Anesthesia techniques and the risk of complications as reflected in the European registry of quality outcomes for cataract and refractive surgery

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Anesthesia techniques and the risk of complications as reflected in the European registry of quality outcomes for cataract and refractive surgery

Segers, Maartje H. M. (författare): The University Eye Clinic, Maastricht University Medical Center+, Maastricht, the Netherlands

Rosen, Paul (författare): Department of Ophthalmology, Oxford Eye Hospital, Oxford, United Kingdom

van den Biggelaar, Frank J. H. M. (författare): The University Eye Clinic, Maastricht University Medical Center+, Maastricht, the Netherlands

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Brocato, Lucia (författare): European Society of Cataract and Refractive Surgeons (ESCRS), Dublin, Ireland

Henry, Ype P. (författare): Department of Ophthalmology, Amsterdam UMC, Amsterdam, the Netherlands

Nuijts, Rudy M. M. A. (författare): The University Eye Clinic, Maastricht University Medical Center+, Maastricht, the Netherlands

Tassignon, Marie-José (författare): Department of Ophthalmology, Antwerp University Hospital, Antwerp, Belgium

Young, David (författare): Department of Mathematics and Statistics, University of Strathclyde, Glasgow, United Kingdom

Stenevi, Ulf (författare): Department of Ophthalmology, Sahgrenska University Hospital, Mölndal, Sweden

Behndig, Anders (författare): Umeå University,Umeå universitet,Oftalmiatrik

Lundström, Mats (författare): Lund University,Lunds universitet,Oftalmologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Ophthalmology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine

Dickman, Mor M. (författare): The University Eye Clinic, Maastricht University Medical Center+, Maastricht, the Netherlands

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(creator_code:org_t)

2022-07-08
2022
Engelska.
Ingår i: Journal of cataract and refractive surgery. - : Wolters Kluwer. - 0886-3350 .- 1873-4502. ; 48:12, s. 1403-1407

Relaterad länk:: https://doi.org/10.1...; visa fler...; http://dx.doi.org/10...; https://urn.kb.se/re...; https://doi.org/10.1...; https://lup.lub.lu.s...; visa färre...

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PURPOSE: To determine the trends in anesthesia techniques for cataract surgery over the past decade and their relationship to surgical complications.SETTING: Clinics affiliated with the European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO).DESIGN: Retrospective cross-sectional register-based study.METHODS: Variables include patient demographics, visual acuity, ocular comorbidities, surgery characteristics, intraoperative complications, and postoperative complications for the study period from January 2008, to December 2018. The anesthesia methods registered in the EUREQUO and included in the study are topical, combined topical and intracameral, sub-Tenon, regional, and general anesthesia. Multivariate logistic regression models for each complication were constructed to estimate the adjusted odds ratio (OR) and 95% CIs.RESULTS: Complete data were available of 1 354 036 cataract surgeries. Topical anesthesia increased significantly over time (from 30% to 76%, P < .001). Sub-Tenon and regional anesthesia decreased (from 27% and 38% to 16% and 6%, respectively, P < .001), and general and combined topical and intracameral anesthesia remained stable (around 2%). Sub-Tenon (OR, 0.80; 95% CI, 0.71-0.91, P < .001), regional (0.74; 95% CI, 0.71-0.78, P < .001), general (0.53; 95% CI, 0.50-0.56, P < .001), and intracameral anesthesia (0.76; 95% CI, 0.64-0.90, P = .001) carried a significantly decreased risk of posterior capsule rupture (PCR), with and without dropped nucleus, compared with topical anesthesia. The risk of endophthalmitis was significantly lower with regional anesthesia compared with topical anesthesia (OR, 0.60; 95% CI, 0.44-0.82, P = .001).CONCLUSIONS: The use of topical anesthesia for cataract surgery increased over time. Topical anesthesia is associated with an increased risk of PCR with and without dropped nucleus, and endophthalmitis.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oftalmologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Ophthalmology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)

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Av författaren/redakt...: Segers, Maartje ...; Rosen, Paul; van den Biggelaa ...; Brocato, Lucia; Henry, Ype P.; Nuijts, Rudy M. ...; visa fler...; Tassignon, Marie ...; Young, David; Stenevi, Ulf; Behndig, Anders; Lundström, Mats; Dickman, Mor M.; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Oftalmologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

Artiklar i publikationen: Journal of catar ...

Av lärosätet: Umeå universitet; Lunds universitet

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