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National trends in imaging rates for eye-related emergency department visits in the United States

American Journal of Ophthalmology Nov 22, 2019

Zafar S, Sebestyen K, Qureshi Z, et al. - In this retrospective, trend study, researchers identified nationwide trends and factors correlated with advanced imaging (CT and MRI) use for eye-related emergency department (ED) visits. Between 2007-2015, an estimated 7 million eye-related ED visits took place. Adjusted for annual eye-related ED visits, the image use rate increased by 94% from 121.7 per 1,000 eye-related ED visits in 2007 to 236.0 per 1,000 eye-related ED visits in 2015. Patients admitted to the hospital were six times more likely than those not admitted to the hospital to undergo imaging. According to results, visual abnormalities, eye and/or adnexa contusion, open globes and open wounds of ocular adnexa, diplopia, superficial corneal and/or conjunctival injuries and orbital fractures accounted for 73.2% of all imaging visits. With eye-related ED visits, advanced imaging has increased at a higher rate than ED visits with eye complaints. Future studies are needed to develop evidence-based algorithms to use CT/MRI imaging for eye problems that can help balance benefits against financial costs and health risk.
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