June 2015
Volume 56, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2015
Utilization of Ophthalmology-Specific Emergency Department Services: A Prospective Study
Author Affiliations & Notes
  • Daniel Gologorsky
    Ophthalmology, Bascom Palmer Eye Institute, Miami, FL
  • Joyce C Schiffman
    Ophthalmology, Bascom Palmer Eye Institute, Miami, FL
  • Luz Ajuria
    Ophthalmology, Bascom Palmer Eye Institute, Miami, FL
  • James Banta
    Ophthalmology, Bascom Palmer Eye Institute, Miami, FL
  • Footnotes
    Commercial Relationships Daniel Gologorsky, None; Joyce Schiffman, None; Luz Ajuria, None; James Banta, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2015, Vol.56, 1383. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to Subscribers Only
      Sign In or Create an Account ×
    • Get Citation

      Daniel Gologorsky, Joyce C Schiffman, Luz Ajuria, James Banta; Utilization of Ophthalmology-Specific Emergency Department Services: A Prospective Study. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):1383.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract
 
Purpose
 

To describe utilization trends at an ophthalmology-specific emergency department.

 
Methods
 

This is a prospective study involving a survey completed by the physician at the end of each new patient visit at the Bascom Palmer Eye Institute emergency department. The survey was included in the chart of every new patient presenting to the emergency department for a 1-month period each year from 2010-2014. The study included 5,325 surveys completed by treating staff and physicians during the study period. Surveys included information on the date, time of day, patient age and gender, duration of symptoms, insurance status, preliminary diagnosis, time to follow-up appointment, and whether the physician considered the visit an ophthalmic emergency. All data were analyzed using student’s t-test and Pearson chi-squared test.

 
Results
 

An average of 45.6 new patients per day (range 26-63) presented to the emergency department. Most common diagnoses included viral conjunctivitis (9.2%), dry eye syndrome (7.2%), and corneal abrasion (5.9%). Non-emergent visits accounted for 32.8% of visits. Female patients and patients with age of 65 years or older were statistically more likely to present with non-emergencies (p < 0.001). Patients presenting on the weekend were significantly more likely to be presenting with an ophthalmic emergency than those presenting during weekdays (74.1% versus 65.6%, p < 0.001). Patients insured under the regional public assistance program were more likely to present with non-emergencies than patients of all other insurance statuses (p < 0.001). Patients with symptom duration of greater than 1 week were significantly more likely to present with non-emergencies (p < 0.001).

 
Conclusions
 

Over one-third of new patient visits to the emergency department were non-emergent. Factors predictive of non-emergent patient visits were female gender, age of 65 years or older, duration of symptoms greater than one week, weekday visits, and regional public assistance insurance.  

 
Table: Most common diagnoses presenting to BPEI ED during the study period
 
Table: Most common diagnoses presenting to BPEI ED during the study period

 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×