análise das causas de atendimento e prevalência das doenças oculares no serviço de urgência the causes and prevalence of medical attendance for ocular diseases in an emergency
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2012
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Abstract
OBJETIVO: Identificar as doenças oculares mais comumente presentes no serviço de urgência de um Centro de Referência em Oftalmologia localizado na região Centro-Oeste do Brasil. MÉTODOS: Estudo de delineamento transversal, observacional, retrospectivo com análise de prontuários de atendimentos realizados no período de abril de 2009 a março de 2010, no Centro de Referência em Oftalmologia - CEROF da Universidade Federal de Goiás. As variáveis estudadas foram idade, sexo, procedência, doenças oculares diagnosticadas e doenças sistêmicas associadas. RESULTADOS: Um número total de 2105 prontuários foram analisados neste estudo. A faixa etária mais encontrada foi entre 15 e 29 anos (30,2%), seguida pela entre 30 e 39 anos (20,9%) e entre 40 e 49 anos (14,9%), a idade média foi 34,3 anos. Houve predominância de pacientes do sexo masculino (64,8 %) em relação ao feminino (35,2%). O local de procedência predominante foi o município de Goiânia (80,7%), com 19,2% de pacientes do interior do estado e de outros estados. As maiores causas de atendimento foram: corpo estranho extraocular (25,5%), conjuntivites infecciosas (23,6%) e ceratites e úlceras de córnea(11,3%), tumores de pálpebras e órbita(7,2%), olho seco(4,7%), e blefarite(3,8%). O trauma ocular registrou prevalência de 6,3%. CONCLUSÃO: As doenças oculares atendidas mais frequentemente na urgência do CEROF são semelhantes a outros serviços da mesma natureza no Brasil. A maior parte dos casos é considerada de resolução simples, que podem ser tratados em serviços de atendimento primário, reduzindo a referência a serviços de atendimento terciário delegando a estes casos de maior complexidade.
OBJECTIVE: To identify the prevalence of ophthalmic diseases seen in the emergency department of a specialized center in Brazilian Center-Western area. METHODS: This is a retrospective transverse observation study based on patients chart who were seen at Ophthalmic Reference Center (CEROF), Federal University of Goiás,Goiânia (GO) Brazil, between april, 2009 to march, 2010. Age, gender, origin, ocular and associated systemic diseases were identified. RESULTS: 2105 charts were analyzed. The age of patients ranged between 15-29 years-old (30.2%), 30-39 years-old (20.9%) and 40-49 years-old (14.9%), with a 34.3 years-old on average. Male gender were more frequent than females (64.8% vs 35.2%). The majority of patients live in Goiania (80.7%) and the remaining (19.3) came from other cities in the county area or from other states in Brazil. Ocular dust was the leading cause for medical attendance, followed by infectious conjunctivitis (23.6%), keratitis and cornea ulcer (11.3%), tumors of the eyelids or the orbit (7.2%), dry eyes (4.7%), and blepharitis (3.8%). Ocular trauma occurred in a 6.3% of patients. CONCLUSION: Ocular diseases in patients presenting at the emergency department of an ophthalmic reference center in the Center-Western area have a similar prevalence as in other centers in Brazil. Most of them can be treated in common health facilities and don't need to be referred to specialized centers. These centers should deal with more complex problems, saving costs and time.
OBJECTIVE: To identify the prevalence of ophthalmic diseases seen in the emergency department of a specialized center in Brazilian Center-Western area. METHODS: This is a retrospective transverse observation study based on patients chart who were seen at Ophthalmic Reference Center (CEROF), Federal University of Goiás,Goiânia (GO) Brazil, between april, 2009 to march, 2010. Age, gender, origin, ocular and associated systemic diseases were identified. RESULTS: 2105 charts were analyzed. The age of patients ranged between 15-29 years-old (30.2%), 30-39 years-old (20.9%) and 40-49 years-old (14.9%), with a 34.3 years-old on average. Male gender were more frequent than females (64.8% vs 35.2%). The majority of patients live in Goiania (80.7%) and the remaining (19.3) came from other cities in the county area or from other states in Brazil. Ocular dust was the leading cause for medical attendance, followed by infectious conjunctivitis (23.6%), keratitis and cornea ulcer (11.3%), tumors of the eyelids or the orbit (7.2%), dry eyes (4.7%), and blepharitis (3.8%). Ocular trauma occurred in a 6.3% of patients. CONCLUSION: Ocular diseases in patients presenting at the emergency department of an ophthalmic reference center in the Center-Western area have a similar prevalence as in other centers in Brazil. Most of them can be treated in common health facilities and don't need to be referred to specialized centers. These centers should deal with more complex problems, saving costs and time.
