Eye-related complaints presenting to the accident and emergency department in a Nigerian tertiary hospital

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Journal of Clinical Sciences Pub Date : 2021-10-01 DOI:10.4103/jcls.jcls_13_21
D. Kayoma, C. Ukponmwan, J. Ese-Onakewhor
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Abstract

Background: In resource-limited countries, it is important that only genuine ophthalmic emergencies should be seen in the Accident and Emergency department to reduce the pressure on the limited human and material resources. The aim of the study is to determine the pattern of eye-related emergencies who presented to the Accident and Emergency department in a Nigerian Tertiary Hospital. Methods: This was a retrospective chart review of all consecutive ophthalmic patients who presented at the general Accident and Emergency department of the University of Benin Teaching Hospital between July 2018 and December 2020. Patients who discharged themselves against medical advice were not included in the study. Results: A total of 363 presented with ophthalmic complaints, and their mean age was 32.6 ± 20.2 years. Most of the cases presented as emergencies (61.4%) with more than half (32.8%) requiring ocular surgery. Eyelid laceration was the leading cause of presentation (12.4%). Emergency cases were more likely to present during the weekend (71.5%). Males were 5.1% less likely to present as emergencies. Conclusion: Most of the cases were emergencies with eyelid laceration and penetrating eye injuries being the leading cause. Although the number of nonemergencies was less, the need for the inclusion of primary eye care in the existing primary healthcare centers will further reduce the number of non-emergency cases seen.
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尼日利亚一家三级医院的事故和急诊科提出的与眼睛有关的投诉
背景:在资源有限的国家,只有真正的眼科急诊才能在急诊科看到,以减轻有限的人力和物力资源的压力。本研究的目的是确定在尼日利亚某三级医院急诊科就诊的眼睛相关急诊病例的模式。方法:回顾性分析2018年7月至2020年12月在贝宁大学教学医院普通急诊科就诊的所有连续眼科患者。不遵医嘱自行出院的患者不在研究范围内。结果:363例患者出现眼病主诉,平均年龄32.6±20.2岁。大多数病例为急诊(61.4%),其中超过一半(32.8%)需要眼部手术。眼睑撕裂伤是主要原因(12.4%)。紧急病例更有可能出现在周末(71.5%)。男性出现紧急情况的可能性要低5.1%。结论:以急诊为主,眼睑撕裂伤和眼穿透伤为主要原因。虽然非紧急病例的数量较少,但在现有的初级保健中心纳入初级眼科护理的需求将进一步减少所见的非紧急病例的数量。
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来源期刊
Journal of Clinical Sciences
Journal of Clinical Sciences MEDICINE, GENERAL & INTERNAL-
自引率
0.00%
发文量
15
审稿时长
45 weeks
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