Yield and clinical efficacy of funduscopic examinations performed in the pediatric emergency room
| Autor: | Pinhas Fainmesser, Anat Segev-Becker, Miki Har-Gil, Nathan Watemberg, Ehud L. Assia |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Head trauma Neuroimaging medicine Humans Papilledema Child Referral and Consultation Medulloblastoma business.industry Medical record Ophthalmoscopes Infant Emergency department medicine.disease eye diseases Physical abuse Child Preschool Pediatrics Perinatology and Child Health Etiology Female medicine.symptom business Emergency Service Hospital |
| Zdroj: | European journal of pediatrics. 173(3) |
| ISSN: | 1432-1076 |
| Popis: | Consultations by ophthalmologists to rule out papilledema are frequently requested by emergency room (ER) physicians. The clinical setting and optimal timing for examination are not well established, and the impact on patient management is unclear. We evaluated the yield of emergency funduscopic examinations, aiming at establishing the optimal timing and efficacy of the consultation. The medical records of all children aged 0–18 years referred for funduscopic examinations from the ER between June 2010 and May 2011 were reviewed. Of 19,772 ER visits, 1,920 (9.7 %) were seen by an ophthalmologist and 479 (2.4 %) to rule out papilledema. Headache (44.5 %) and head trauma (18.4 %) were the most common indications. Sixty percent of the 479 patients had been symptomatic for |
| Databáze: | OpenAIRE |
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