medigraphic.com
ISSN 1727-897X (Electronic)

2015, Number 1

<< Back Next >>

Medisur 2015; 13 (1)

Incidence of ocular emergencies in the emergency room of the University General Hospital of Cienfuegos

Milanés AAR, Molina CK, González DA, Ruiz BK

Language: Spanish
References: 34
Page: 46-57
PDF size: 273.46 Kb.


ABSTRACT

Background: There are few international and national studies on the incidence of ocular emergencies though there are frequent complaints.
Objective: To determine the incidence and types of emergencies attended by the department of Ophthalmology at the General University Hospital of Cienfuegos.
Methods: Case series study of all patients attended in the Emergency Department of Ophthalmology in Cienfuegos Hospital from March 2013 to March 2014. There were analyzed: name of the patient, sex, age, origin, diagnosis emergency, classification code colors, total of patients requiring surgical treatment and hospitalization.
Results: Predominated aged 41-60 years (35.8%), males (58.6%) and the largest number of cases attended corresponded to patients in the provincial capital. There was a predominance of green code (70.9%); the conditions most represented were inflammations of annexes followed by injuries; 72 patients needed surgery, (0.38%) and 59 required hospitalizations, the rest of the patients were on ambulatory treatment with follow up in outpatient department (0.31%).
Conclusions: The incidence of true ophthalmologic emergencies was low, for inflammatory conditions of Annexes classified as green code, were the most frequent cause of patient care; conditions that can be treated in primary services, indicating to mismanagement of physicians in the treatment of these ophthalmic conditions with consequent social and economic burden involving secondary services.


REFERENCES

  1. López González M, Méndez Sánchez TJ, Lapido Polanco, Obret Mendive I, Baldoquin Rodríguez W. Características clínicas y epidemiológicas de los traumas oculares infantiles asistidos en Cuerpo de Guardia. Rev Cubana Oftalmol [revista en Internet]. 2013 [ cited 23 Abr 2014 ] ; 26 Suppl 1: [aprox. 12p]. Available from: http://www.revoftalmologia.sld.cu/index.php/oftal mologia/article/view/216/html.

  2. García-Alcolea E. Comportamiento de las urgencias traumáticas oftálmicas. Hospital provincial docente Saturnino Lora. Santiago de Cuba. 2008. Rev Mex Oftalmol. 2009 ; 83 (3): 158-61.

  3. Ivankovic VL, Minaeff T. Caracterización de las urgencias oftalmológicas en el Hospital José Joaquín Aguirre. Rev Hosp Clín Univ Chile. 2009 ; 20: 97-102.

  4. Paton D, Morton G. Consideraciones Preliminares. Tratamiento de los traumatismos oculares. La Habana: Editorial Científico-Técnica; 1984.

  5. Peñate Santana H, Medina Rivero F, Calero Carballo D, García Delpech S. Frecuencia de las diferentes urgencias oftalmológicas en nuestra área. Arch Soc Canar Oftal [revista en Internet]. 2009 ; 20: [aprox. 7p]. Available from: http://www.oftalmo.com/sco/revista-20/20sco02. htm.

  6. Aveleira Ortiz BA, Eguía Martínez. Trauma ocular. Consideraciones actuales. In: Peraza Rodríguez G, Quesada Pantoja J, Sanchez Ferrán T, editors. Oftalmología. Criterios y tendencias actuales. La Habana: Editorial Ciencias Médicas; 2009. p. 402-10.

  7. Enock ME, Omoti AE, Alikah AA. Risk factors identification for ocular trauma in patients who presented in a suburban tertiary care hospital in Nigeria. Saudi Med J. 2007 ; 28 (9): 1385-8.

  8. Pérez Alemany ME, Hormigó Belet AM, Fernández Pérez SR, Montes Fong H, Torres Arafet A. Luxación subconjuntival del cristalino por traumatismo contuso. MEDISAN [revista en Internet]. 2013 [ cited 23 Abr 2014 ] ; 17 (10): [aprox. 8p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1029-30192013001000017.

  9. García-Alcolea EE. Comportamiento de las urgencias traumáticas oftálmicas. Hospital provincial docente Saturnino Lora. Santiago de Cuba. 2008. Rev Mex Oftalmol. 2009 ; 83 (3): 158-61.

  10. Llerena JA, Guerra RA, Pérez D, Rúa Martínez R. Manejo del traumatismo ocular a globo abierto. Rev Cubana Oftalmol [revista en Internet]. 2012 [ cited 29 Abr 2013 ] ; 25 (2): [aprox. 9p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S0864-21762012000400006.

  11. Pérez Sánchez R, Frómeta Rivaflechas G, Fernández González ME, González Hernández JR, Planes Reyes M. Caracterización de pacientes peruanos operados de catarata traumática. MEDISAN [revista en Internet]. 2014 [ cited 23 Jun 2014 ] ; 18 (4): [aprox. 9p]. Available from: http://bvs.sld.cu/revistas/san/vol18_4_14/san134 14.pdf.

  12. Zamora Galindo I, Martínez Díaz A, Milanés Armengol A. Cuerpo extraño intraocular. Presentación de un caso. Medisur [revista en Internet]. 2012 [ cited 29 Abr 2013 ] ; 10 (2): [aprox. 4p]. Available from: http://www.medisur.sld.cu/index.php/medisur/arti cle/view/2102.

