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Most Common Ophthalmic Diagnoses in Eye Emergency Departments: A Multicenter Study.
Mahjoub, Heba; Ssekasanvu, Joseph; Yonekawa, Yoshihiro; Justin, Grant A; Cavuoto, Kara M; Lorch, Alice; Madan, Vrinda; Sivakumar, Ishwarya; Zhao, Xiyu; Quintero, Michael; Simeon, Olivia Febles; Salabati, Mirataollah; Wu, Connie M; Woreta, Fasika A.
Afiliación
  • Mahjoub H; Wilmer Eye Institute, Johns Hopkins University School of Medicine, Johns Hopkins Hospital (F.A.W.).
  • Ssekasanvu J; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (J.S.).
  • Yonekawa Y; Wills Eye Hospital Retina Service, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, Pennsylvania (Y.Y., M.S.).
  • Justin GA; Department of Ophthalmology, Duke Eye Center, Durham, North Carolina (G.A.J.).
  • Cavuoto KM; Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida (K.M.C.).
  • Lorch A; Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts (A.L.).
  • Madan V; Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland (V.M., I.S., X.Z., M.Q., O.F.S.).
  • Sivakumar I; Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland (V.M., I.S., X.Z., M.Q., O.F.S.).
  • Zhao X; Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland (V.M., I.S., X.Z., M.Q., O.F.S.).
  • Quintero M; Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland (V.M., I.S., X.Z., M.Q., O.F.S.).
  • Simeon OF; Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland (V.M., I.S., X.Z., M.Q., O.F.S.).
  • Salabati M; Wills Eye Hospital Retina Service, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, Pennsylvania (Y.Y., M.S.).
  • Wu CM; Wills Eye Hospital Retina Service, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, Pennsylvania (Y.Y., M.S.).
  • Woreta FA; Wilmer Eye Institute, Johns Hopkins University School of Medicine, Johns Hopkins Hospital (F.A.W.). Electronic address: fworeta1@jhmi.edu.
Am J Ophthalmol ; 254: 36-43, 2023 10.
Article en En | MEDLINE | ID: mdl-36965840
PURPOSE: To characterize the most common ophthalmic conditions seen in the emergency department (ED) DESIGN: Cross-sectional study METHODS: This is a multicenter study of 64,988 patients who visited the Bascom Palmer Eye Institute, Massachusetts Eye and Ear, Wills Eye Hospital, and Johns Hopkins Hospital/Wilmer Eye Institute from January 1, 2019, until December 31, 2019. Demographic and primary diagnosis data were extracted including gender, age, race, ethnicity, insurance type, and ophthalmology consult status. Descriptive statistics were performed on all data using STATA IC 14 (64-bit). RESULTS: A total of 64,988 patients with primary ocular diagnoses were seen across all 4 EDs. The majority of patients were White (63.1%), non-Hispanic/Latino (64.8%), and female (52.3%). The most frequently seen age group was 50-64 years (28.6%). The most common diagnoses across all institutions were conjunctivitis (7.91%), corneal abrasions (5.61%), dry eye (4.49%), posterior vitreous detachments (4.15%), chalazions (3.71%), corneal ulcers (3.01%), subconjunctival hemorrhages (2.96%), corneal foreign bodies (2.94%), retinal detachments (2.51%), and glaucoma (2.12%). Specifically, viral conjunctivitis (2283 of 5139, 44.4%) and primary open-angle glaucoma (382 of 1379, 27.7%) were the most frequently seen subtypes of conjunctivitis and glaucoma. CONCLUSIONS: The most regularly treated ophthalmic conditions in high-volume EDs tend to be lower acuity diagnoses. To combat ED overcrowding and rising health care costs in the United States, we suggest diverting eye-related ED visits to a specialized eye ED service or same-day eye clinic appointment in addition to expanding education for patients and primary care clinicians.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Glaucoma / Glaucoma de Ángulo Abierto / Conjuntivitis Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Am J Ophthalmol Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Glaucoma / Glaucoma de Ángulo Abierto / Conjuntivitis Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Am J Ophthalmol Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos