ESCRS - PO355 - Implementation Of A Risk Stratification Score For Cataract Surgery

Implementation Of A Risk Stratification Score For Cataract Surgery

Published 2024 - 42nd Congress of the ESCRS

Reference: PO355 | Type: Poster | DOI: 10.82333/nxh1-kn26

Authors: Sophie-Christin Ernst 1 , Klemens Paul Kaiser 2 , Gabor Mark Somfai 3 , Amr Saad* 3 , Ferhat Turgut 3 , Noah Davolio 3 , Jay Zoellin 3 , Ute Hornberger 3 , Julie Susan Heussen 3 , Matthias Dieter Becker 3 , Florian Moritz Heussen 4

1University Hospital Basel,Basel,Switzerland, 2Frankfurt University Hospital,Frankfurt,Germany, 3Stadtspital Zürich,Zurich,Switzerland, 4University Hospital Bern,Bern,Switzerland

Purpose

To evaluate whether the introduction of a Risk Stratification Score (RSS) for cataract surgery is associated with lower rates of intra- and postoperative complications.

Setting

In this retrospective study conducted at the Stadtspital Zürich, we analyzed cataract surgeries before and after the implementation of the RSS. 

Methods

Univariable and multivariable logistic regression models were constructed to assess the association between complications and surgeries after the introduction of the RSS, adjusting for age, sex, eye side, surgeon, and anesthesia type in the multivariable model.

Results

We found that surgeries performed after the introduction of the Risk Stratification Score (RSS) were associated with a statistically significant reduction in intraoperative complication rates (OR 0.37, p<0.001), but there was no change in postoperative rates (OR 1.09, p=0.4). Male patients had a higher risk of intraoperative complications (OR 1.44, p=0.008). The use of local anesthesia was associated with lower rates of intraoperative (OR 0.67, p=0.014) and postoperative complications (OR 0.67, p<0.001). Older age was a predictor of higher postoperative risks (OR 1.02, p=0.002).

Conclusions

The introduction of our standardized RSS was effective in enhancing patient safety during surgery by reducing intraoperative complications. Modifiable risk factors, such as anesthetic choice and surgeon allocation, should be considered to further improve clinical outcomes.