  13. Torres García D, Morejón Zanz AC, Quintana Sánchez A, Ribott Ruiz LA. Aspectos clínico epidemiológicos de los traumatismos oculares mecánicos en el Hospital Faustino Pérez. Revista Misión Milagro [revista en Internet]. 2009 [ cited 23 Dic 2011 ] ; 3 (2): [aprox. 13p]. Available from: http://www.misionmilagro.sld.cu/vol3no2/inv3202. php.

  14. Ramos Gómez EA, Linares Guerra M, Quintero Busutil M. Rehabilitación en pacientes con trauma ocular. Rev Cubana Oftalmol [revista en Internet]. 2012 [ cited 24 Jun 2014 ] ; 25 Suppl 2: [aprox. 6p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S0864-21762012000400012.

  15. Pulido JS. Lesión del segmento posterior: retina, coroides y vítreo: requisitos en oftalmología. Madrid: Elsevier; 2003.

  16. Sánchez Tocino H, Galindo Ferreiro A, Iglesias Cortiña D, Galindo Alonso J, Fernández Muñoz M. Estudio epidemiológico de las urgencias oftalmológicas en un hospital general. Arch Soc Esp Oftalmol. 2004 ; 79 (9): 553-56.

  17. Peña Sisto LA, Silva Chill T, García Espinosa SM, Navarro Scott M, Fernández Pérez SR. Factores de riesgo de la catarata traumática como urgencia oftalmológica. MEDISAN [revista en Internet]. 2007 [ cited 3 Dic 2012 ] ; 11 (2): [aprox. 8p]. Available from: http://bvs.sld.cu/revistas/san/vol11_2_07/san012 07r.htm.

  18. Curbelo Concepción D, Triana Casado I, Medina Perdomo JC. Comportamiento de los traumatismos oculares en pacientes ingresados en el Instituto Cubano de Oftalmología. Medisur [revista en Internet]. 2009 [ cited 18 Mar 2011 ] ; 7 (3): [aprox. 8p]. Available from: http://scielo.sld.cu/scielo.php?pid=S1727-897X20 09000300005&script=sci_arttext.

  19. Mora Pérez E, Lima Gómez V. Causas no traumáticas de consulta oftalmológica en el Servicio de Urgencias urbano. Rev Hosp Jua Mex. 2006 ; 73 (1): 7-10.

  20. Wasfi E, Sharma R, Powditch E. Pattern of eye casualty clinic cases. Int Arch Med. 2008 ; 1: 13.

  21. Shields SR. Managing eye disease in primary care. Part 3 when to refer for ophthalmologic care. Postgrad Med. 2000 ; 108 (5): 99-106.

  22. Shuttleworth GN, Marsh GW. How effective is undergraduate and postgraduate teaching in ophthalmology?. Eye. 1997 ; 11(Pt 5): 744-50.

  23. Matthew R, Babineau MD, León D, Sanchez A. Ophthalmologic procedures in the Emergency Department. Emerg Med Clin N Am. 2008 ; 7: 34.

  24. Análisis de situación de salud del Instituto Nacional de Oftalmología [Internet]. Lima: Ministerio de Salud; [ cited 23 Ene 2014 ] Available from: http://www.ino.org.pe/asis.htm.

  25. Rabanaque Vega C. Organización y epidemiología de la urgencia oftalmológica en el Sistema Nacional de Salud [Tesis doctoral]. Madrid: Universidad Autónoma de Madrid. Departamento de Cirugía; 2013. Available from: http://tdx.cat/handle/10803/282440.

  26. Yaya G, Danai A. Treatment of ocular lesions due to Elapidae venom spitting in Central African Republic: Epidemiological and clinical aspects. Bull Soc Pathol Exot. 2007 ; 100 (2): 111-4.

  27. Méndez Catasús R, González Salomo E. Triage. Rev Cub Med Mil. 1998 ; 27 (1): 23-8.

  28. Bhopal RS, Parkin DW, Gillie RF, Han KH. Pattern of ophthalmological accidents and emergencies presenting to hospitals. J Epidemiol Community Healt. 1993 ; 47 (5): 382-7.

  29. Jones NP, Hayward JM, Khaw PT, Claoue CM, Elkington AR. Function of an ophthalmic «accident and emergency» department: results of a six month survey. Br Med J (Clin Res Ed). 1986 ; 292: 188-90.

  30. Girad Bourcier F, Agdabede I, Laroche L. Activité et épidémiologie d’un centre ’urgence en ophthalmologie. J Fr Ophtalmologie. 2002 ; 25: 701-11.

  31. Nash EA, Margo CE. Patterns of emergency department visit for disorders of the eye and ocular adnexa. Arch Ophthalmol. 1998 ; 116: 1222-26.

  32. Vernon SA. Analysis of all new cases seen in a busy regional centre ophthalmic casualty department during 24-week period. J Roy Soc Med. 1983 ; 76 (4): 279-82.

  33. Edwards RS. Ophthalmic emergencies in a district general hospital casualty department. Br J Ophthalmol. 1987 ; 71 (12): 938-42.

  34. Kumar NL, Black D, McClellan K. Daytime presentations to a metropolitan ophthalmic emergency department. Clin Experiment Ophthalmol. 2005 ; 33 (6): 586-92.




2020     |     www.medigraphic.com