Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study

Abstract Purpose To evaluate ophthalmological emergencies (OE) during the COVID-19 pandemic comparing them with the same period of the previous year. Methods Retrospective observational study of all OE visits in four tertiary hospitals in Spain comparing data from March 16th to April 30th, 2020 (COV...

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Autores principales: Martín Puzo, Jorge Sánchez-Monroy, Carmen A. Porcar-Plana, Francisco de Asís Bartol-Puyal, Marina Dotti-Boada, Pilar Peña-Urbina, Jordi Izquierdo-Serra, Ana López-Montero, Pilar Pérez-García, Daniel Bordonaba-Bosque, Luis E. Pablo, Pilar Calvo
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/c1ee95b70d2846ae93e8dbb3011aeb36
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spelling oai:doaj.org-article:c1ee95b70d2846ae93e8dbb3011aeb362021-11-28T12:42:26ZOcular related emergencies in Spain during the COVID-19 pandemic, a multicenter study10.1186/s12886-021-02169-x1471-2415https://doaj.org/article/c1ee95b70d2846ae93e8dbb3011aeb362021-11-01T00:00:00Zhttps://doi.org/10.1186/s12886-021-02169-xhttps://doaj.org/toc/1471-2415Abstract Purpose To evaluate ophthalmological emergencies (OE) during the COVID-19 pandemic comparing them with the same period of the previous year. Methods Retrospective observational study of all OE visits in four tertiary hospitals in Spain comparing data from March 16th to April 30th, 2020 (COVID-19 period) and the same period of 2019 (pre-COVID-19 period). Severity of the conditions was assessed following Channa et al. publication. Data on demographics, diagnosis and treatments were collected from Electronic Medical Records. Results During lockdown, OE significantly declined by 75.18%, from 7,730 registered in the pre-COVID-19 period to 1,928 attended during the COVID-19 period (p < 0.001). In 2019, 23.86% of visits were classified as emergent, 59.50% as non-emergent, and 16.65% could not be determined. In 2020, the percentage of emergent visits increased up to 29.77%, non-emergent visits significantly decreased to 52.92% (p < 0.001), and 17.31% of the visits were classified as “could not determine”. During the pandemic, people aged between 45 and 65 years old represented the largest attending group (37.89%), compared to 2019, where patients over 65 years were the majority (39.80%). In 2019, most frequent diagnosis was unspecified acute conjunctivitis (11.59%), followed by vitreous degeneration (6.47%), and punctate keratitis (5.86%). During the COVID-19 period, vitreous degeneration was the first cause for consultation (9.28%), followed by unspecified acute conjunctivitis (5.63%) and punctate keratitis (5.85%). Conclusions OE visits dropped significantly during the pandemic in Spain (75.18%), although more than half were classified as non-urgent conditions, indicating a lack of understanding of the really emergent ocular pathologies among population.Martín PuzoJorge Sánchez-MonroyCarmen A. Porcar-PlanaFrancisco de Asís Bartol-PuyalMarina Dotti-BoadaPilar Peña-UrbinaJordi Izquierdo-SerraAna López-MonteroPilar Pérez-GarcíaDaniel Bordonaba-BosqueLuis E. PabloPilar CalvoBMCarticleCOVID-19Emergency departmentEpidemiologyOphthalmological emergenciesOphthalmologyRE1-994ENBMC Ophthalmology, Vol 21, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
Emergency department
Epidemiology
Ophthalmological emergencies
Ophthalmology
RE1-994
spellingShingle COVID-19
Emergency department
Epidemiology
Ophthalmological emergencies
Ophthalmology
RE1-994
Martín Puzo
Jorge Sánchez-Monroy
Carmen A. Porcar-Plana
Francisco de Asís Bartol-Puyal
Marina Dotti-Boada
Pilar Peña-Urbina
Jordi Izquierdo-Serra
Ana López-Montero
Pilar Pérez-García
Daniel Bordonaba-Bosque
Luis E. Pablo
Pilar Calvo
Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study
description Abstract Purpose To evaluate ophthalmological emergencies (OE) during the COVID-19 pandemic comparing them with the same period of the previous year. Methods Retrospective observational study of all OE visits in four tertiary hospitals in Spain comparing data from March 16th to April 30th, 2020 (COVID-19 period) and the same period of 2019 (pre-COVID-19 period). Severity of the conditions was assessed following Channa et al. publication. Data on demographics, diagnosis and treatments were collected from Electronic Medical Records. Results During lockdown, OE significantly declined by 75.18%, from 7,730 registered in the pre-COVID-19 period to 1,928 attended during the COVID-19 period (p < 0.001). In 2019, 23.86% of visits were classified as emergent, 59.50% as non-emergent, and 16.65% could not be determined. In 2020, the percentage of emergent visits increased up to 29.77%, non-emergent visits significantly decreased to 52.92% (p < 0.001), and 17.31% of the visits were classified as “could not determine”. During the pandemic, people aged between 45 and 65 years old represented the largest attending group (37.89%), compared to 2019, where patients over 65 years were the majority (39.80%). In 2019, most frequent diagnosis was unspecified acute conjunctivitis (11.59%), followed by vitreous degeneration (6.47%), and punctate keratitis (5.86%). During the COVID-19 period, vitreous degeneration was the first cause for consultation (9.28%), followed by unspecified acute conjunctivitis (5.63%) and punctate keratitis (5.85%). Conclusions OE visits dropped significantly during the pandemic in Spain (75.18%), although more than half were classified as non-urgent conditions, indicating a lack of understanding of the really emergent ocular pathologies among population.
format article
author Martín Puzo
Jorge Sánchez-Monroy
Carmen A. Porcar-Plana
Francisco de Asís Bartol-Puyal
Marina Dotti-Boada
Pilar Peña-Urbina
Jordi Izquierdo-Serra
Ana López-Montero
Pilar Pérez-García
Daniel Bordonaba-Bosque
Luis E. Pablo
Pilar Calvo
author_facet Martín Puzo
Jorge Sánchez-Monroy
Carmen A. Porcar-Plana
Francisco de Asís Bartol-Puyal
Marina Dotti-Boada
Pilar Peña-Urbina
Jordi Izquierdo-Serra
Ana López-Montero
Pilar Pérez-García
Daniel Bordonaba-Bosque
Luis E. Pablo
Pilar Calvo
author_sort Martín Puzo
title Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study
title_short Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study
title_full Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study
title_fullStr Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study
title_full_unstemmed Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study
title_sort ocular related emergencies in spain during the covid-19 pandemic, a multicenter study
publisher BMC
publishDate 2021
url https://doaj.org/article/c1ee95b70d2846ae93e8dbb3011aeb36
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