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dc.contributor.authorDe Silva, Ian
dc.contributor.authorThomas, Mervyn
dc.contributor.authorKuht, Helen
dc.date.accessioned2023-03-15T15:29:08Z
dc.date.available2023-03-15T15:29:08Z
dc.date.issued2021-11-30
dc.identifier.citationDe Silva, I., Thomas, M. G., Shirodkar, A. L., Kuht, H. J., Ku, J. Y., Chaturvedi, R., Beer, F., Patel, R., Rana-Rahman, R., Anderson, S., Dickerson, P., Walsh, F., While, B., Clarke, L., Siriwardena, D., Dhawahir-Scala, F., BEECS Study Group, Buchan, J., & Verma, S. (2022). Patterns of attendances to the hospital emergency eye care service: a multicentre study in England. Eye (London, England), 36(12), 2304–2311. https://doi.org/10.1038/s41433-021-01849-8en_US
dc.identifier.other10.1038/s41433-021-01849-8
dc.identifier.urihttp://hdl.handle.net/20.500.12904/16458
dc.description.abstractBackground/objectives: To characterise the patterns of presentation and diagnostic frequencies in Hospital Emergency Eye Care Services (HEECS) across 13 hospitals in England. Methods: Retrospective, cross-sectional, observational multi-centre (n = 13) study to assess HEECS attendances over a 28-day study period. Data derived included: number of consecutive attendances, patient demographics and diagnoses. Age and gender variations, the impact of day of the week on attendance patterns, diagnostic frequencies and estimates of the annual incidence and attendance rates were evaluated. Results: A total of 17,667 patient (mean ± standard deviation age = 49.6 ± 21.8 years) attendances were identified with an estimated HEECS annual new attendance rate of 31.0 per 1,000 population. Significantly more females (53%) than males (47%) attended HEECS (p < 0.001). Female attendances were 13% higher in those ≥50 years of age. Weekends were associated with a significant reduction in attendances compared to weekdays (χ2 = 6.94, p < 0.001). Among weekdays, Mondays and Fridays were associated with significantly higher attendances compared with midweek (χ2 = 2.20, p = 0.032). Presenting pathologies involving the external eye, cornea and conjunctiva accounted for 28.6% of the caseload. Conclusion: This is the largest multicentre study assessing attendance patterns in HEECS in England. We have, for the first time, observed a "weekend effect" in relation to attendance to HEECS. Differences in health-seeking behaviour and lack of awareness of HEECS weekend services may be partly attributed to the differences observed. Our findings, along with the type of presentations, have the potential to guide commissioners with future planning of HEECS.
dc.description.urihttps://www.nature.com/articles/s41433-021-01849-8en_US
dc.language.isoenen_US
dc.titlePatterns of attendances to the hospital emergency eye care service: a multicentre study in Englanden_US
dc.typeArticleen_US
rioxxterms.funderDefault funderen_US
rioxxterms.identifier.projectDefault projecten_US
rioxxterms.versionNAen_US
rioxxterms.versionofrecordhttps://doi.org/10.1038/s41433-021-01849-8en_US
rioxxterms.typeJournal Article/Reviewen_US
refterms.panelUnspecifieden_US
html.description.abstractBackground/objectives: To characterise the patterns of presentation and diagnostic frequencies in Hospital Emergency Eye Care Services (HEECS) across 13 hospitals in England. Methods: Retrospective, cross-sectional, observational multi-centre (n = 13) study to assess HEECS attendances over a 28-day study period. Data derived included: number of consecutive attendances, patient demographics and diagnoses. Age and gender variations, the impact of day of the week on attendance patterns, diagnostic frequencies and estimates of the annual incidence and attendance rates were evaluated. Results: A total of 17,667 patient (mean ± standard deviation age = 49.6 ± 21.8 years) attendances were identified with an estimated HEECS annual new attendance rate of 31.0 per 1,000 population. Significantly more females (53%) than males (47%) attended HEECS (p < 0.001). Female attendances were 13% higher in those ≥50 years of age. Weekends were associated with a significant reduction in attendances compared to weekdays (χ2 = 6.94, p < 0.001). Among weekdays, Mondays and Fridays were associated with significantly higher attendances compared with midweek (χ2 = 2.20, p = 0.032). Presenting pathologies involving the external eye, cornea and conjunctiva accounted for 28.6% of the caseload. Conclusion: This is the largest multicentre study assessing attendance patterns in HEECS in England. We have, for the first time, observed a "weekend effect" in relation to attendance to HEECS. Differences in health-seeking behaviour and lack of awareness of HEECS weekend services may be partly attributed to the differences observed. Our findings, along with the type of presentations, have the potential to guide commissioners with future planning of HEECS.en_US
rioxxterms.funder.project94a427429a5bcfef7dd04c33360d80cden_US


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