Abstract
The aim of the paper was to evaluate and determine the duration of the hospital treatment of patients with cataract. Materials and methods of the investigation. 629 case histories were analyzed and 60 patients’ forms were also analyzed. The assessment of case histories was done according to the scheme: sex, age, the stage of cataract, the duration of hospital treatment, the cause of treatment which lasts more than 1 day (postoperative complication, treatment of concomitant eye diseases, patient’s desire), the type of complication. 60 surveyed patients with cataract required surgical treatment in order to work out the model of the duration of hospital treatment. The questionnaire contained several questions, which answers allow evaluating the social status of patients, somatic and optic status, peculiarities of the main disease and also the duration at the hospital after the operation. Results. It has been demonstrated that patient’s age, his or her financial status, the number of concomitant somatic and eye diseases are the main peculiarities for the prognosis for long-lasting stay at hospital after surgical treatment. Undetermined logics was used to create the model of prognosis of the duration of hospital treatment based on еру results of patients’ questionnaire, the method of clustering was used to receive undetermined rules. Conclusions. Ophthalmologic status of the patient, the presence of concomitant eye diseases, such as myopia alta, glaucoma, diseases of retina, and optic nerve and concomitant somatic disease play an important role in the choice of the type of treatment. The most informative indices for hospital treatment of patients with cataract after surgery are patient’s age, his/her financial status, the number of concomitant somatic and eye diseases.
Highlights
Cataract is the most common cause of blindness in the world
Out-patient treatment of cataract retracts the necessity in the bedspace, it leads to economy of energy resources and financial resources, and it decreases emotional, physical and financial costs of patients
Based on information which is presented in the table 1 it should be noted, that more than 57 % of patients took hospital treatment from 4 to 7 days. 117 (19±1,5) % of patients took out-patient treatment, more than 7 days 75 (11±1,2) % of patients were treated at the hospital
Summary
Cataract is the most common cause of blindness in the world. The number of patients with cataract increased during last decades so the most remarkable growth of the morbidity will be in the nearest future [3]. In countries such as the United States and Great Britain, cataract is still a common cause of visual loss, especially among African Americans and older adults [4]. Over the past few years in many (2017), «EUREKA: Health Sciences» Number 1 countries a number of cataract patients grew significantly, it happened as a result of population ageing [6]. Quality cataract surgery has been shown to enhance visual function and quality of life
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