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Patterns of attendances to the hospital emergency eye care service: a multicentre study in England

BACKGROUND/OBJECTIVES: To characterise the patterns of presentation and diagnostic frequencies in Hospital Emergency Eye Care Services (HEECS) across 13 hospitals in England. METHODS: Retrospective, cross-sectional, observational multi-centre (n = 13) study to assess HEECS attendances over a 28-day...

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Autores principales: De Silva, Ian, Thomas, Mervyn G., Shirodkar, Amy-lee, Kuht, Helen J., Ku, Jae Yee, Chaturvedi, Ritu, Beer, Freddy, Patel, Radhika, Rana-Rahman, Romeela, Anderson, Sarah, Dickerson, Polly, Walsh, Francine, While, Ben, Clarke, Lucy, Siriwardena, Dilani, Dhawahir-Scala, Felipe, Buchan, John, Verma, Seema
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629695/
https://www.ncbi.nlm.nih.gov/pubmed/34845355
http://dx.doi.org/10.1038/s41433-021-01849-8
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author De Silva, Ian
Thomas, Mervyn G.
Shirodkar, Amy-lee
Kuht, Helen J.
Ku, Jae Yee
Chaturvedi, Ritu
Beer, Freddy
Patel, Radhika
Rana-Rahman, Romeela
Anderson, Sarah
Dickerson, Polly
Walsh, Francine
While, Ben
Clarke, Lucy
Siriwardena, Dilani
Dhawahir-Scala, Felipe
Buchan, John
Verma, Seema
author_facet De Silva, Ian
Thomas, Mervyn G.
Shirodkar, Amy-lee
Kuht, Helen J.
Ku, Jae Yee
Chaturvedi, Ritu
Beer, Freddy
Patel, Radhika
Rana-Rahman, Romeela
Anderson, Sarah
Dickerson, Polly
Walsh, Francine
While, Ben
Clarke, Lucy
Siriwardena, Dilani
Dhawahir-Scala, Felipe
Buchan, John
Verma, Seema
author_sort De Silva, Ian
collection PubMed
description BACKGROUND/OBJECTIVES: To characterise the patterns of presentation and diagnostic frequencies in Hospital Emergency Eye Care Services (HEECS) across 13 hospitals in England. METHODS: Retrospective, cross-sectional, observational multi-centre (n = 13) study to assess HEECS attendances over a 28-day study period. Data derived included: number of consecutive attendances, patient demographics and diagnoses. Age and gender variations, the impact of day of the week on attendance patterns, diagnostic frequencies and estimates of the annual incidence and attendance rates were evaluated. RESULTS: A total of 17,667 patient (mean ± standard deviation age = 49.6 ± 21.8 years) attendances were identified with an estimated HEECS annual new attendance rate of 31.0 per 1,000 population. Significantly more females (53%) than males (47%) attended HEECS (p < 0.001). Female attendances were 13% higher in those ≥50 years of age. Weekends were associated with a significant reduction in attendances compared to weekdays (χ(2) = 6.94, p < 0.001). Among weekdays, Mondays and Fridays were associated with significantly higher attendances compared with midweek (χ(2) = 2.20, p = 0.032). Presenting pathologies involving the external eye, cornea and conjunctiva accounted for 28.6% of the caseload. CONCLUSION: This is the largest multicentre study assessing attendance patterns in HEECS in England. We have, for the first time, observed a “weekend effect” in relation to attendance to HEECS. Differences in health-seeking behaviour and lack of awareness of HEECS weekend services may be partly attributed to the differences observed. Our findings, along with the type of presentations, have the potential to guide commissioners with future planning of HEECS.
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spelling pubmed-86296952021-11-30 Patterns of attendances to the hospital emergency eye care service: a multicentre study in England De Silva, Ian Thomas, Mervyn G. Shirodkar, Amy-lee Kuht, Helen J. Ku, Jae Yee Chaturvedi, Ritu Beer, Freddy Patel, Radhika Rana-Rahman, Romeela Anderson, Sarah Dickerson, Polly Walsh, Francine While, Ben Clarke, Lucy Siriwardena, Dilani Dhawahir-Scala, Felipe Buchan, John Verma, Seema Eye (Lond) Article BACKGROUND/OBJECTIVES: To characterise the patterns of presentation and diagnostic frequencies in Hospital Emergency Eye Care Services (HEECS) across 13 hospitals in England. METHODS: Retrospective, cross-sectional, observational multi-centre (n = 13) study to assess HEECS attendances over a 28-day study period. Data derived included: number of consecutive attendances, patient demographics and diagnoses. Age and gender variations, the impact of day of the week on attendance patterns, diagnostic frequencies and estimates of the annual incidence and attendance rates were evaluated. RESULTS: A total of 17,667 patient (mean ± standard deviation age = 49.6 ± 21.8 years) attendances were identified with an estimated HEECS annual new attendance rate of 31.0 per 1,000 population. Significantly more females (53%) than males (47%) attended HEECS (p < 0.001). Female attendances were 13% higher in those ≥50 years of age. Weekends were associated with a significant reduction in attendances compared to weekdays (χ(2) = 6.94, p < 0.001). Among weekdays, Mondays and Fridays were associated with significantly higher attendances compared with midweek (χ(2) = 2.20, p = 0.032). Presenting pathologies involving the external eye, cornea and conjunctiva accounted for 28.6% of the caseload. CONCLUSION: This is the largest multicentre study assessing attendance patterns in HEECS in England. We have, for the first time, observed a “weekend effect” in relation to attendance to HEECS. Differences in health-seeking behaviour and lack of awareness of HEECS weekend services may be partly attributed to the differences observed. Our findings, along with the type of presentations, have the potential to guide commissioners with future planning of HEECS. Nature Publishing Group UK 2021-11-30 2022-12 /pmc/articles/PMC8629695/ /pubmed/34845355 http://dx.doi.org/10.1038/s41433-021-01849-8 Text en © Crown 2021
spellingShingle Article
De Silva, Ian
Thomas, Mervyn G.
Shirodkar, Amy-lee
Kuht, Helen J.
Ku, Jae Yee
Chaturvedi, Ritu
Beer, Freddy
Patel, Radhika
Rana-Rahman, Romeela
Anderson, Sarah
Dickerson, Polly
Walsh, Francine
While, Ben
Clarke, Lucy
Siriwardena, Dilani
Dhawahir-Scala, Felipe
Buchan, John
Verma, Seema
Patterns of attendances to the hospital emergency eye care service: a multicentre study in England
title Patterns of attendances to the hospital emergency eye care service: a multicentre study in England
title_full Patterns of attendances to the hospital emergency eye care service: a multicentre study in England
title_fullStr Patterns of attendances to the hospital emergency eye care service: a multicentre study in England
title_full_unstemmed Patterns of attendances to the hospital emergency eye care service: a multicentre study in England
title_short Patterns of attendances to the hospital emergency eye care service: a multicentre study in England
title_sort patterns of attendances to the hospital emergency eye care service: a multicentre study in england
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629695/
https://www.ncbi.nlm.nih.gov/pubmed/34845355
http://dx.doi.org/10.1038/s41433-021-01849-8
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