Changing Trends in Eye-Related Complaints Presenting to the Emergency Department in Beirut, Lebanon, over 15 Years
Objective. To report the 15-year trend in ophthalmic presentations to the emergency department (ED) at the only medical center in Lebanon that provides 24-hour ophthalmologic care. Methods. Retrospective review of 1967 patients presenting to the ED with eye-related complaints between September 1997...
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| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2018/4739865 |
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| author | Haytham I. Salti Carl-Joe Mehanna Bachir Abiad Nicola Ghazi Samih Raad Anita Barikian Randa Haddad Adnan Ashkar Elie Harmouche Elie Zaghrini Afif Mufarrij |
| author_facet | Haytham I. Salti Carl-Joe Mehanna Bachir Abiad Nicola Ghazi Samih Raad Anita Barikian Randa Haddad Adnan Ashkar Elie Harmouche Elie Zaghrini Afif Mufarrij |
| author_sort | Haytham I. Salti |
| collection | DOAJ |
| description | Objective. To report the 15-year trend in ophthalmic presentations to the emergency department (ED) at the only medical center in Lebanon that provides 24-hour ophthalmologic care. Methods. Retrospective review of 1967 patients presenting to the ED with eye-related complaints between September 1997 and August 1998 and between September 2012 and August 2013. Diagnoses were classified into 4 categories according to the International Society of Ocular Trauma and include penetrating eye injuries, nonpenetrating eye trauma, nontraumatic ophthalmic emergencies, and nontraumatic, nonurgent ophthalmic conditions. Results. One thousand sixty eye-related presentations out of 39,158 total ED visits (2.71%) presented in 1997 compared to 907 out of 46,363 in 2012 (1.96%). Penetrating and nonpenetrating eye emergencies decreased between 1997 and 2012 (7.17% to 4.19%, p=0.003 and 52.64% to 29.00%, p<0.001, resp.) while nonurgent cases increased from 30.19% to 53.47% (p<0.001). 57% of patients were covered by third-party guarantors in 1997 versus 73% in 2012. Conclusion. Our results demonstrate a significant increase in nonurgent cases in parallel with the proportion of third-party payers, an issue to be addressed by public health policies and proper resource allocation. A detailed nationwide review is needed to make solid recommendations for the management of ophthalmologic presentations in the ED. |
| format | Article |
| id | doaj-art-758178997aa741e38ec7559564884e49 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-758178997aa741e38ec7559564884e492025-02-03T01:21:37ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/47398654739865Changing Trends in Eye-Related Complaints Presenting to the Emergency Department in Beirut, Lebanon, over 15 YearsHaytham I. Salti0Carl-Joe Mehanna1Bachir Abiad2Nicola Ghazi3Samih Raad4Anita Barikian5Randa Haddad6Adnan Ashkar7Elie Harmouche8Elie Zaghrini9Afif Mufarrij10Department of Ophthalmology, American University of Beirut Medical Center, Beirut, LebanonDepartment of Ophthalmology, American University of Beirut Medical Center, Beirut, LebanonDepartment of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX, USADepartment of Ophthalmology, Cleveland Clinic Foundation, Abu Dhabi, UAEDepartment of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, USADepartment of Ophthalmology, University of Tennessee Health Science Center, Hamilton Eye Institute, Memphis, TN, USADepartment of Ophthalmology, American University of Beirut Medical Center, Beirut, LebanonAmerican University of Beirut Medical Center, Beirut, LebanonDepartment of Emergency Medicine, Henry Ford Hospital, Detroit, MI, USADepartment of Emergency Medicine, Lebanese American University Medical Center-Rizk Hospital, Beirut, LebanonDepartment of Emergency Medicine, American University of Beirut Medical Center, Beirut, LebanonObjective. To report the 15-year trend in ophthalmic presentations to the emergency department (ED) at the only medical center in Lebanon that provides 24-hour ophthalmologic care. Methods. Retrospective review of 1967 patients presenting to the ED with eye-related complaints between September 1997 and August 1998 and between September 2012 and August 2013. Diagnoses were classified into 4 categories according to the International Society of Ocular Trauma and include penetrating eye injuries, nonpenetrating eye trauma, nontraumatic ophthalmic emergencies, and nontraumatic, nonurgent ophthalmic conditions. Results. One thousand sixty eye-related presentations out of 39,158 total ED visits (2.71%) presented in 1997 compared to 907 out of 46,363 in 2012 (1.96%). Penetrating and nonpenetrating eye emergencies decreased between 1997 and 2012 (7.17% to 4.19%, p=0.003 and 52.64% to 29.00%, p<0.001, resp.) while nonurgent cases increased from 30.19% to 53.47% (p<0.001). 57% of patients were covered by third-party guarantors in 1997 versus 73% in 2012. Conclusion. Our results demonstrate a significant increase in nonurgent cases in parallel with the proportion of third-party payers, an issue to be addressed by public health policies and proper resource allocation. A detailed nationwide review is needed to make solid recommendations for the management of ophthalmologic presentations in the ED.http://dx.doi.org/10.1155/2018/4739865 |
| spellingShingle | Haytham I. Salti Carl-Joe Mehanna Bachir Abiad Nicola Ghazi Samih Raad Anita Barikian Randa Haddad Adnan Ashkar Elie Harmouche Elie Zaghrini Afif Mufarrij Changing Trends in Eye-Related Complaints Presenting to the Emergency Department in Beirut, Lebanon, over 15 Years Journal of Ophthalmology |
| title | Changing Trends in Eye-Related Complaints Presenting to the Emergency Department in Beirut, Lebanon, over 15 Years |
| title_full | Changing Trends in Eye-Related Complaints Presenting to the Emergency Department in Beirut, Lebanon, over 15 Years |
| title_fullStr | Changing Trends in Eye-Related Complaints Presenting to the Emergency Department in Beirut, Lebanon, over 15 Years |
| title_full_unstemmed | Changing Trends in Eye-Related Complaints Presenting to the Emergency Department in Beirut, Lebanon, over 15 Years |
| title_short | Changing Trends in Eye-Related Complaints Presenting to the Emergency Department in Beirut, Lebanon, over 15 Years |
| title_sort | changing trends in eye related complaints presenting to the emergency department in beirut lebanon over 15 years |
| url | http://dx.doi.org/10.1155/2018/4739865 |
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