Development and evaluation of a nurse-administered triage questionnaire for ophthalmic emergencies during on-call hours: A multicenter retrospective study
Abstract
OBJECTIVE: To develop and evaluate a nurse-administered triage questionnaire for unscheduled ophthalmic care requests during on-call hours, using the BaSe SCOrE as the reference standard. DESIGN: Multicenter retrospective diagnostic accuracy study. PARTICIPANTS: Adults presenting with unscheduled ophthalmic care requests during on-call hours at a university hospital ophthalmic emergency unit and a general hospital emergency department in Hauts-de-France, France. METHODS: Nurses administered a standardized checklist combining a brief naked-eye examination and an 8-item questionnaire and classified each case as RED (immediate ophthalmic emergency) or GREEN (non-immediate). The ophthalmologist's final diagnosis, blinded to the checklist, was mapped to the BaSe SCOrE. BaSe SCOrE stages 4-5 were considered RED, and stages 1-3 GREEN. Sensitivity, specificity, predictive values, likelihood ratios, and accuracy were calculated. RESULTS: A total of 629 questionnaires were analyzed (447 university hospital; 182 general hospital). Severe diagnoses (BaSe SCOrE 4-5) represented 6.4% (40/629) of cases. Overall sensitivity for identifying RED cases was 85% (95% CI, 70-94) and specificity was 86% (83-89); negative predictive value was 99% (97-100), and overall accuracy was 86%. Six BaSe SCOrE 4 cases were triaged as GREEN; no BaSe SCOrE 5 case was missed. CONCLUSION: This nurse-administered triage questionnaire showed good diagnostic performance during on-call hours in both a specialized ophthalmic emergency unit and a general emergency department. Prospective multicenter validation and assessment of implementation strategies are warranted.
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BibTeX
@article{jacquet2026development,
title = {{Development and evaluation of a nurse-administered triage questionnaire for ophthalmic emergencies during on-call hours: A multicenter retrospective study}},
author = {M. Jacquet and J. Poret and J.-L. Bourges and T.H.C. Tran},
journal = {Journal Français d'Ophtalmologie},
year = {2026},
month = sep,
doi = {10.1016/j.jfo.2026.104979},
url = {https://u-picardie.hal.science/hal-05766800v1},
note = {CC BY},
}
RIS
TY - JOUR
TI - Development and evaluation of a nurse-administered triage questionnaire for ophthalmic emergencies during on-call hours: A multicenter retrospective study
AU - M. Jacquet
AU - J. Poret
AU - J.-L. Bourges
AU - T.H.C. Tran
PY - 2026
DA - 2026/09/28
JO - Journal Français d'Ophtalmologie
DO - 10.1016/j.jfo.2026.104979
UR - https://u-picardie.hal.science/hal-05766800v1
AB - OBJECTIVE: To develop and evaluate a nurse-administered triage questionnaire for unscheduled ophthalmic care requests during on-call hours, using the BaSe SCOrE as the reference standard. DESIGN: Multicenter retrospective diagnostic accuracy study. PARTICIPANTS: Adults presenting with unscheduled ophthalmic care requests during on-call hours at a university hospital ophthalmic emergency unit and a general hospital emergency department in Hauts-de-France, France. METHODS: Nurses administered a standardized checklist combining a brief naked-eye examination and an 8-item questionnaire and classified each case as RED (immediate ophthalmic emergency) or GREEN (non-immediate). The ophthalmologist's final diagnosis, blinded to the checklist, was mapped to the BaSe SCOrE. BaSe SCOrE stages 4-5 were considered RED, and stages 1-3 GREEN. Sensitivity, specificity, predictive values, likelihood ratios, and accuracy were calculated. RESULTS: A total of 629 questionnaires were analyzed (447 university hospital; 182 general hospital). Severe diagnoses (BaSe SCOrE 4-5) represented 6.4% (40/629) of cases. Overall sensitivity for identifying RED cases was 85% (95% CI, 70-94) and specificity was 86% (83-89); negative predictive value was 99% (97-100), and overall accuracy was 86%. Six BaSe SCOrE 4 cases were triaged as GREEN; no BaSe SCOrE 5 case was missed. CONCLUSION: This nurse-administered triage questionnaire showed good diagnostic performance during on-call hours in both a specialized ophthalmic emergency unit and a general emergency department. Prospective multicenter validation and assessment of implementation strategies are warranted.
SN - 0181-5512
SN - 1773-0597
ER -