International Journal of Health Sciences

A Study of Patients with Postoperative Primary Retinal Detachment on Medical Quality
Wen-Chen Chang, Pei-Chang Wu, Chen-Chung Ma

Abstract
Objectives: The aim of this study was to investigate the impact of demographics and surgical procedure to healthcare quality in patient who accepted retinal detachment surgery. Methods: This was a retrospective study with secondary data analysis. A total of 233 cases of those who had accepted primary retinal detachment surgery and had finished follow-up for one year were enrolled in this study from September 1, 2012 to August 31, 2014 in a medical center in Southern Taiwan. This study was approved by the institutional review board of Kaohsiung Chang Gung Memorial Hospital. Descriptive statistics, chi-square test, and multivariate logistic regression analysis were used to analyze the influencing factors that affect the postoperative healthcare quality. Results: Within 233 cases, there were 134 male (57.5%) and 99 females (42.5%) and average age was 51.52 years. The results of multivariate logistic regression analysis showed that age and surgical procedure had a significant influence on visual recovery, postoperative complications and re-hospitalization, occupation and myopia had a significant influence on visual recovery. Conclusions: The patient's age, occupation, myopia, and surgical procedure had a significantly affected the postoperative healthcare quality of those who received primary retinal detachment surgery; surgical procedure had a significant impact on visual recovery, postoperative complications and re-hospitalization. The results may also provide value information for hospital manager and medical staff and improve the quality of patients with postoperative primary retinal detachment.

Full Text: PDF     DOI: 10.15640/ijhs.v6n2a1