Triaging and coding ophthalmic emergency - The Rome Eye Scoring System for Urgency and Emergency (RESCUE): A pilot study of 1000 eye-dedicated emergency room patients

Tommaso Rossi, B. Boccassini, M. Iossa, M. G. Mutolo, G. Lesnoni, P. A. Mutolo

Research output: Contribution to journalArticlepeer-review

Abstract

PURPOSE. Ophthalmic emergency (OE) triage is essential for prompt recognition of urgent cases. To date, no formal eye-dedicated triaging system has been widely accepted. The purpose of the present study is to propose a fast, accurate, and reproducible coding scale called the Rome Eye System for Scoring Urgency and Emergency (Rescue). METHODS. Phase 1 of the study is a retrospective analysis of electronic medical records (EMR); phase 2 is a prospective consecutive series. Phase 1 included 160,936 patients. Phase 2 included 1000 consecutive patients referred to the emergency department (ED) of our institution. In phase 1, the authors retrospectively analyzed EMRs of patients presenting to the ED, listing signs and symptoms most frequently associated with hospitalization. Redness, pain, loss of vision, and the risk for an open eye were identified and assigned a score ranging from 0 to 12. Color coding was assigned based on increasing scoring: 0-3 white, 4-7 green, 8-12 yellow code. In phase 2, 1000 consecutive ED patients were enrolled and prospectively coded according to RESCUE. After diagnosis and proper treatment, EMRs were retrospectively reviewed by a masked physician and patients recoded (Retro coding) according to clinical course. Correlation between Rescue and Retro coding was calculated. Main outcome measures: Prospective and retrospective ED color coding correlation. RESULTS. A total of 160,936 EMR were retrospectively analyzed; 2407 (1.4%) patients required hospitalization. Loss of vision (90%), redness (76%), and pain (47%) were the most frequent complaints. Rescue significantly correlated to Retro coding (p

Original languageEnglish
Pages (from-to)413-417
Number of pages5
JournalEuropean Journal of Ophthalmology
Volume17
Issue number3
Publication statusPublished - May 2007

Keywords

  • Coding
  • Emergency department
  • Ocular trauma
  • Ophthalmic emergency triage

ASJC Scopus subject areas

  • Ophthalmology

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