TY  - JOUR
T1  - Characteristics of Ophthalmologic Consultations and Hospital Admissions in the Emergency Department of a Tertiary Care Hospital: A Retrospective Study
TT  - Üçüncü Basamak Bir Hastanenin Acil Servisinde Oftalmolojik Konsültasyonların ve Hastane Başvurularının Özellikleri: Retrospektif Bir Çalışma
AU  - Karaca, Serap
AU  - Özaydın, Vehbi
AU  - Sarı Doğan, Fatma
AU  - Altıntaş, Emel
AU  - Çetin, Murat
AU  - İncealtın, Onur
PY  - 2025
DA  - April
Y2  - 2025
DO  - 10.33716/bmedj.1632610
JF  - Balıkesir Medical Journal
JO  - BMedJ
PB  - Balıkesir Üniversitesi
WT  - DergiPark
SN  - 2564-6664
SP  - 1
EP  - 7
VL  - 9
IS  - 1
LA  - en
AB  - Purpose: This study aims to evaluate the characteristics of ophthalmologic consultations, demographic data of patients, and reasons for hospital admission among patients presenting with ophthalmologic complaints to the emergency department (ED) of a tertiary care hospital. Method: This retrospective study included 3,617 patients with ocular complaints. The patients presented to a tertiary care ED in Istanbul between August 2021 and August 2022. The hospital’s automation system was used to evaluate emergency ophthalmologic consultations. Results: The mean age of the patients was 42.17 ± 16.60 years, and 66.8% were male. The majority of visits (63.9%) occurred outside of working hours. Of these, 1,642 (45.4%) patients presented due to trauma. Intraocular foreign bodies were detected in 2,419 patients (66.9%). Among non-traumatic conditions, conjunctivitis (26.6%), subconjunctival hemorrhage (8.9%), and blepharitis (3.3%) were the most common diagnoses. A total of 91 patients (2.5%) were admitted to the ophthalmology department. The hospital admission rate was higher among older patients, those with non-traumatic conditions, and those without a foreign body. Conclusion: Our study highlights the predominance of non-emergent consultations among ophthalmologic cases. It underscores the need for improved triage protocols to optimize consultations. Further research is required to enhance ophthalmologic case management and patient referral systems to optimize emergency care resources.
KW  - Emergency Department
KW  - Ophthalmology
KW  - Consultation
KW  - Hospitalization
N2  - Amaç: Üçüncü basamak bir hastanenin acil servisine oftalmolojik şikayetlerle başvuran hastalar için yapılan konsültasyonların özellikleri, hastaların demografik bilgileri ve hastaneye yatış sebeplerinin değerlendirilmesidir.Yöntem: Bu retrospektif çalışmaya oküler şikayetleri olan 3617 hasta dahil edildi. Hastalar Ağustos 2021 ve Ağustos 2022 tarihleri arasında İstanbul'da üçüncü basamak bir acil servise başvurdu. Acil oftalmolojik konsültasyonları değerlendirmek için hastanenin otomasyon sistemi kullanıldı. Bulgular: Hastaların ortalama yaşı 42,17 ± 16,60 yıl olup, %66,8'i erkekti. Başvuruların çoğu (%63,9) mesai saatleri dışında gerçekleşti. Bunların 1642'si (%45,4) travma nedeniyle başvurdu. Hastaların 2419'unda (%66.9) göz içi yabancı cisim saptandı. Travma dışında konjonktivit (%26,6), subkonjonktival hemoraji (%8,9) ve blefarit (%3,3) en yaygın tanılar idi. Başvuran hastaların 91'i (%2,5) göz hastalıkları servisine yatırıldı. Yaşlı hastalarda, travma dışı yaralanması olanlarda ve yabancı cisim bulunmayanlarda göz hastalıkları servisine yatış oranı daha yüksekti.Sonuç: Çalışmamız, konsülte edilen oftalmolojik vakalardaki acil olmayan konsültasyonların baskınlığını vurgulamaktadır. Konsültasyonları optimize etmek için triyaj protokollerine olan ihtiyacı vurgulamaktadır. Acil durum kaynaklarını daha iyi kullanabilmek için oftalmolojik vakaları yönetme ve hasta sevk sistemlerini geliştirme konusunda.daha fazla araştırmaya ihtiyaç vardır.
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UR  - https://doi.org/10.33716/bmedj.1632610
L1  - https://dergipark.org.tr/tr/download/article-file/4577116
ER  -