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Triaging self-referred patients attending ophthalmic emergency room
OBJECTIVES: To introduce an effective and safe ophthalmic triaging system to be used by non-ophthalmologists. METHODS: A modified scoring triage system with more relevant clinical symptoms and signs from a previously published Rome Eye Scoring System for Urgency and Emergency (RESCUE) was evaluated...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Saudi Medical Journal
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4454901/ https://www.ncbi.nlm.nih.gov/pubmed/25987109 http://dx.doi.org/10.15537/smj.2015.6.11302 |
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author | AlSamnan, Mazen S. Mousa, Ahmed Al-Kuwaileet, Safa AlSuhaibani, Adel H. |
author_facet | AlSamnan, Mazen S. Mousa, Ahmed Al-Kuwaileet, Safa AlSuhaibani, Adel H. |
author_sort | AlSamnan, Mazen S. |
collection | PubMed |
description | OBJECTIVES: To introduce an effective and safe ophthalmic triaging system to be used by non-ophthalmologists. METHODS: A modified scoring triage system with more relevant clinical symptoms and signs from a previously published Rome Eye Scoring System for Urgency and Emergency (RESCUE) was evaluated over a 2-month period. The study was conducted following a prospective cohort design between March and September 2014 at King Abdulaziz University Hospital, Riyadh, Saudi Arabia. Only self-referred patients were included. Its reliability in differentiating urgent and semi-urgent conditions from non-urgent conditions, identifying patients who need immediate intervention, and decreasing the waiting time were tested using Mann Whitney U test. RESULTS: A total of 531 patients were included in the validation phase to evaluate the triaging system reliability, and 824 patients were included in the implementation phase (applying the system in the ophthalmology emergency room). The sensitivity to differentiate urgent and semi-urgent conditions from non-urgent conditions improved from 90.7 to 98.7%, while the specificity decreased from 97.2 to 87% compared with RESCUE. The sensitivity in differentiating urgent conditions from semi-urgent and non-urgent conditions was 99%, and the specificity was 90%. Mean waiting time reduced from 58.23 minutes to 46 minutes (p=0.014), and the median waiting time reduced from 46 minutes to 33 minutes (p=0.009). CONCLUSION: This triage system appears to be safe and effective in recognizing the urgency of different ophthalmic conditions, reducing unnecessary ophthalmic emergency load and waiting time significantly. |
format | Online Article Text |
id | pubmed-4454901 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Saudi Medical Journal |
record_format | MEDLINE/PubMed |
spelling | pubmed-44549012015-06-04 Triaging self-referred patients attending ophthalmic emergency room AlSamnan, Mazen S. Mousa, Ahmed Al-Kuwaileet, Safa AlSuhaibani, Adel H. Saudi Med J Original Article OBJECTIVES: To introduce an effective and safe ophthalmic triaging system to be used by non-ophthalmologists. METHODS: A modified scoring triage system with more relevant clinical symptoms and signs from a previously published Rome Eye Scoring System for Urgency and Emergency (RESCUE) was evaluated over a 2-month period. The study was conducted following a prospective cohort design between March and September 2014 at King Abdulaziz University Hospital, Riyadh, Saudi Arabia. Only self-referred patients were included. Its reliability in differentiating urgent and semi-urgent conditions from non-urgent conditions, identifying patients who need immediate intervention, and decreasing the waiting time were tested using Mann Whitney U test. RESULTS: A total of 531 patients were included in the validation phase to evaluate the triaging system reliability, and 824 patients were included in the implementation phase (applying the system in the ophthalmology emergency room). The sensitivity to differentiate urgent and semi-urgent conditions from non-urgent conditions improved from 90.7 to 98.7%, while the specificity decreased from 97.2 to 87% compared with RESCUE. The sensitivity in differentiating urgent conditions from semi-urgent and non-urgent conditions was 99%, and the specificity was 90%. Mean waiting time reduced from 58.23 minutes to 46 minutes (p=0.014), and the median waiting time reduced from 46 minutes to 33 minutes (p=0.009). CONCLUSION: This triage system appears to be safe and effective in recognizing the urgency of different ophthalmic conditions, reducing unnecessary ophthalmic emergency load and waiting time significantly. Saudi Medical Journal 2015-06 /pmc/articles/PMC4454901/ /pubmed/25987109 http://dx.doi.org/10.15537/smj.2015.6.11302 Text en Copyright: © Saudi Medical Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article AlSamnan, Mazen S. Mousa, Ahmed Al-Kuwaileet, Safa AlSuhaibani, Adel H. Triaging self-referred patients attending ophthalmic emergency room |
title | Triaging self-referred patients attending ophthalmic emergency room |
title_full | Triaging self-referred patients attending ophthalmic emergency room |
title_fullStr | Triaging self-referred patients attending ophthalmic emergency room |
title_full_unstemmed | Triaging self-referred patients attending ophthalmic emergency room |
title_short | Triaging self-referred patients attending ophthalmic emergency room |
title_sort | triaging self-referred patients attending ophthalmic emergency room |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4454901/ https://www.ncbi.nlm.nih.gov/pubmed/25987109 http://dx.doi.org/10.15537/smj.2015.6.11302 |
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