Evidence map›Paper›PMID 32882220›Full record

ArticleAmerican journal of ophthalmology2021

Ophthalmic Emergency Department Visits: Factors Associated With Loss to Follow-up.

Evan M Chen, Aneesha Ahluwalia, Ravi Parikh, Kristen Nwanyanwu

Abstract read
In one paragraph

Article in American journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Ophthalmology consultations characteristics in the emergency department at two level-one trauma centers in the United States.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
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  5. Mobile Eye Units in the United States and Canada: A Narrative Review of Structures, Services and Challenges.International journal of environmental research and public health · 2025
    Review
  6. Complexity and Barriers to Vision Care: A Narrative Review Informed by a Mobile Eye Program.International journal of environmental research and public health · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Evan M ChenDepartment of Ophthalmology and Visual Science, Yale School of Medicine, New Haven, Connecticut, USA.
Aneesha AhluwaliaDepartment of Ophthalmology and Visual Science, Yale School of Medicine, New Haven, Connecticut, USA.
Ravi ParikhDepartment of Ophthalmology, Harvard Medical School, Boston, Massachusetts, USA; Manhattan Retina and Eye Consultants, New York, New York, USA.
Kristen NwanyanwuDepartment of Ophthalmology and Visual Science, Yale School of Medicine, New Haven, Connecticut, USA. Electronic address: k.nwanyanwu@yale.edu.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
Undiagnosed Diabetic Retinopathy: Using Participatory Science to Design an Intervention for Patients at High-Risk for BlindnessK23EY030530 · NEI · YALE UNIVERSITY · PI NWANYANWU, KRISTEN · 2019 to 2023
$1.3M
NIA Short Term Research Training: Students in Health Professional SchoolsT35AG049685 · NIA · YALE UNIVERSITY · PI Sarwat I Chaudhry, Terri R. Fried · 2016 to 2026
$804k
NCATS NIH HHS KL2 TR001862NCATS NIH HHS UL1 TR001863NEI NIH HHS K23 EY030530NIA NIH HHS T35 AG049685
6 · The paper itself

Abstract

purposeTo describe follow-up rates for patients referred for outpatient ophthalmic care after emergency department (ED) discharge and identify patient and visit characteristics associated with loss to follow-up (LTFU).

designSingle-institution retrospective cohort study.

methodsWe analyzed the medical records of 2,206 patients seen in the ED for an eye-related issue who were subsequently scheduled for ophthalmology follow-up between 2013 and 2019 at a single tertiary health system. The main outcome measures were the frequency of and risk factors for LTFU and ED revisits.

resultsIn total, 1,649 (74.8%) patients completed follow-up within 2 months of an index ED visit. In multivariable analysis, younger age (P < .001), a nonurgent ophthalmic condition or nonophthalmic primary diagnosis (P < .001), scheduled follow-up >5 days after the ED visit (P < .001), additional follow-up appointments (<.001), no prior history of ophthalmology appointments (P = .045), a visual acuity of 20/40 or better (P = .027), and having Medicaid or being uninsured (P < .001) were significantly associated with LTFU. The presence of an interpreter significantly increased the likelihood of follow-up among non-English speaking patients (P < .001). LTFU was significantly associated with an ED revisit within 4 months of an index visit, and the ED revisit rate was significantly higher for patients LTFU vs those who completed follow-up (5.7% vs 1.1%; P < .001).

conclusionsA quarter of patients referred for ophthalmic care after an ED presentation were LTFU. We identified numerous factors associated with LTFU that could be used to develop interventions to enhance follow-up. In addition, patients who were LTFU were more likely to revisit the ED for the same ophthalmic condition.

Indexed as

Appointments and SchedulesAdultAmbulatory CareEmergency Service, HospitalEye DiseasesFemaleFollow-Up StudiesHumansMaleOffice VisitsOutcome Assessment, Health CareRetrospective StudiesRisk FactorsTime Factors

Identifiers

PMID32882220
PMCPMC8328190

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.