Ocular emergencies presenting to an emergency department in Central Spain from 2013 to 2018

Galindo‐Ferreiro, Alicia; Sánchez-Tocino, H.; Varela-Conde, Yago; Diez-Montero, Cecilia; Belani-Raju, Minal; García-Sanz, Raquel; Diego-Alonso, Miguel; Llorente-Gonzalez, Ines; Pazó-Jaudenes, Carlota; Schellini, Silvana Artioli

doi:10.1177/1120672119896420

Cited by 19 publications

(37 citation statements)

References 19 publications

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“…This could be explained because the elderly population were the most vulnerable to COVID-19 and also the age group on which the awareness campaign and health measures had the greatest impact (restriction on visits to hospital or nursing homes without opening to the public). Regarding sex of the patients, women presented more than men in both periods, in agreement with other studies 4,6 .…”

Section: Discussionsupporting

confidence: 92%

“…Age demographics match the national and international tendency in overall ED visits 4,6,7 . During the pandemic, we observed a change in the type of patient presenting to the ED.…”

Section: Discussionmentioning

confidence: 78%

“…Using the same classi cation system for general acute medical conditions and ophthalmic pathology may not be the best option to discriminate the severity of ophthalmic conditions. Having a speci c triage system for ophthalmological emergencies would better recognize the severity of the different ophthalmological conditions, improve the e ciency of the emergency system and reduce waiting times 4,18 , which is more relevant than ever in exceptional situations such as this pandemic. Also, self-triage systems 19 and other computer systems 20 have been described for the classi cation of patients with ocular pathologies, whose development and standardization could optimize emergency screening in our specialty.…”

Section: Discussionmentioning

confidence: 99%

“…Consultations and surgeries were cancelled or postponed, operating theatres reassigned, and several ophthalmologists relocated to attend to patients affected by Ophthalmology is a specialty with a high volume of emergencies 3,4 and a progressive increase in ophthalmological emergencies (OE) has been noted in recent years. 4,5 OE cover a wide range of diagnosis, with widely varying severity. 4,5 However several national 4,5 and international [6][7][8] studies suggest that almost half of emergency consultations are due to non-urgent pathologies.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 OE cover a wide range of diagnosis, with widely varying severity. 4,5 However several national 4,5 and international [6][7][8] studies suggest that almost half of emergency consultations are due to non-urgent pathologies. Although studies related to OE in Spain are scarce, the published data coincide with the international trend con rming nonemergent visits are the most frequent in the emergency department (ED), and anterior segment pathology is the most demanding cause.…”

Section: Introductionmentioning

confidence: 99%

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Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study.

Puzo

Sánchez‐Monroy

Plana³

et al. 2021

Preprint

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Purpose: To evaluate ophthalmological emergencies (OE) during the COVID-19 pandemic comparing them with the same period of the previous year. Methods: Retrospective observational study of all OE visits in four tertiary hospitals in Spain comparing data from March 16th to April 30th, 2020 (COVID-19 period) and the same period of 2019 (pre-COVID-19 period). Severity of the conditions was assessed following Channa et al. publication. Data on demographics, diagnosis and treatments were collected from Electronic Medical Records. Results: During lockdown, OE significantly declined by 75.18%, from 7,730 registered in the pre-COVID-19 period to 1,928 attended during the COVID-19 period (p<0.001). In 2019, 23.86% of visits were classified as emergent, 59.50% as non-emergent, and 16.65% could not be determined. In 2020, the percentage of emergent visits increased up to 29.77%, non-emergent visits significantly decreased to 52.92% (p<0.001), and 17.31% of the visits were classified as “could not determine”. During the pandemic, people aged between 45 and 65 years old represented the largest attending group (37.89%), compared to 2019, where patients over 65 years were the majority (39.80%). In 2019, most frequent diagnosis was unspecified acute conjunctivitis (11.59%), followed by vitreous degeneration (6.47%), and punctate keratitis (5.86%). During the COVID-19 period, vitreous degeneration was the first cause for consultation (9.28%), followed by unspecified acute conjunctivitis (5.63%) and punctate keratitis (5.85%). Conclusions: OE visits dropped significantly during the pandemic in Spain (75.18%), although more than half were classified as non-urgent conditions, indicating a lack of understanding of the really emergent ocular pathologies among population.

