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- W4281765944 abstract "Background Due 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. Methods All 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. Results Baseline 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. Conclusion The 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" @default.
- W4281765944 created "2022-06-13" @default.
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- W4281765944 date "2022-05-27" @default.
- W4281765944 modified "2023-09-27" @default.
- W4281765944 title "065 Improving clinical care in patients with bilateral optic disc swelling presenting to ambulatory emergency care" @default.
- W4281765944 doi "https://doi.org/10.1136/jnnp-2022-abn.390" @default.
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