Patterns of ophthalmic emergencies presenting to a referral hospital in Medina City, Saudi Arabia

Alabbasi, Omar M.; Albarry, Maan Abdullah; Albasri, Raghad F.; Khashim, Haitham F.; Aloufi, Mohammad M.; Abdulaal, Mohammed F.; Alsaidalany, Dareen W.; Alahmadi, Adel Salah; Habeeb, Hanan; Aalam, Waseem A.

doi:10.1016/j.sjopt.2016.03.001

Cited by 15 publications

(13 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…12 However, simple infectious or non-traumatic emergencies as ocular surface diseases (conjunctivitis: 19.7% and corneal diseases: 19.3%) affecting more women were the most common ocular pathologies presenting to our OE, similar to previous studies. 2,5,8,9,12 Trauma was reported only in 10.2% of patients, mainly affecting men younger than 40 years, same as that reported by others. 1,5,13,14 Ocular trauma is an important cause of preventable visual morbidity, resulting due to occupation or social activity.…”

Section: Discussionsupporting

confidence: 83%

See 1 more Smart Citation

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

Galindo‐Ferreiro

Sánchez-Tocino

Varela-Conde

et al. 2019

European Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose: To determine the frequency of ocular conditions among patients presenting to an emergency department at a tertiary hospital in Spain. Methods: A retrospective, longitudinal analysis of all patients who presented to the ocular emergency department of Rio Hortega University Hospital, Valladolid, Spain, from 2013 to 2018 was performed. Data on demographics, ophthalmic examination, and diagnosis were collected. Diseases were classified according the International Classification of Diseases, Ninth Revision, Clinical Modification codes. Results: We had 20,822 patients, of which 10,878 (52.2%) were women. The main age categories were 45–65 years (7391 patients; 35.5%) and 15–45 years (5979 patients; 28.2%). Most of the patients (17,793; 85.5%) were discharged on the same day. Conjunctival pathology was the most common cause of presentation (4110; 19.7%), followed by corneal disorders (4025; 19.3%). Acute conjunctivitis was diagnosed in 2920 (14%) and ocular trauma in 2125 (10.2%) patients. Non-emergency ophthalmic conditions were diagnosed in 1581 (7.6%) patients. Retinal detachments and peripheral holes occurred more commonly in patients aged 45–65 years ( p <0.001). Corneal or conjunctival disorders and lid inflammation ( p <0.001) were more frequent in women, whereas men had higher incidences of trauma ( p <0.001). Conclusion: Most of our patients presented ocular surface diseases. Men were more vulnerable to trauma, mainly superficial foreign body. The majority of the patients presented with uncomplicated ocular conditions that would be managed more cost-effectively by primary health care providers. We advocate greater education of primary care physicians and patients in managing simple ocular emergencies to reduce the cases presenting to an emergency department of a tertiary hospital.

show abstract

Section: Discussionsupporting

confidence: 83%

“…In our hospital, OE represents around 16% of all the specialties managed in the ED, with a mean of 11.67 ophthalmic cases per day. Our OE sample size is larger (20,822 visits (subjects)) than in other OE studies, 1,8–10 with the exception of one study from the United States. 2…”

Section: Discussionmentioning

confidence: 95%

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

Galindo‐Ferreiro

Sánchez-Tocino

Varela-Conde

et al. 2019

European Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…A betegeket a panasz alapján diagnóziscsoportokba soroltuk. A csoportok létrehozásában a BNO-10 beosztását és a szemészeti osztályok betegforgalmát feldolgozó, korábban megjelent publikációkat [8,9] vettük alapul. Ezek alapján az alábbi kategóriákat hoztuk létre: a szemhéj degeneratív betegségei és a könnyutak betegségei; a kötőhártya betegségei és a szem mirigyeinek gyulladásai; a szaruhártya gyulladásai és egyéb betegségei; az érhártya gyulladásai és egyéb betegségei; szürke hályog; utóhályog; zöld hályog; az üvegtest betegségei; száraz típusú maculadegeneratio; nedves típusú maculadegeneratio; diabeteses ideghártya-elváltozások; az ideghártya ereinek elzáródása; ideghártya szakadás/leválás; a látóideg betegségei; a szem és védőszerveinek bármilyen sérülése; szembetegség nélküli állapot; egyéb.…”

Section: Módszerunclassified

A COVID–19-pandémia hatása a szemészeti járóbeteg-szakellátásra az Új Szent János Kórházban, Budapesten

