Document Detail

Impact of preoperative testing on ophthalmologic and systemic outcomes in cataract surgery.
MedLine Citation:
PMID:  15506597     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To evaluate the incidence of ophthalmologic and systemic complications in patients who undergo cataract surgery without preoperative tests compared to subjects undergoing cataract surgery preceded by preoperative tests. METHODS: The randomized controlled study included 1276 consecutive patients admitted to the Institute of Ophthalmology of the University of Modena and Reggio Emilia for cataract surgery. The patients were randomly divided into two groups: 638 were assigned not to undergo preoperative evaluation based on routine medical tests and electrocardiograms; the other 638 underwent preoperative evaluation based on said tests. Ophthalmologic and systemic complications were assessed intraoperatively and 1 month after surgery. RESULTS: Eleven intraoperative complications occurred in the group without preoperative tests and eight in the group with preoperative tests; at 1 month six complications were recorded in the group without tests and five in the group with tests. Systemic adverse events occurred intraoperatively in four patients, whereas no systemic adverse event was recorded at 1 month in either group. No statistically significant differences were observed between the two groups. CONCLUSIONS: The findings of this study have broad applicability, because the sample is representative of the population existing in numerous social and healthcare settings; they are of value for administrative purposes, because they may be taken as reference in resource allocation plans; and they have medicolegal implications, as the resulting conduct of healthcare providers is supported by a rigorous scientific study.
G M Cavallini; P Saccarola; R D'Amico; A Gasparin; L Campi
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  European journal of ophthalmology     Volume:  14     ISSN:  1120-6721     ISO Abbreviation:  Eur J Ophthalmol     Publication Date:    2004 Sep-Oct
Date Detail:
Created Date:  2004-10-27     Completed Date:  2004-12-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9110772     Medline TA:  Eur J Ophthalmol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  369-74     Citation Subset:  IM    
Institute of Ophthalmology, University of Modena and Reggio Emilia, Modena--Italy.
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MeSH Terms
Cataract / etiology
Cataract Extraction / adverse effects*,  methods
Diagnostic Tests, Routine*
Intraoperative Complications*
Postoperative Complications
Preoperative Care / methods*
Treatment Outcome

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