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Purpose <p>To assess factors associated with emergent ophthalmologic consultations and identify areas for improvement in patient care.</p> Methods <p>Multicenter cross-sectional study of 944 patient visits for which ophthalmology was consulted at two major trauma centers in Colorado between February 25, 2016 and February 25, 2018. Encounter measures included chief complaint, diagnostic steps, diagnosis at the Emergency Department (ED), timeframe to follow-up, final ophthalmic diagnosis, intervention, and disposition. Encounters were categorized into emergent, urgent, and non-urgent visits depending on the final diagnosis.</p> Results <p>A total of 944 charts were identified. Uninsured status was found in 20.4% (n = 191) of encounters. The most common ocular consult complaint was eye pain (57%) followed by blurry/decreased vision (50%), trauma (28%), and red eye (18%). Chief complaints of flashes/floaters, tearing, itchiness and discharge were higher in non-urgent visits compared with emergent and urgent visits. Male patients were more likely to have an urgent or emergent visit compared to females (68.2% and 10.4% in males versus 57.6% and 3.8% in females, p &lt; 0.0001). Other findings associated with urgent visits included intoxication and trauma. Medicare and Medicaid patients were more likely to present with non-urgent diagnoses. Only 58.5% of patients who were discharged with a follow-up appointment were seen in the clinic within 30 days after the initial consultation.</p> Conclusions <p>Ophthalmology consultation analyses in the ED allow us to identify areas of improvement in patient care in terms of triage and disposition. Efforts to improve follow-up care, outpatient ophthalmic care, and ED work-up are necessary.</p>

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Ophthalmology consultations characteristics in the emergency department at two level-one trauma centers in the United States

  • 期刊论文

  • 发表日期：

    2026年3月10日

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  • Jennifer L. Patnaik,
  • Itzam Marin,
  • Eric Williams,
  • Helio Neves da Silva,
  • Jesse M. Smith

摘要

Purpose

To assess factors associated with emergent ophthalmologic consultations and identify areas for improvement in patient care.

Methods

Multicenter cross-sectional study of 944 patient visits for which ophthalmology was consulted at two major trauma centers in Colorado between February 25, 2016 and February 25, 2018. Encounter measures included chief complaint, diagnostic steps, diagnosis at the Emergency Department (ED), timeframe to follow-up, final ophthalmic diagnosis, intervention, and disposition. Encounters were categorized into emergent, urgent, and non-urgent visits depending on the final diagnosis.

Results

A total of 944 charts were identified. Uninsured status was found in 20.4% (n = 191) of encounters. The most common ocular consult complaint was eye pain (57%) followed by blurry/decreased vision (50%), trauma (28%), and red eye (18%). Chief complaints of flashes/floaters, tearing, itchiness and discharge were higher in non-urgent visits compared with emergent and urgent visits. Male patients were more likely to have an urgent or emergent visit compared to females (68.2% and 10.4% in males versus 57.6% and 3.8% in females, p < 0.0001). Other findings associated with urgent visits included intoxication and trauma. Medicare and Medicaid patients were more likely to present with non-urgent diagnoses. Only 58.5% of patients who were discharged with a follow-up appointment were seen in the clinic within 30 days after the initial consultation.

Conclusions

Ophthalmology consultation analyses in the ED allow us to identify areas of improvement in patient care in terms of triage and disposition. Efforts to improve follow-up care, outpatient ophthalmic care, and ED work-up are necessary.