Outsourced cataract surgery and postoperative endophthalmitis

被引:21
作者
Bjerrum, Soren Solborg [1 ]
Kiilgaard, Jens F. [1 ]
Mikkelsen, Kim L. [2 ]
la Cour, Morten [1 ]
机构
[1] Glostrup Univ Hosp, Dept Ophthalmol, Copenhagen, Denmark
[2] Patient Insurance Assoc, Copenhagen, Denmark
关键词
endophthalmitis; outsource; phacoemulsification; private; public; RISK; EXTRACTION; EFFICACY; OUTCOMES; 6-YEAR;
D O I
10.1111/aos.12279
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To compare the risk of postoperative endophthalmitis (PE) after cataract surgery at eye departments in public hospitals and private hospitals/eye clinics and to evaluate if the Danish National Patient Registry (NPR) is a reliable database to monitor the PE risk. Methods: Postoperative endophthalmitis cases were retrospectively identified via the NPR and chart review in order to confirm PE cases that had cataract surgery in the calendar period 2002-2010. Results: We identified 39 cases of PE after 107 701 registered public cataract operations; PE risk = 0.036 per 1000 operations and 27 cases of PE after 36 760 registered private operations; PE risk = 0.073 per 1000 operations. There was homogeneity in the PE risk among the eye departments in public hospitals (p = 0.6), but heterogeneity in the PE risk among the private hospitals/eye clinics (p = 0.0001). Six private hospitals/eye clinics had a statistically significantly higher PE risk compared with the eye departments in public hospitals. In all, 98% of public cataract surgery was registered in the NPR compared with 38% of private cataract surgery. The private hospitals/eye clinics with the highest PE risk after registered cataract surgery had many cases of PE where the causative cataract operation was not registered with the NPR. Conclusion: A few private hospitals/eye clinics had a statistically significantly higher PE risk than the PE risk at the eye departments in public hospitals. The lack of registration with the NPR by the private hospitals/eye clinics suggests that better monitoring of cataract surgery is needed in Denmark to reduce risk and to improve quality.
引用
收藏
页码:701 / 708
页数:8
相关论文
共 15 条
[1]  
[Anonymous], 2007, MINISTRIAL ORDER 107
[3]   A multicentre prospective study of post-traumatic endophthalmitis [J].
Cornut, Pierre-Loic ;
Youssef, El Bichara ;
Bron, Alain ;
Thuret, Gilles ;
Gain, Philippe ;
Burillon, Carole ;
Romanet, Jean-Paul ;
Vandenesch, Francois ;
Maurin, Max ;
Creuzot-Garcher, Catherine ;
Chiquet, Christophe .
ACTA OPHTHALMOLOGICA, 2013, 91 (05) :475-482
[4]   Six-year incidence of endophthalmitis after cataract surgery: Swedish national study [J].
Friling, Emma ;
Lundstrom, Mats ;
Stenevi, Ulf ;
Montan, Per .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2013, 39 (01) :15-21
[5]   Prophylactic intracameral cefazolin after cataract surgery Endophthalmitis risk reduction and safety results in a 6-year study [J].
Garat, Magela ;
Moser, Carlos L. ;
Martin-Baranera, Montserrat ;
Alonso-Tarres, Carles ;
Alvarez-Rubio, Luis .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2009, 35 (04) :637-642
[6]   THE EFFICACY OF INFECTION SURVEILLANCE AND CONTROL PROGRAMS IN PREVENTING NOSOCOMIAL INFECTIONS IN UNITED-STATES HOSPITALS [J].
HALEY, RW ;
CULVER, DH ;
WHITE, JW ;
MORGAN, WM ;
EMORI, TG ;
MUNN, VP ;
HOOTON, TM .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1985, 121 (02) :182-205
[7]  
HOLLAND GN, 1992, OPHTHALMOLOGY, V99, P845
[8]  
Hooper Claire Y, 2012, Acta Ophthalmol, V90, pe572, DOI 10.1111/j.1755-3768.2011.02365.x
[9]  
JAVITT JC, 1994, OPHTHALMOLOGY, V101, P100
[10]   Endophthalmitis after cataract surgery -: A nationwide prospective study evaluating incidence in relation to incision type and location [J].
Lundstom, Mats ;
Wejde, Gisela ;
Stenevi, Ulf ;
Thorburn, William ;
Montan, Per .
OPHTHALMOLOGY, 2007, 114 (05) :866-870