Relocation consequences on an ophthalmology consultation service from an inpatient to outpatient facility

Figures & data

Table 1 University at Buffalo consult demographics ECMC versus Ross Eye Institute

	ECMC	REI	P-value
A. 3-year patient volume	651	728	0.15
Mean patient volume/year	217±16	243±10	0.09
B. Patient insurance
Private	306	447	0.0001
Medicaid	190	130	0.0001
Medicare	94	107	0.32
Prison	18	22	0.43
Self paying	35	16	0.006
Not documented	8	6	N/A
C. Age at time of consult	47.6±0.6	48.9±0.6	0.074
D. M:F sex distribution	394:255	488:242	0.032
E. Patient ethnicity
White	418	494	0.41
Black	178	174	0.50
Native American	6	6	0.50
Hispanic	17	10	0.47
East Asian	7	9	0.44
South Asian	1	9	0.054
Unknown	24	26	N/A

Abbreviations: ECMC, Erie County Medical Center, Level-1 trauma center; REI, Ross Eye Institute, outpatient ophthalmology clinic; M, male; F, female; N/A, not applicable.

Table 2 Consult types at ECMC versus REI

Reason for consult	ECMC	REI	P-value
Ocular condition	90	441	0.0001
Systemic condition	260	49	0.0001
Ocular trauma	290	208	0.0034
Missing final diagnosis	11	30	N/A

Abbreviations: ECMC, Erie County Medical Center, Level-1 trauma center; REI, Ross Eye Institute, outpatient ophthalmology clinic; N/A, not applicable.

Table 3 Comparison of types of new ophthalmologic diagnoses made during consults at ECMC and Ross Eye Institute

New diagnoses	ECMC	REI	P-value
Ophthalmologic conditions which includes diagnoses such as cataract, conjunctivitis, cranial nerve palsy, diabetic or hypertensive retinopathy, dry eyes, floaters, fungal/viral/bacterial infection, glaucoma, keratitis, macular degeneration, migraine, papilledema, periorbital hemorrhage, refractive error, retinal detachment, strabismus, tumor, uveitis, or vascular occlusion	497	562	0.00065
Ocular trauma which includes diagnoses such as corneal abrasion, laceration, orbital fracture, or globe rupture	257	209	0.0018
Normal exam	104	44	0.0023
Consult not done	2	21	0.0011
Percentage of consults with >1 diagnoses	21.3	11.2	0.002

Abbreviations: ECMC, Erie County Medical Center, Level-1 trauma center; REI, Ross Eye Institute, outpatient ophthalmology clinic.