Retrospective analysis of ophthalmology consults to a tertiary academic teaching centre
| Autor: | Gavin Docherty, Simon Warner, Cameron Oliver, Carol Tadrous |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Provisional diagnosis Referral MEDLINE Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Ophthalmology Retrospective analysis Humans Medicine Medical diagnosis Referral and Consultation Retrospective Studies Academic Medical Centers Primary Health Care business.industry Retrospective cohort study General Medicine Emergency department Middle Aged 030221 ophthalmology & optometry Etiology Female Emergencies Emergency Service Hospital business |
| Zdroj: | Canadian Journal of Ophthalmology. 54:484-488 |
| ISSN: | 0008-4182 |
| Popis: | Objective This study was conducted to analyse data from emergency ophthalmology referrals after-hours from different hospitals to identify the most common pathologies and compare accuracy of diagnoses. The primary objective was to identify common presenting entities and common causes of misdiagnosis in the emergency department to help guide education initiatives. Design This was a retrospective chart review that looked at consults occurring between September 1, 2015, and October 21, 2016. Methods Emergency ophthalmology consults were reviewed and the date, time, age, sex, and provisional diagnosis were recorded. Ophthalmic diagnosis was compared with provisional diagnosis to compare agreement rate. Diagnoses were categorized to determine most frequent etiologies presenting on an emergent basis. Results A total of 697 consults were reviewed. The most common consults by diagnostic category were anterior segment (36.4%) and posterior segment (27.4%) pathologies. Together, these categories accounted for over 60% of all consults. Agreement between provisional diagnosis and final ophthalmology diagnosis was 65.8%. Conclusions There was a reasonable agreement rate between referring services diagnosis and ophthalmology diagnosis. The retrospective nature of this study and use of categories to determine agreement are potential biases and the agreement rate may not reflect clinical practice. Most common diagnoses were similar to previous studies. The authors noted several diagnostic categories that could be targeted as areas for medical education to help increase recognition in the primary care setting and facilitate appropriate ophthalmic referral. |
| Databáze: | OpenAIRE |
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