Trends in Volume and Charges of Retinal Tear Patients in the Emergency Department

Purpose: To characterize retinal tears (RTs) and calculate the economic burden of RTs that present to the emergency department (ED) in the US. Methods: We used a large national ED database to retrospectively analyze RTs that presented to the ED from 2006 to 2019. Using extrapolation methods, national of the RT patient ED volume, demographics, comorbidities, disposition, inpatient (IP) charges, and ED charges were calculated. Results: During the period between 2006 and 2019, 15841 ED encounters had RT listed as the primary diagnosis. The average annual RT ED encounters was 2,640 +/- 856 and comprised an average of 6.4 x 10(-5)% of all ED visits annually. The number and ED percentage of RT encounters did not change during this time period (p =.22, p =.67, respectively). Most patients were males, Caucasian, paid with private insurance, and admitted to EDs in the Northeast. The most common comorbidities were hypertension (19%), a history of cataracts (15%), and diabetes (7.2%). During this time period, RTs charges added up to more than $79 million and $33 million in the ED and IP settings, respectively. Mean per-encounter ED and IP charges increased by 145% (p =.0008) and 86% (p =.0047), respectively. Conclusion: Despite the stable number of RT patients presenting to the ED, RTs place a significant economic burden to the healthcare system, which increases yearly. We recommend physicians and policy makers to work together to pass laws that could prevent the increasing healthcare charges.