alimentation [Dijon] (CSGA), Institut National de la Recherche Agronomique (INRA)-Université de Bourgogne (UB)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Centre National de la Recherche Scientifique (CNRS), Service Biostatistiques et Informatique Médicale (CHU de Dijon) (DIM), Centre d'Investigation Clinique 1432 (Dijon) - Module Plurithématique : Périnatalité Cancérologie Handicap et Ophtalmologie (CIC-P803), Université de Bourgogne (UB)-Direction Générale de l'Organisation des Soins (DGOS)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre d'Investigation Clinique 1432 (Dijon) - Epidemiologie Clinique/Essais Cliniques (CIC-EC), Université de Bourgogne (UB)-Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon)-Institut National de la Santé et de la Recherche Médicale (INSERM), Biostatistique, Biomathématique, Pharmacoépidémiologie et Maladies Infectieuses (B2PHI), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut Pasteur [Paris] (IP)-Institut National de la Santé et de la Recherche Médicale (INSERM), Laboratoire de Biotechnologie et Microbiologie Appliquée (LBMA), Université Bordeaux Segalen - Bordeaux 2-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Neuropsychiatrie : recherche épidémiologique et clinique (PSNREC), Université Montpellier 1 (UM1)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), CHU Bordeaux [Bordeaux], Institut National de la Santé et de la Recherche Médicale (INSERM)-Direction Générale de l'Organisation des Soins (DGOS)-Université de Bourgogne (UB), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut Pasteur [Paris]-Institut National de la Santé et de la Recherche Médicale (INSERM), Université Montpellier 1 (UM1)-Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
genetic structures
Epidemiology medicine.medical_treatment MESH: Registries Glaucoma MESH: Postoperative Complications/epidemiology Rate ratio Eye Infections Bacterial Postoperative Complications 0302 clinical medicine MESH: Cataract Extraction/adverse effects Risk Factors MESH: Risk Factors Medicine Registries 030212 general & internal medicine MESH: Incidence MESH: Surgical Wound Infection/epidemiology Endophthalmitis MESH: France/epidemiology Incidence Incidence (epidemiology) Sensory Systems Acute Disease MESH: Acute Disease France Infection Cohort study medicine.medical_specialty Cataract Extraction 03 medical and health sciences Cellular and Molecular Neuroscience MESH: Phacoemulsification/adverse effects MESH: Endophthalmitis/epidemiology Humans Surgical Wound Infection Retrospective Studies Phacoemulsification MESH: Humans business.industry MESH: Eye Infections Bacterial/epidemiology MESH: Retrospective Studies Cataract surgery medicine.disease eye diseases Surgery Ophthalmology 030221 ophthalmology & optometry sense organs business Acute postoperative endophthalmitis [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| Zdroj: | British Journal of Ophthalmology British Journal of Ophthalmology, 2019, 103 (4), pp.534-538. ⟨10.1136/bjophthalmol-2018-312171⟩ British Journal of Ophthalmology, BMJ Publishing Group, 2019, 103 (4), pp.534-538. ⟨10.1136/bjophthalmol-2018-312171⟩ |
| ISSN: | 0007-1161 1468-2079 |
| DOI: | 10.1136/bjophthalmol-2018-312171⟩ |
| Popis: | PurposeTo assess the incidence of acute postoperative endophthalmitis (POE) after cataract surgery combined with corneal, glaucoma or vitreoretinal surgical procedures from 2005 to 2014 in France.MethodsIn this cohort study, acute POE occurring within 6 weeks after surgery was identified by means of billing codes recorded in a national database in patients operated for cataract extraction with phacoemulsification, or corneal, glaucoma or vitreoretinal surgical procedures, either combined or stand-alone.ResultsFrom January 2005 to December 2014, up to 6 260 477 eyes underwent phacoemulsification cataract surgery as a single procedure and 115 468 eyes underwent phacoemulsification combined with corneal, glaucoma or vitreoretinal surgical procedures. The crude incidence of acute POE after stand-alone or combined cataract surgery was 0.102% and 0.149%, respectively. In multivariate Poisson analysis, combined surgery taken as a whole was at higher risk than cataract stand-alone surgery, with an adjusted incidence rate ratio (IRR) (95% CI) of 1.38 (1.11 to 1.70; p=0.0054). Glaucoma surgeries were associated with a lower acute POE incidence compared with phacoemulsification, conversely to vitreoretinal surgical procedures: IRR 0.63 (0.47 to 0.85; pConclusionA higher incidence of acute POE after combined cataract surgery than after cataract surgery done as a stand-alone procedure was observed based on the French nationwide medical-administrative database. The incidence of acute POE after combined surgery was related to the type of surgery performed simultaneously with cataract extraction. |
| Databáze: | OpenAIRE |
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