학술논문
065 Improving clinical care in patients with bilateral optic disc swelling presenting to ambulatory emergency care
Document Type
Article
Source
Journal of Neurology, Neurosurgery, & Psychiatry (JNNP); 2022, Vol. 93 Issue: 6 pA120-A121, 2p
Subject
Language
ISSN
00223050; 1468330X
Abstract
BackgroundDue to our proximity to the local eye casualty, patients with bilateral optic disc swelling (BODS) and an underlying diagnosis of idiopathic intracranial (IIH) are frequently referred to our ambu- latory emergency care (AEC) centre. The aim of this quality improvement project was to improve the consistency in our diagnostic approach and minimise time in hospital for patients referred with non-sight threatening BODS.MethodsAll patients who presented with BODS to AEC between 1 August to 31 December 2020 were included. Measurements included the recording of body mass index (BMI), investigations requested and total time in hospital. A pathway was developed based on an IIH guideline (1) and local resources.ResultsBaseline data revealed 14% of the patients had their BMI recorded, and that 7% had all of the recommended blood tests. Prospective analysis after pathway implementation showed 100% of patients had recorded BMI and appropriate blood tests requested to investigate secondary causes of IIH. There was no change in the total time in hospital.ConclusionThe introduction of a pathway for patients with BODS has improved the diagnostic approach for patients with suspected IIH. Further work is underway to assess possible interventions to reduce total time in hospital.1. Mollan SP, Hornby C, Mitchell J, Sinclair AJ. Evaluation and management of adult idiopathic intracranial hypertension. Pract Neurol. 2018;18(6):485–8.yun.huang@nhs.net