Széles

Szentmáry

Burka

et al. 2021

View full text Add to dashboard Cite

Összefoglaló. Bevezetés: Az új típusú koronavírus-járvány (COVID–19) az egészségügyi ellátóhálózatot egy eddig ismeretlen helyzet elé állította. A nemzetközi adatok alapján a szemészeti járóbeteg-ellátásban jelentős változások alakultak ki. Célkitűzés: Felmérni a COVID–19-járvány okozta kvantitatív és kvalitatív változásokat az Észak-Közép-budai Centrum, Új Szent János Kórház és Szakrendelő Szemészeti Osztályának járóbeteg-szakellátásában. Módszer: A pandémia első hullámában (2020. április 1–30.) mért járóbeteg-forgalmi adatokat hasonlítottuk össze a megelőző év azonos periódusában rögzített adatokkal. A betegek demográfiai jellemzői mellett megvizsgáltuk a sürgősségi besorolásukat, valamint a panaszokhoz köthető fődiagnózis-csoportok eloszlását. Rögzítettük a telemedicina keretein belül történt ellátások számát. Eredmények: 2020 vizsgált időszakában 916, míg az előző év azonos hónapjában 2835 járóbeteg-eset került rögzítésre. A 2020-as időszakban a törvényi szabályozás szerint sürgős panaszokkal jelentkező betegek aránya nem változott (p = 0,38), azonban a szakorvosi megítélés szerint sürgős panaszokkal érkező betegek aránya nőtt (p<0,001) az előző évhez viszonyítva. A zöld hályog, kötőhártya-gyulladás, árpa, sérülés és nedves típusú maculadegeneratio miatt ellátásra jelentkező betegek aránya szignifikánsan nőtt (p<0,001 mind), míg a szürke hályog, a száraz típusú maculadegeneratio, egyéb, a szemhéj és a könnyutak betegségei, utóhályog miatt és a szemészeti betegség nélkül érkezők aránya csökkent (p<0,001 mind). A telemedicina keretei között ellátott betegek száma 2020-ban közel a tizenötszörösére emelkedett 2019-hez képest (p<0,001). Következtetés: A COVID–19-pandémia első hulláma során markáns betegszámcsökkenést regisztráltunk a szemészeti járóbeteg-szakellátásban. Több fődiagnózis-csoport esetén számolhatunk jelentős terápiavesztéssel és halasztott ellátási igény jelentkezésével. Az adatok kiértékelése segítséget nyújthat az elkövetkező években az ellátási folyamat proaktív átszervezésében, a humánerőforrás-szükségletek jobb tervezésében, valamint a teleoftalmológiai ellátás fejlesztésében. Orv Hetil. 2021; 162(6): 203–211. Summary. Introduction: The COVID-19 pandemic put the healthcare network in a hitherto unknown situation. The ophthalmic outpatient care changed internationally. Objective: To assess the quantitative and qualitative changes of the outpatient specialty care at the Ophthalmology Department of the North-Central-Buda Center, New St. John’s Hospital and Clinic, through the pandemic. Method: Outpatient service data during the first wave of the pandemic (April 2020) were compared with those in April 2019. Patient demographics, emergency classification, distribution of the main diagnostic groups (associated with complaints) and services provided via telemedicine were collected. Results: There were 2835 patient visits in 2019 and 916 in 2020. For 2020, the proportion of patients with emergency classification according to legal regulations did not change (p = 0.38), however, using the ophthalmologist’s classification increased (p<0.001) significantly. The proportion of patients with glaucoma, conjunctivitis, chalazeon, injury and wet macular degeneration increased (p<0.001 all), while the proportion of patients with cataract, dry macular degeneration, other diseases, other adnexal diseases, secondary cataract and without ophthalmic pathology decreased significantly (p<0.001 for all). Patient number using telemedicine treatment was about 15× of those treated in 2019 (p<0.001). Conclusion: During the first wave of the pandemic, a marked decrease in ophthalmic outpatient care volume was recorded. In the case of several main diagnosis groups, significant therapy loss and a delayed need for care could be expected. Evaluation of the data helps in the upcoming years in proactive reorganization of the care process, in better planning of human resource needs, and in improvement of teleophthalmology care. Orv Hetil. 2021; 162(6): 203–211.

show abstract

“…Conjunctivitis is the most common ocular condition diagnosed in emergency departments (ED) in the United States, accounting for almost one-third of all eye-related encounters 1–3. In Israel, 0.64% of all ED visits (18% of patients presenting with an ocular problem) are due to a diagnosis of conjunctivitis 4…”

Section: Introductionmentioning

confidence: 99%

<p>The epidemiology and treatment of conjunctivitis at Urgent Care Centres in Israel</p>

Gordon‐Shaag¹,

Zimmerman

Shneor³

2019

OPTH

View full text Add to dashboard Cite

Purpose: Conjunctivitis is the most common ocular condition diagnosed at emergency departments (ED) in the USA, although it is generally not an emergent condition. Treatment of conjunctivitis at Urgent Care Centres (UCC) could offer lower cost than ED. This study describes the demographics and outcomes of a cohort presenting with conjunctivitis to a nationwide UCC system. Methods: This retrospective study included 17 branches of UCC. Electronic Medical Record data (November 2015–October 2016) of patients diagnosed with conjunctivitis or ocular disorder were retrieved. Data included gender, age, diagnosis, treatment, discharge status and temperature. Patients without conjunctivitis, presenting to UCC during this period served as the control. Results were compared to all ED patients in Israel (from a public report). Descriptive statistics, Chi-square and Z-proportion test were used. Results: Altogether, 602,074 patients presented to UCC, of which 5,045 (0.84%, 95% CI 0.74–0.94%) were diagnosed with conjunctivitis. Conjunctivitis was more prevalent among young males (0–14, p <0.001) and older females. The conjunctivitis cohort at UCC was significantly younger than the ED cohort ( p <0.01). UCC treated and released home 96.7% (95% CI 96.2–97.2%) of cases. This is significantly higher than the treatment rate for the entire UCC cohort (93.2%, CI 93.2–93.3%, p <0.05). Treatment in most cases (82.0%, 95% CI 80.9–83.0%) involved the prescription of ocular antibiotic. Conclusion: Similar to previous studies at ED, conjunctivitis patients are primarily young males. Most patients were treated with antibiotics at UCC and released home. This suggests that UCC may be a good venue for treatment of conjunctivitis.

show abstract

Patterns of ophthalmic emergencies presenting to a referral hospital in Medina City, Saudi Arabia

Cited by 15 publications

References 6 publications

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

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

A COVID–19-pandémia hatása a szemészeti járóbeteg-szakellátásra az Új Szent János Kórházban, Budapesten

<p>The epidemiology and treatment of conjunctivitis at Urgent Care Centres in Israel</p>

Contact Info

Product

Resources

About