Evidence map›Paper›PMID 34840824›Full record

ArticleJournal of ophthalmology2021

Impact of the COVID-19 Lockdown on Ophthalmological Assistance in the Emergency Department at a Spanish Primary Level Hospital.

Julio González-Martín-Moro, Elena Guzmán-Almagro, Carlos Izquierdo Rodríguez, Ana Fernández Hortelano, Inmaculada Lozano Escobar, Fernando Gómez Sanz, Inés Contreras

Open access · goldAbstract read
In one paragraph

Article in Journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Julio González-Martín-MoroDepartment of Ophthalmology, Hospital Universitario del Henares, Madrid, Spain.ORCID https://orcid.org/0000-0002-8056-2630
Elena Guzmán-AlmagroDepartment of Ophthalmology, Hospital Universitario del Henares, Madrid, Spain.
Carlos Izquierdo RodríguezDepartment of Ophthalmology, Hospital Universitario del Henares, Madrid, Spain.
Ana Fernández HortelanoDepartment of Ophthalmology, Hospital Universitario del Henares, Madrid, Spain.
Inmaculada Lozano EscobarDepartment of Ophthalmology, Hospital Universitario del Henares, Madrid, Spain.
Fernando Gómez SanzDepartment of Ophthalmology, Hospital Universitario del Henares, Madrid, Spain.
Inés ContrerasDepartment of Ophthalmology, University Hospital Ramón y Cajal, Madrid, Spain.ORCID https://orcid.org/0000-0003-3524-9335
Hospital Universitario del Henares · ESClínica Rementería · ESUniversidad Complutense de Madrid · ESUniversidad Francisco de Vitoria · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the changes in ophthalmological emergencies during the COVID-19 pandemic lockdown at a Spanish primary level hospital.

methodsThe number and type of emergencies attended in the emergency department of Hospital Universitario del Henares between March 10 and August 31, 2020 (COVID-19 cohort) were compared with the emergencies attended during the same period of 2019 (pre-COVID-19 cohort). Data on the diagnosis, patient age, and gender was retrospectively collected from the electronic medical records of the hospital. The different diagnoses were organized into "clusters," which include those conditions that affect the same ocular tissue and that have similar clinical expression.

resultsThe number of ophthalmological emergencies during the study period was 841, compared to 1343 during the same month of 2019, which represents a reduction of 37.4%. The percentage reduction in each cluster was as follows: conjunctiva (-65.4%), cornea (-35.8%), uveitis (-3.6%), eyelid and orbital and lacrimal (-35.5%), strabismus (-60%), neuro-ophthalmology (-11.8%), retina (-10.6%), cataract (+16.4%), glaucoma (-37%), and miscellaneous (-45.1%). The number of people seen with viral conjunctivitis decreased by -87.1% compared to 2019. Patients with complications due to conjunctivitis also decreased: patients with pseudomembranes dropped from 16 to 4 cases and patients with corneal subepithelial infiltrates from 9 to 3 cases.

conclusionsMost diagnostic clusters showed a similar decrease. Clusters that included vision-threating conditions (retina, neuro-ophthalmology, and uveitis) remained mostly stable. During the COVID-19 lockdown, the diagnosis of adenoviral conjunctivitis decreased nearly 10 times. This fact may represent a decrease in the transmission of these infections.

Identifiers

PMID34840824
PMCPMC8616649
OpenAlexW3215838495

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.