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首页> 外文期刊>Journal of Ophthalmology >Changing Trends in Eye-Related Complaints Presenting to the Emergency Department in Beirut, Lebanon, over 15 Years
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Changing Trends in Eye-Related Complaints Presenting to the Emergency Department in Beirut, Lebanon, over 15 Years

机译：十五年来向黎巴嫩贝鲁特急诊科提交的与眼有关的投诉的变化趋势

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Objective. To report the 15-year trend in ophthalmic presentations to the emergency department (ED) at the only medical center in Lebanon that provides 24-hour ophthalmologic care. Methods. Retrospective review of 1967 patients presenting to the ED with eye-related complaints between September 1997 and August 1998 and between September 2012 and August 2013. Diagnoses were classified into 4 categories according to the International Society of Ocular Trauma and include penetrating eye injuries, nonpenetrating eye trauma, nontraumatic ophthalmic emergencies, and nontraumatic, nonurgent ophthalmic conditions. Results. One thousand sixty eye-related presentations out of 39,158 total ED visits (2.71%) presented in 1997 compared to 907 out of 46,363 in 2012 (1.96%). Penetrating and nonpenetrating eye emergencies decreased between 1997 and 2012 (7.17% to 4.19%, and 52.64% to 29.00%, , resp.) while nonurgent cases increased from 30.19% to 53.47% (). 57% of patients were covered by third-party guarantors in 1997 versus 73% in 2012. Conclusion. Our results demonstrate a significant increase in nonurgent cases in parallel with the proportion of third-party payers, an issue to be addressed by public health policies and proper resource allocation. A detailed nationwide review is needed to make solid recommendations for the management of ophthalmologic presentations in the ED.
机译：目的。向黎巴嫩唯一一家提供24小时眼科护理的医疗中心的急诊科（ED）报告眼科演示的15年趋势。方法。回顾性回顾了1997年9月至1998年8月以及2012年9月至2013年8月之间急诊室急诊就诊的1967例眼病患者。根据国际眼外伤学会的诊断，眼病分为穿透性眼伤，非穿透性眼病4种创伤，非创伤性眼科紧急情况以及非创伤性，非紧急眼科疾病。结果。 1997年，在39,158次急诊就诊中，有160次与眼有关的演示（占2.71％），而2012年的46,363次中，有907次（1.96％）。在1997年至2012年之间，穿透性和非穿透性眼部紧急情况的发生率分别下降了（7.17％至4.19％，和52.64％至29.00％，分别），而非紧急情况从30.19％上升至53.47％（）。 1997年，有57％的患者由第三方担保人承保，2012年为73％。我们的结果表明，与第三方付款人的比例并行的非紧急情况下的案件显着增加，这是公共卫生政策和适当资源分配所要解决的问题。需要在全国范围内进行详细审查，以便为急诊部眼科疾病的诊治提出坚实的建议。

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