Management of ENT emergencies during the coronavirus disease 2019 pandemic.
J Laryngol Otol
; 135(2): 117-124, 2021 Feb.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1093305
ABSTRACT
BACKGROUND:
Coronavirus disease 2019 imposed dramatic changes on ENT service delivery. Pre-pandemic, such changes would have been considered potentially unsafe. This study outlines the impact of lockdown on the incidence and management of ENT emergencies at a large UK centre.METHODS:
After modification of pre-pandemic guidelines, ENT emergency referrals data during the UK lockdown were prospectively captured. A comparative analysis was performed with retrospective data from a corresponding period in 2019.RESULTS:
An overall reduction (p < 0.001) in emergency referrals (n = 119) and admissions (n = 18) occurred during the lockdown period compared to the 2019 period (432 referrals and 290 admissions). Specifically, there were reduced admission rates for epistaxis (p < 0.0001) and tonsillar infection (p < 0.005) in the lockdown period. During lockdown, 90 per cent of patients requiring non-dissolvable nasal packing were managed as out-patients.CONCLUSIONS:
Coronavirus disease 2019 compelled modifications to pre-pandemic ENT guidelines. The enforced changes to emergency care appear to be safe and successfully adopted. Arguably, the measures have both economic and patient-related implications post-coronavirus disease 2019 and during future similar pandemics and lockdowns.Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Tonsilitis
/
Absceso Peritonsilar
/
Epistaxis
/
Atención Ambulatoria
/
COVID-19
/
Hospitalización
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Adolescente
/
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Middle aged
/
Young_adult
País/Región como asunto:
Europa
Idioma:
Inglés
Revista:
J Laryngol Otol
Asunto de la revista:
Otorrinolaringologia
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
S0022215121000530
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