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Section: Discussionsupporting

confidence: 92%

“…Age demographics match the national and international tendency in overall ED visits 4,6,7 . During the pandemic, we observed a change in the type of patient presenting to the ED.…”

Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study.

Puzo

Sánchez‐Monroy

Plana³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study

et al. 2021

View full text Add to dashboard Cite

Purpose To evaluate ophthalmological emergencies (OE) during the COVID-19 pandemic comparing them with the same period of the previous year. Methods Retrospective observational study of all OE visits in four tertiary hospitals in Spain comparing data from March 16th to April 30th, 2020 (COVID-19 period) and the same period of 2019 (pre-COVID-19 period). Severity of the conditions was assessed following Channa et al. publication. Data on demographics, diagnosis and treatments were collected from Electronic Medical Records. Results During lockdown, OE significantly declined by 75.18%, from 7,730 registered in the pre-COVID-19 period to 1,928 attended during the COVID-19 period (p < 0.001). In 2019, 23.86% of visits were classified as emergent, 59.50% as non-emergent, and 16.65% could not be determined. In 2020, the percentage of emergent visits increased up to 29.77%, non-emergent visits significantly decreased to 52.92% (p < 0.001), and 17.31% of the visits were classified as “could not determine”. During the pandemic, people aged between 45 and 65 years old represented the largest attending group (37.89%), compared to 2019, where patients over 65 years were the majority (39.80%). In 2019, most frequent diagnosis was unspecified acute conjunctivitis (11.59%), followed by vitreous degeneration (6.47%), and punctate keratitis (5.86%). During the COVID-19 period, vitreous degeneration was the first cause for consultation (9.28%), followed by unspecified acute conjunctivitis (5.63%) and punctate keratitis (5.85%). Conclusions OE visits dropped significantly during the pandemic in Spain (75.18%), although more than half were classified as non-urgent conditions, indicating a lack of understanding of the really emergent ocular pathologies among population.

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The burden of flashes and floaters in traditional general emergency services and utilization of ophthalmology on-call consultation: a cross-sectional study

et al. 2022

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Purpose To characterize the healthcare utilization and clinical characteristics of patients presenting with flashes and/or floaters (F/F) in general emergency service (GES) settings. Methods All adults presenting to GESs (emergency departments (EDs) and urgent care centers (UCCs)) with symptoms of F/F in Hamilton, Ontario between Jan. 1 – Dec. 31, 2018 were reviewed. Primary outcome was the proportion of patients presenting to GESs with F/F for which ophthalmology emergency services (OESs) were consulted. Secondary outcomes included features predictive of OES consultation by logistic regression and cost of GES utilization. Results Of 6590 primary eye-related visits to GESs, 10.4% (687) involved symptoms of F/F. Mean age of patients with F/F was 57 ± 15 years, and 61% were female. Consultation rate to OESs for F/F presentations was 89% (608/687). Logistic regression identified symptoms ≤ 2 weeks (OR 8.0; 95% CI 2.3–28), ≥ 45 years age (OR 2.4; 95% CI 1.4–4.3), UCC setting (OR 2.7; 95% CI 1.6–4.6), headache (OR 0.22; 95% CI 0.12–0.41), and neurologic symptoms (OR 0.1; 95% CI 0.19–0.49) as variables predictive of OES consultation. Mean time from triage to discharge in GESs for F/F patients was 2.43 ± 2.36 h. Mean cost per visit was $139.11 ± $113.93 Canadian dollars. Patients for which OES were consulted waited a total of 1345 h in GESs and accounted for $81,879.70 in costs. Conclusion Patients presenting with F/F in GESs consume considerable resources in healthcare expenditure and time spent in GESs and most receive OES consultation. Identifying these patients at triage may allow for increased efficiency for the healthcare system and patients.

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Ocular emergencies presenting to an emergency department in Central Spain from 2013 to 2018

Cited by 19 publications

References 19 publications

Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study.

Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study.

Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study

The burden of flashes and floaters in traditional general emergency services and utilization of ophthalmology on-call consultation: a cross-sectional study

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