Changes in patient visits and diagnoses in a large academic center during the COVID-19 pandemic

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dc.contributor.authorBerkenstock, Meghan K.
dc.contributor.authorLiberman Salazar, Paulina
dc.contributor.authorMcDonnell, Peter J.
dc.contributor.authorChaon, Benjamin C.
dc.date.accessioned2021-03-23T11:46:48Z
dc.date.available2021-03-23T11:46:48Z
dc.date.issued2021
dc.date.updated2021-03-21T01:03:40Z
dc.description.abstractAbstract Background To minimize the risk of viral transmission, ophthalmology practices limited face-to-face encounters to only patients with urgent and emergent ophthalmic conditions in the weeks after the start of the COVID-19 epidemic in the United States. The impact of this is unknown. Methods We did a retrospective analysis of the change in the frequency of ICD-10 code use and patient volumes in the 6 weeks before and after the changes in clinical practice associated with COVID-19. Results The total number of encounters decreased four-fold after the implementation of clinic changes associated with COVID-19. The low vision, pediatric ophthalmology, general ophthalmology, and cornea divisions had the largest total decrease of in-person visits. Conversely, the number of telemedicine visits increased sixty-fold. The number of diagnostic codes associated with ocular malignancies, most ocular inflammatory disorders, and retinal conditions requiring intravitreal injections increased. ICD-10 codes associated with ocular screening exams for systemic disorders decreased during the weeks post COVID-19. Conclusion Ophthalmology practices need to be prepared to experience changes in practice patterns, implementation of telemedicine, and decreased patient volumes during a pandemic. Knowing the changes specific to each subspecialty clinic is vital to redistribute available resources correctly.
dc.format.extent9 páginas
dc.identifier.citationBMC Ophthalmology. 2021 Mar 20;21(1):139
dc.identifier.doi10.1186/s12886-021-01886-7
dc.identifier.urihttps://doi.org/10.1186/s12886-021-01886-7
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/52756
dc.identifier.wosidWOS:000631540400001
dc.issue.numeroNo. 139
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final9
dc.pagina.inicio1
dc.revistaBMC Ophthalmologyes_ES
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.subjectCOVID-19es_ES
dc.subjectEpiphenomenaes_ES
dc.subjectOcular diagnoseses_ES
dc.subjectOphthalmologyes_ES
dc.subjectTelemedicinees_ES
dc.subject.ddc616.2414
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleChanges in patient visits and diagnoses in a large academic center during the COVID-19 pandemices_ES
dc.typeartículo
dc.volumenVol. 21
sipa.codpersvinculados238017
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