Delay in presentation of childhood cataract cases for surgery and its determinants in a tertiary care hospital of Kolkata during the Covid-19 pandemic period: a cross-sectional study

Background: In India the already existing problem of late detection and late presentation of childhood cataract got further worsened during Covid lock down period due to disruption of regular services delivery, lack of transport and fear of getting Covid infection leading to a massive reduction in h...

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Main Authors: Smiti R. Srivastava, Sagar Karmakar, Jayeeta Mazumder, Sinjita Dutta
Format: Article
Language:English
Published: Al Ameen Medical College 2023-04-01
Series:Al Ameen Journal of Medical Sciences
Subjects:
Online Access:http://ajms.alameenmedical.org/ArticlePDFs/10%20AJMS%20V16.N2.2023%20p%20152-161.pdf
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author Smiti R. Srivastava
Sagar Karmakar
Jayeeta Mazumder
Sinjita Dutta
author_facet Smiti R. Srivastava
Sagar Karmakar
Jayeeta Mazumder
Sinjita Dutta
author_sort Smiti R. Srivastava
collection DOAJ
description Background: In India the already existing problem of late detection and late presentation of childhood cataract got further worsened during Covid lock down period due to disruption of regular services delivery, lack of transport and fear of getting Covid infection leading to a massive reduction in hospital attendance. This study was done to find out the delay in presentation of pediatric cataract cases along with its determinants during the covid-19 pandemic and lockdown. Methodology: A descriptive, observational study was conducted among 96 paediatric cataract patients attending ophthalmology OPD of IPGMER during April 2020 to March 2021. Patients were subjected to ophthalmological examination to find out the laterality and type of cataract. Principal care givers of the patients were interviewed to study the socio-demographic, Covid related and clinical variables. Result: Mean age of study population was 4.18±2.99 completed years. 90% of patients residing in rural areas reported with delay to the hospital which was statistically significant (p<0.05). Developmental and unilateral cataract cases had a significantly higher proportion of delayed presentation (p<0.05). Urban residence, bilateral cataract cases and patients with Covid-19 negative status of family members had significantly (p<0.05) lower odds of delayed presentation. Conclusion: Covid-19 lock down led to a reduction in hospital attendance due to non-availability of transport, Covid-19 positive family member, or loss of daily wages.
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spelling doaj.art-d0829100dbf240c493b6fe1c1215d73c2023-04-07T06:08:34ZengAl Ameen Medical CollegeAl Ameen Journal of Medical Sciences0974-11432023-04-011602152161Delay in presentation of childhood cataract cases for surgery and its determinants in a tertiary care hospital of Kolkata during the Covid-19 pandemic period: a cross-sectional studySmiti R. Srivastava0Sagar Karmakar1Jayeeta Mazumder2Sinjita Dutta3Department of Ophthalmology, IPGME&R, SSKM Hospital, 244 AJC Bose Road, Kolkata-700020, West Bengal, IndiaDepartment of Ophthalmology, Burdwan Medical College, Baburbag, P.O. Rajbati, Purba Bardhaman-713104 West Bengal, IndiaSpecialist MO, Balurghat District Hospital, Dakshin Dinajpur, Balurght-733101 West Bengal, IndiaDepartment of Community Medicine, IPGME & R, SSKM Hospital, 244 AJC Bose Road, Kolkata-700020, West Bengal, IndiaBackground: In India the already existing problem of late detection and late presentation of childhood cataract got further worsened during Covid lock down period due to disruption of regular services delivery, lack of transport and fear of getting Covid infection leading to a massive reduction in hospital attendance. This study was done to find out the delay in presentation of pediatric cataract cases along with its determinants during the covid-19 pandemic and lockdown. Methodology: A descriptive, observational study was conducted among 96 paediatric cataract patients attending ophthalmology OPD of IPGMER during April 2020 to March 2021. Patients were subjected to ophthalmological examination to find out the laterality and type of cataract. Principal care givers of the patients were interviewed to study the socio-demographic, Covid related and clinical variables. Result: Mean age of study population was 4.18±2.99 completed years. 90% of patients residing in rural areas reported with delay to the hospital which was statistically significant (p<0.05). Developmental and unilateral cataract cases had a significantly higher proportion of delayed presentation (p<0.05). Urban residence, bilateral cataract cases and patients with Covid-19 negative status of family members had significantly (p<0.05) lower odds of delayed presentation. Conclusion: Covid-19 lock down led to a reduction in hospital attendance due to non-availability of transport, Covid-19 positive family member, or loss of daily wages.http://ajms.alameenmedical.org/ArticlePDFs/10%20AJMS%20V16.N2.2023%20p%20152-161.pdfpediatriccataracthospitalcovid-19 pandemiccaregivers
spellingShingle Smiti R. Srivastava
Sagar Karmakar
Jayeeta Mazumder
Sinjita Dutta
Delay in presentation of childhood cataract cases for surgery and its determinants in a tertiary care hospital of Kolkata during the Covid-19 pandemic period: a cross-sectional study
Al Ameen Journal of Medical Sciences
pediatric
cataract
hospital
covid-19 pandemic
caregivers
title Delay in presentation of childhood cataract cases for surgery and its determinants in a tertiary care hospital of Kolkata during the Covid-19 pandemic period: a cross-sectional study
title_full Delay in presentation of childhood cataract cases for surgery and its determinants in a tertiary care hospital of Kolkata during the Covid-19 pandemic period: a cross-sectional study
title_fullStr Delay in presentation of childhood cataract cases for surgery and its determinants in a tertiary care hospital of Kolkata during the Covid-19 pandemic period: a cross-sectional study
title_full_unstemmed Delay in presentation of childhood cataract cases for surgery and its determinants in a tertiary care hospital of Kolkata during the Covid-19 pandemic period: a cross-sectional study
title_short Delay in presentation of childhood cataract cases for surgery and its determinants in a tertiary care hospital of Kolkata during the Covid-19 pandemic period: a cross-sectional study
title_sort delay in presentation of childhood cataract cases for surgery and its determinants in a tertiary care hospital of kolkata during the covid 19 pandemic period a cross sectional study
topic pediatric
cataract
hospital
covid-19 pandemic
caregivers
url http://ajms.alameenmedical.org/ArticlePDFs/10%20AJMS%20V16.N2.2023%20p%20152-161.pdf
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