Epidemiología de las urgencias oftalmológicas en menores de 18 años en un hospital comarcal de 2019 a 2021 / Epidemiology of eye-related emergencies in children under 18 years of age at a General Hospital in Spain from 2019 to 2021

Objetivo Conocer las enfermedades oftalmológicas más prevalentes en la atención del servicio de urgencias de un hospital comarcal y evaluar qué cambios se han producido como consecuencia de la pandemia por la COVID. Método Revisión de los informes de urgencias en pacientes menores de 18 años atendidos en nuestro hospital desde enero de 2019 hasta diciembre de 2021 y comparación de los datos prepandemia, durante la pandemia y en la recuperación al comparar los períodos 2019--2021 entre sí. Resultados Hay una reducción del 57% en las visitas a urgencias por enfermedad oftalmológica en 2020. Esta reducción afecta a los 3 grupos diagnósticos más prevalentes: conjuntivitis y ojo rojo (descenso del 69%), traumatismo y cuerpo extraño (disminución del 45%) y afectación palpebral (35% menos). En 2021 hay una recuperación parcial en los 3 grupos, pero no llega a los datos de 2019. Por otro lado, el dolor ocular y periocular muestra un aumento en la consulta tanto en 2020 (16,7% más) como en 2021 (aumento del 100%). Conclusiones Existen diferencias en la distribución de las afecciones oculares por las que se consultó en el servicio de urgencias de nuestro hospital durante los años 2019-2021. Esto sugiere un uso más racional del sistema de salud, consultas por enfermedad menos banal y un impacto de las restricciones de movilidad, lavado de manos y uso de mascarillas sobre la afección oftalmológica (AU)

Objective To know which ophthalmological pathologies are the most prevalent attending the emergency department. To assess what changes have occurred because of the COVID pandemic. Method Review of emergency reports in children under 18 years of age attended in our Hospital from January 2019 to December 2021. Comparison of pre-pandemic, pandemic and «back-to-normal» data when comparing the periods 2019–2021 with each other. Results There is a 57% reduction in the eye-related emergency visits in 2020. This reduction affects the three more prevalent diagnostic groups: conjunctivitis and red eye (69% fall), trauma and foreign body (45% decrease) and palpebral pathology (35% less). In 2021 there is a partial recovery in the three groups, but not reaching the 2019 data. On the other side, eye and periocular pain show an increase in consultation in both 2020 (16.7% more) and 2021 (100% increase). Conclusion There are differences in the distribution of eye-related conditions that consulted at the Emergency Department at our hospital during years 2019–2021. This suggests a more rational use of the Health System, less banal pathology attending and an impact of mobility restrictions, handwashing and face masks wearing on ophthalmological pathology (AU)

Epidemiology of eye-related emergencies in children under 18 years of age at a General Hospital in Spain from 2019 to 2021.

PURPOSE: To know which ophthalmological pathologies are the most prevalent attending the emergency department. To assess what changes have occurred because of the COVID pandemic. METHOD: Review of emergency reports in children under 18 years of age attended in our Hospital from January 2019 to December 2021. Comparison of pre-pandemic, pandemic and "back-to-normal" data when comparing the periods 2019-2021 with each other. RESULTS: There is a 57% reduction in the eye-related emergency visits in 2020. This reduction affects the three more prevalent diagnostic groups: conjunctivitis and red eye (69% fall), trauma and foreign body (45% decrease) and palpebral pathology (35% less). In 2021 there is a partial recovery in the three groups, but not reaching the 2019 data. On the other side, eye and periocular pain show an increase in consultation in both 2020 (16,7% more) and 2021 (100% increase). CONCLUSION: There are differences in the distribution of eye-related conditions that consulted at the Emergency Department at our hospital during years 2019-2021. This suggests a more rational use of the Health System, less banal pathology attending and an impact of mobility restrictions, handwashing and face masks wearing on ophthalmological pathology.

Assessing competence needs for doctors in the emergency department duty rosters: an observational study.

BACKGROUND: The purpose of our investigation is to analyze if emergency epidemiology is randomly variable or predictable. If emergency admissions show a predictable pattern, we can use it for multiple planning purposes, especially defining competence needs for duty roster personnel. METHOD: An observational study of consecutive emergency admissions at Haukeland University Hospital in Bergen over six years. We extracted the discharge diagnoses from our electronic patient record and sorted the patients by diagnoses and frequency. Data were loaded into a Jupyter notebook and presented in form of frequency diagrams. The study population, 213,801 patients, comprises all emergency admissions in need of secondary emergency care from the relevant specialities in the catchment area of our hospital in the western health region of Norway. Patients in need of tertiary care from the whole region are also included. RESULTS: Our analysis shows an annually reproducible distribution pattern regarding type and number of patients. The pattern adhere to an exponential curve that is stable from year to year. An exponential distribution pattern also applies when we sort patients according to the capital letters groups in the ICD 10 system. The same applies if patients are sorted adhering to primarily surgical or medical diagnoses. CONCLUSION: Analysis of the emergency epidemiology of all admitted emergency patients in a defined geographical area gives a solid basis for defining competence needs for duty roster work.

Outline of Hand and Wrist Injuries Presenting to an Emergency of a Tertiary Care Centre in Nepal.

BACKGROUND: Hand and wrist injuries are getting commoner with increasing incidence of injuries and accidents. This study aims to identify the prevalence and pattern of hand and wrist injuries presenting to the emergency department of a tertiary care center of Nepal. METHODS: The study was conducted through review of electronic data of the patient in the emergency department database for the period of 1 Nov 2005 till 31 Oct 2015.Data was extracted in Microsoft Excel 2007 andanalyzed to measure incidence and pattern of the hand and wrist injuries. RESULTS: There were2899 number of patients with hand and wrist injuries during the period. Most were males (80%) and commonest age group was 20-29 years. Majority of the injuries were due to road traffic accident (n=786, 27.11%), fall injury (n=696, 24.09%), cut injury with sharps (n=404, 13.94%) and machinery injury (n=319, 11%). The commonest presenting injuries were hand fractures (n=1820, 62.8%) followed by distal radius fracture (n=613, 21.1%), crush injury of hand (n=409, 14.1%), and cut injury (n= 406, 14%). Almost half, 48.84 % cases were discharged from the emergency department with preliminary or definitive management. CONCLUSIONS: Hand and wrist injuries constitute a substantial number of casesseen and managed in the emergency department.Therefore, public health measures should be taken to reduce RTI, fall injury and occupational accidents. Andit is of paramount importance that emergency care giver attends these injuries properly and timely and establishes a good referral system as and when necessary.

Clinical Characteristics of Headache in Emergency Department: 1735 Cases Report / 中国康复理论与实践

@#Objective To explore the clinical characteristics of patients with headache in the emergency department. Methods The clinical data of 1735 patients in the emergency department suffered from headache were analyzed retrospectively. Results and Conclusion Secondary headache was common in the patients with headache in the emergency department, which was headache attributed to cranial or cervical vascular disorder, infection, or non-vascular intracranial disorder.