Seasonal distribution of ocular conditions treated at the emergency room: a 1-year prospective study

Şen, Emine; Çelik, Selda; İnanç, Merve; Elgin, Ufuk; Özyurt, Beyhan Cengiz; Yılmazbaş, Pelin

doi:10.5935/0004-2749.20180026

Cited by 20 publications

(14 citation statements)

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“…This tendency was reported by other studies on ocular emergencies as well. In a study conducted on patients admitted to the ophthalmic emergency room in Cluj-Napoca, Romania, 28% of patients were female [ 11 ] whereas in a similar study from Ankara, Turkey, a reported 30.6% of the patients were female [ 12 ]. This difference may reflect behavior less prone to trauma, cultural differences, or differences in access to health care.…”

Section: Discussionmentioning

confidence: 99%

Ophthalmic emergency-room visits during the Covid-19 pandemic – a comparative study

et al. 2021

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Background The goal of this study is to compare ophthalmic emergency room (OER) visits during the Coronavirus disease-19 (Covid-19) pandemic to those during a control period. Methods We compared all visits to the OER to Meir Medical Center in Israel, from March 15th to April 15th, 2020, during the Covid-19 pandemic and government mandated quarantine, to the same period in 2019. Factors analyzed were patient demographics, chief complaints, referral patterns, exam findings, treatments given, hospitalizations and surgical interventions. Results We included in this study 1311 visits of 1158 patients, 477 during the 2020 Covid-19 pandemic and 834 during the same period in 2019. The demographic distribution (age, gender, and ethnicity) was similar between the two periods. LogMAR visual acuity at presentation was worse during the Covid-19 pandemic (0.42 ± 0.6 and 0.34 ± 0.5 in 2020 and 2019 respectively; p = 0.025) and the number of emergent surgeries was higher (3.7% in 2020 vs 1.8% in 2019, p = 0.026). In 2019 there was a higher likelihood of involvement of both segments of the eye (4.82% versus 1.2%, p < 0.01) and more diagnoses were given to each patient (1 ± 0.5 versus 0.93 ± 0.35, p = 0.001; During the Covid − 19 pandemic medications (both topical and systemic) were prescribed more often (1.22 ± 0.95 in 2020 and 0.84 ± 0.67 in 2019, p < 0.001). Conclusions OER visits were less frequent during the Covid − 19 pandemic as compared to 2019, though the demographics of the patients remained unchanged. Visits during the pandemic tended to be for more severe ocular conditions, with worse visual acuity at presentation and required more medical and surgical treatment which imply higher necessity of ocular evaluation. This analysis can aid healthcare resource management in similar scenarios in the future.

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Section: Discussionmentioning

confidence: 99%

Ophthalmic emergency-room visits during the Covid-19 pandemic – a comparative study

et al. 2021

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“…In this way we also reduced the impact of known seasonality in ocular pathologies. 5 The time periods from different years considered were comparable by number of working days and public holidays.…”

Section: Methodsmentioning

confidence: 99%

Impact of Covid-19 pandemic on Ophthalmic Emergency Department in an Italian tertiary eye centre

Franzolin

Casati

Albertini

et al. 2021

European Journal of Ophthalmology

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Purpose: To evaluate the effects of the COVID-19 pandemic on the Ophthalmic Emergency Department (OED) activity of the tertiary eye centre of Verona. Methods: OED reports of patients visited during lockdown (COVID-period) and in the corresponding period of 2017, 2018 and 2019 (COVID-free period) have been retrieved to draw a comparison. Patients’ demographic and clinical data recorded and analysed are the following: age, gender, previous ocular history, aetiology, symptoms onset, type of symptoms, discharge diagnosis, urgency and severity of diagnosis. Results: OED consultations dropped from 20.6 ± 7.3 visits/day of the COVID-free period to 8.6 ± 4.6 visits/day of the COVID-period. In the COVID-period patients waited longer before physically going to the OED, lamented more vision loss and less redness and reported a higher percentage of traumatic events when compared to the COVID-free period. A significant reduction of ocular surface conditions occurred, while vitreo-retinal disorders increased. Overall, both urgency and severity of diagnosed diseases raised significantly in the COVID-period. Conclusion: The COVID-19 pandemic drove a significant reduction of the overall OED activity. People with less urgent and milder conditions preferred to wait and endure their ocular discomfort for a few days rather than leaving home and risking to contract the infection. Our analysis highlights how several times the OED is used improperly by patients diagnosed with non-urgent disorders. A more accurate use of the OED would allow a reduction of management costs and the avoidance of overcrowding, which can lead to delays in the care of patients that really need assistance.

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“…Eye injuries are a significant global health problem with a worldwide annual incidence of about 55 million people impaired during their daily activities and 1.6 million people with posttraumatic binocular blindness [1]. The frequency of ocular trauma depends on numerous factors including geographical, socioeconomic and also seasonal circumstances [2][3][4][5]. In Germany, annual incidence rates of 302 and 30.5 per 100,000 inhabitants have been determined for mild and severe head trauma previously [6,7], but there is a general lack of information on the frequency of patients suffering from head and face trauma with additional injury to the prechiasmatic visual system (VSI) which comprises of the globe and the optic nerve.…”

Section: Introductionmentioning

confidence: 99%

Damage to the eye and optic nerve in seriously traumatized patients with concomitant head injury: analysis of 84,627 cases from the TraumaRegister DGU® between 2002 and 2015

Huckhagel

Regelsberger

Westphal

et al. 2020

Scand J Trauma Resusc Emerg Med

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Background: To determine the prevalence and characteristics of prechiasmatic visual system injuries (VSI) among seriously injured patients with concomitant head trauma in Europe by means of a multinational trauma registry. Methods: The TraumaRegister DGU® was searched for patients suffering from serious trauma with a Maximum Abbreviated Injury Scale (AIS) ≥ 3 between 2002 and 2015 in Europe. After excluding cases without significant head injury defined by an AIS ≥ 2, groups were built regarding the existence of a concomitant damage to the prechiasmatic optic system comprising globe and optic nerve. Group comparisons were performed with respect to demographic, etiological, clinical and outcome characteristics. Results: 2.2% (1901/84,627) of seriously injured patients with concomitant head trauma presented with additional VSI. These subjects tended to be younger (mean age 44.7 versus 50.9 years) and were more likely of male gender (74.8% versus 70.0%) compared to their counterparts without VSI. The most frequent trauma etiologies were car accidents in VSI patients (28.5%) and falls in the control group (43.2%). VSI cases were prone to additional soft tissue trauma of the head, skull and orbit fractures as well as pneumocephalus. Primary treatment duration was significantly longer in the VSI cohort (mean 23.3 versus 20.5 days) along with higher treatment costs and a larger proportion of patients with moderate or severe impairment at hospital discharge despite there being a similar average injury severity at admission in both groups. Conclusions: A substantial proportion of patients with head injury suffers from additional VSI. The correlation between VSI and prolonged hospitalization, increased direct treatment expenditures, and having a higher probability of posttraumatic impairment demonstrates the substantial socioeconomic relevance of these types of injuries.

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Seasonal distribution of ocular conditions treated at the emergency room: a 1-year prospective study

Cited by 20 publications

References 0 publications

Ophthalmic emergency-room visits during the Covid-19 pandemic – a comparative study

Ophthalmic emergency-room visits during the Covid-19 pandemic – a comparative study

Impact of Covid-19 pandemic on Ophthalmic Emergency Department in an Italian tertiary eye centre

Damage to the eye and optic nerve in seriously traumatized patients with concomitant head injury: analysis of 84,627 cases from the TraumaRegister DGU® between 2002 and 2015

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