Evidence map›Paper›PMID 39377794›Full record

ArticleDie Ophthalmologie2025

[The utilization of ophthalmological emergency departments is on the rise : 14-year results from a German tertiary university outpatient department].

I P Seitz, M Zarzo Vargas, T Strasser, E Nasyrov, K U Bartz-Schmidt

Abstract readEnglish Abstract
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Article in Die Ophthalmologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

5 authors.

I P SeitzUniversitäts-Augenklinik Tübingen, Universität Tübingen, Elfriede-Aulhorn-Str. 7, 72076, Tübingen, Deutschland. Immanuel.Seitz@med.uni-tuebingen.de.ORCID http://orcid.org/0000-0002-3086-6425
M Zarzo VargasUniversitäts-Augenklinik Tübingen, Universität Tübingen, Elfriede-Aulhorn-Str. 7, 72076, Tübingen, Deutschland.
T StrasserForschungsinstitut für Augenheilkunde, Universität Tübingen, Tübingen, Deutschland.
E NasyrovUniversitäts-Augenklinik Tübingen, Universität Tübingen, Elfriede-Aulhorn-Str. 7, 72076, Tübingen, Deutschland.
K U Bartz-SchmidtUniversitäts-Augenklinik Tübingen, Universität Tübingen, Elfriede-Aulhorn-Str. 7, 72076, Tübingen, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increasing congestion in emergency departments of all specialties is one of the most pressing challenges of our time.

objectiveThe aim of this study is to make a well-founded contribution to the development of emergency case numbers in the tertiary sector (specialist clinics) of German ophthalmology. From this, the need to develop new control and triage mechanisms for ophthalmology can be derived. MATERIAL AND

methodsRetrospectively, > 140,000 emergency treatment cases at the University Eye Hospital Tübingen in the period from 1 January 2010 to 31 December 2023 were analyzed. Sub-analyses were conducted to quantify the impact of the COVID-19 pandemic and differences between weekend and weekday visits. In addition, a questionnaire survey on the referral status of emergency consultations at off-peak times and at weekends was conducted in 2022.

resultsThe number of emergency consultations more than doubled between 2010 and 2023 and more than tripled at weekends. The peak load, which is relevant for guaranteeing treatment, has increased to the same extent. In the long term, a shift in emergency treatment from core to off-peak times can be observed, particularly at weekends. The majority of consultations (up to 87%) take place without a referral from a doctor. In 2023, the treatment figures returned to the level before the start of the COVID-19 pandemic. DISCUSSION: The emergency outpatient clinic at the University Eye Hospital is increasingly exposed to a double burden: providing treatment for emergency cases with specialist referrals and at the same time acting as a catchment basin for general emergencies. New control and triage mechanisms are urgently needed to ensure good care in the long term.

Indexed as

COVID-19Emergency Service, HospitalEye DiseasesHospitals, UniversityOphthalmologyTertiary Care CentersAdultAgedFemaleGermanyHumansMaleMiddle AgedPandemicsReferral and ConsultationRetrospective StudiesCase numbersEmergency treatmentEpidemiologyHealthcare safetyTriage

Identifiers

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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.