TUJUAN: Mengidentifikasi penyakit mata yang paling sering ditemukan di unit gawat darurat Pusat Rujukan Oftalmologi yang berlokasi di wilayah Barat-Tengah Brasil. METODE: Studi potong lintang, observasional, dan retrospektif dengan analisis rekam medis pelayanan yang dilakukan pada periode April 2009 hingga Maret 2010 di Pusat Rujukan Oftalmologi - CEROF Universitas Federal Goiás. Variabel yang diteliti meliputi usia, jenis kelamin, daerah asal, penyakit mata yang didiagnosis, dan penyakit sistemik terkait. HASIL: Sebanyak 2.105 rekam medis dianalisis dalam studi ini. Kelompok usia terbanyak adalah antara 15 dan 29 tahun (30,2%), diikuti oleh kelompok usia antara 30 dan 39 tahun (20,9%) serta antara 40 dan 49 tahun (14,9%), dengan usia rata-rata 34,3 tahun. Terdapat dominasi pasien laki-laki (64,8%) dibandingkan perempuan (35,2%). Daerah asal pasien didominasi oleh kotamadya Goiânia (80,7%), dengan 19,2% pasien berasal dari wilayah pedalaman negara bagian tersebut dan dari negara bagian lainnya. Penyebab utama kunjungan adalah: benda asing ekstraokular (25,5%), konjungtivitis infeksi (23,6%), keratitis dan ulkus kornea (11,3%), tumor palpebra dan orbita (7,2%), mata kering (4,7%), serta blefaritis (3,8%). Trauma okular mencatat prevalensi sebesar 6,3%. KESIMPULAN: Penyakit mata yang paling sering ditangani di unit gawat darurat CEROF serupa dengan layanan sejenis lainnya di Brasil. Sebagian besar kasus tergolong beresolusi sederhana yang dapat ditangani di layanan fasilitas primer, sehingga mengurangi rujukan ke layanan fasilitas tersier dan melimpahkan kasus-kasus dengan kompleksitas yang lebih tinggi ke layanan tersebut.
TUJUAN: Untuk mengidentifikasi prevalensi penyakit oftalmologi yang ditemukan di departemen gawat darurat pusat rujukan khusus di wilayah Barat-Tengah Brasil. METODE: Ini merupakan studi observasional potong lintang retrospektif berdasarkan rekam medis pasien yang diperiksa di Pusat Rujukan Oftalmologi (CEROF), Universitas Federal Goiás, Goiânia (GO) Brasil, antara April 2009 hingga Maret 2010. Usia, jenis kelamin, daerah asal, penyakit mata, dan penyakit sistemik terkait diidentifikasi. HASIL: Sebanyak 2.105 rekam medis dianalisis. Usia pasien berkisar antara 15–29 tahun (30,2%), 30–39 tahun (20,9%), dan 40–49 tahun (14,9%), dengan rerata usia 34,3 tahun. Pasien laki-laki lebih banyak ditemukan dibandingkan perempuan (64,8% vs 35,2%). Mayoritas pasien tinggal di Goiânia (80,7%) dan sisanya (19,3%) berasal dari kota-kota lain di wilayah pedalaman atau dari negara bagian lain di Brasil. Benda asing okular merupakan penyebab utama kunjungan medis, diikuti oleh konjungtivitis infeksi (23,6%), keratitis dan ulkus kornea (11,3%), tumor palpebra atau orbita (7,2%), mata kering (4,7%), dan blefaritis (3,8%). Trauma okular terjadi pada 6,3% pasien. KESIMPULAN: Penyakit okular pada pasien yang datang ke departemen gawat darurat pusat rujukan oftalmologi di wilayah Barat-Tengah memiliki prevalensi yang serupa dengan pusat rujukan lain di Brasil. Sebagian besar kasus dapat ditangani di fasilitas kesehatan umum dan tidak perlu dirujuk ke pusat spesialis. Pusat rujukan ini seharusnya menangani masalah yang lebih kompleks guna menghemat biaya dan waktu.
TUJUAN: Untuk mengidentifikasi prevalensi penyakit oftalmologi yang ditemukan di departemen gawat darurat pusat rujukan khusus di wilayah Barat-Tengah Brasil. METODE: Ini merupakan studi observasional potong lintang retrospektif berdasarkan rekam medis pasien yang diperiksa di Pusat Rujukan Oftalmologi (CEROF), Universitas Federal Goiás, Goiânia (GO) Brasil, antara April 2009 hingga Maret 2010. Usia, jenis kelamin, daerah asal, penyakit mata, dan penyakit sistemik terkait diidentifikasi. HASIL: Sebanyak 2.105 rekam medis dianalisis. Usia pasien berkisar antara 15–29 tahun (30,2%), 30–39 tahun (20,9%), dan 40–49 tahun (14,9%), dengan rerata usia 34,3 tahun. Pasien laki-laki lebih banyak ditemukan dibandingkan perempuan (64,8% vs 35,2%). Mayoritas pasien tinggal di Goiânia (80,7%) dan sisanya (19,3%) berasal dari kota-kota lain di wilayah pedalaman atau dari negara bagian lain di Brasil. Benda asing okular merupakan penyebab utama kunjungan medis, diikuti oleh konjungtivitis infeksi (23,6%), keratitis dan ulkus kornea (11,3%), tumor palpebra atau orbita (7,2%), mata kering (4,7%), dan blefaritis (3,8%). Trauma okular terjadi pada 6,3% pasien. KESIMPULAN: Penyakit okular pada pasien yang datang ke departemen gawat darurat pusat rujukan oftalmologi di wilayah Barat-Tengah memiliki prevalensi yang serupa dengan pusat rujukan lain di Brasil. Sebagian besar kasus dapat ditangani di fasilitas kesehatan umum dan tidak perlu dirujuk ke pusat spesialis. Pusat rujukan ini seharusnya menangani masalah yang lebih kompleks guna menghemat biaya dan waktu.
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| Authors | ;Maria Nice Araujo Moraes Rocha;Marcos Ávila;David Leonardo Cruvinel Isaac;Laís Leão de Oliveira;Luísa Salles de Moura Mendonça |
| Journal | the european journal of neuroscience |
| Year | 2012 |
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