Delay in presentation to hospital for childhood cataract surgery in India
| Autor: | Ramesh Kekunnaya, Sethu Sheeladevi, Rahul Ali, John G Lawrenson, Catherine M. Suttle, Alistair R. Fielder, Rishi R Borah |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Visual acuity Adolescent RJ101 medicine.medical_treatment Visual Acuity India Cataract Extraction Logistic regression Article Cataract Time-to-Treatment 03 medical and health sciences 0302 clinical medicine Lens Implantation Intraocular Lens Crystalline Medicine Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Child Retrospective Studies Analysis of Variance business.industry Medical record Infant Retrospective cohort study Cataract surgery Childhood cataract Surgery Ophthalmology Logistic Models Socioeconomic Factors Child Preschool 030221 ophthalmology & optometry RE Female Rural area medicine.symptom business |
| Zdroj: | Eye |
| ISSN: | 1476-5454 0950-222X |
| Popis: | Purpose\ud Cataract is one of the major causes of avoidable visual disability in children and the aim of this study was to investigate the age at which children with cataract present for surgery at tertiary hospitals across India.\ud \ud Methods:\ud A prospective multicenter study collected data from 9 eye hospitals in 8 states in India. All children admitted for cataract surgery between Nov 2015 and March 2016 were considered eligible. Parents were interviewed at the hospital by trained personnel and socio demographic information, age at diagnosis and at surgery and the relevant clinical data were obtained from the medical records. Mean age, age range at surgery were used and performed logistic regression analyses. \ud \ud Results \ud Parents of 751 consecutive cases were interviewed, of which 469(63%) were boys and 548(73%) were from rural areas. Cataract was bilateral in 493 (66%) and unilateral in 258 (34%); of the unilateral cases, 179 (69%) were due to trauma. The mean age at surgery for ‘congenital’ and ‘developmental’ cataract was 48.2±50.9 and 99.7±46.42 months respectively and the mean age was lower in the southern region compared to other regions. Children with 2 or more siblings at home were five times more likely to undergo surgery within 12 months (OR, 4.69; 95% CI: 2.04 – 10.79; p = |
| Databáze: | OpenAIRE |
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