Consensus on Severity for Ocular Emergency: The BAsic SEverity Score for Common OculaR Emergencies [BaSe SCOrE]

Purpose. To weigh ocular emergency events according to their severity. Methods. A group of ophthalmologists and researchers rated the severity of 86 common ocular emergencies using a Delphi consensus method. The ratings were attributed on a 7-point scale throughout a first-round survey. Then, the ex...

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Main Authors: Jean-Louis Bourges, Isabelle Boutron, Dominique Monnet, Antoine P. Brézin
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2015/576983
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author Jean-Louis Bourges
Isabelle Boutron
Dominique Monnet
Antoine P. Brézin
author_facet Jean-Louis Bourges
Isabelle Boutron
Dominique Monnet
Antoine P. Brézin
author_sort Jean-Louis Bourges
collection DOAJ
description Purpose. To weigh ocular emergency events according to their severity. Methods. A group of ophthalmologists and researchers rated the severity of 86 common ocular emergencies using a Delphi consensus method. The ratings were attributed on a 7-point scale throughout a first-round survey. Then, the experts were provided with the median and quartiles of the ratings of each item to reevaluate the severity levels being aware of the group’s first-round responses. The final severity rating for each item corresponded to the median rating provided by the last Delphi round. Results. We invited 398 experts, and 80 (20%) of them, from 18 different countries, agreed to participate. A consensus was reached in the second round, completed by 24 experts (43%). The severity ranged from subconjunctival hemorrhages (median = 1, Q1 = 0; Q3 = 1) to penetrating eye injuries collapsing the eyeball with intraocular foreign body or panophthalmitis with infection following surgery (median = 5, Q1 = 5; Q3 = 6). The ratings did not differ according to the practice of the experts. Conclusion. These ratings could be used to assess the severity of ocular emergency events, to serve in composite algorithms for emergency triage and standardizing research in ocular emergencies.
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spelling doaj-art-c6db811938d94e7bb9699254006960e92025-02-03T01:04:49ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/576983576983Consensus on Severity for Ocular Emergency: The BAsic SEverity Score for Common OculaR Emergencies [BaSe SCOrE]Jean-Louis Bourges0Isabelle Boutron1Dominique Monnet2Antoine P. Brézin3Department of Ophthalmology, Paris Descartes School of Medicine, Assistance Publique-Hopitaux de Paris, Cochin-Hôtel-Dieu Hospital, Université Sorbonne Paris Cité, 75004 Paris, FranceDepartment of Biostatistics, Paris Descartes School of Medicine, Assistance Publique-Hopitaux de Paris, Cochin-Hôtel-Dieu Hospital, Université Sorbonne Paris Cité, 75004 Paris, FranceDepartment of Ophthalmology, Paris Descartes School of Medicine, Assistance Publique-Hopitaux de Paris, Cochin-Hôtel-Dieu Hospital, Université Sorbonne Paris Cité, 75004 Paris, FranceDepartment of Ophthalmology, Paris Descartes School of Medicine, Assistance Publique-Hopitaux de Paris, Cochin-Hôtel-Dieu Hospital, Université Sorbonne Paris Cité, 75004 Paris, FrancePurpose. To weigh ocular emergency events according to their severity. Methods. A group of ophthalmologists and researchers rated the severity of 86 common ocular emergencies using a Delphi consensus method. The ratings were attributed on a 7-point scale throughout a first-round survey. Then, the experts were provided with the median and quartiles of the ratings of each item to reevaluate the severity levels being aware of the group’s first-round responses. The final severity rating for each item corresponded to the median rating provided by the last Delphi round. Results. We invited 398 experts, and 80 (20%) of them, from 18 different countries, agreed to participate. A consensus was reached in the second round, completed by 24 experts (43%). The severity ranged from subconjunctival hemorrhages (median = 1, Q1 = 0; Q3 = 1) to penetrating eye injuries collapsing the eyeball with intraocular foreign body or panophthalmitis with infection following surgery (median = 5, Q1 = 5; Q3 = 6). The ratings did not differ according to the practice of the experts. Conclusion. These ratings could be used to assess the severity of ocular emergency events, to serve in composite algorithms for emergency triage and standardizing research in ocular emergencies.http://dx.doi.org/10.1155/2015/576983
spellingShingle Jean-Louis Bourges
Isabelle Boutron
Dominique Monnet
Antoine P. Brézin
Consensus on Severity for Ocular Emergency: The BAsic SEverity Score for Common OculaR Emergencies [BaSe SCOrE]
Journal of Ophthalmology
title Consensus on Severity for Ocular Emergency: The BAsic SEverity Score for Common OculaR Emergencies [BaSe SCOrE]
title_full Consensus on Severity for Ocular Emergency: The BAsic SEverity Score for Common OculaR Emergencies [BaSe SCOrE]
title_fullStr Consensus on Severity for Ocular Emergency: The BAsic SEverity Score for Common OculaR Emergencies [BaSe SCOrE]
title_full_unstemmed Consensus on Severity for Ocular Emergency: The BAsic SEverity Score for Common OculaR Emergencies [BaSe SCOrE]
title_short Consensus on Severity for Ocular Emergency: The BAsic SEverity Score for Common OculaR Emergencies [BaSe SCOrE]
title_sort consensus on severity for ocular emergency the basic severity score for common ocular emergencies base score
url http://dx.doi.org/10.1155/2015/576983
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