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COVID-19 大流行对意大利耳鼻喉科的影响:一项全国性研究。

Impact of COVID-19 pandemic on Italian Otolaryngology Units: a nationwide study.

机构信息

COVID-19 Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology Head and Neck Surgery.

Head and Neck Oncology and Robotic Surgery, Department of Experimental and Clinical Medicine, University of Florence, Italy.

出版信息

Acta Otorhinolaryngol Ital. 2020 Oct;40(5):325-331. doi: 10.14639/0392-100X-N0832. Epub 2020 Sep 24.

DOI:10.14639/0392-100X-N0832
PMID:32970046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7726641/
Abstract

OBJECTIVE

The aim of this study was to provide an accurate picture of the changes which have occurred during the COVID-19 pandemic, and the contributions given by Italian Otolaryngology Units.

METHODS

A 29-item questionnaire was completed and returned by 154 Otorhinolaryngology Units across Italy that investigated geographic distribution, the main changes which occurred in workload management and in clinical and surgical activities and screening procedures for COVID-19 in healthcare personnel and patients.

RESULTS

Nearly half of the Otolaryngology Units that responded to the questionnaire were merged with other units, while 22% were converted into COVID-19 units or temporarily closed. A reduction of 8.55% in the number of team members was reported, and about 50% of the units applied uniform work shifts for all staff. Elective activities were uniformly stopped or delayed, passing from 30,295 (pre-COVID data) to 5,684 (COVID data) weekly procedures, with a mean decrease of 81.24% (p < 0.001).

CONCLUSIONS

Most of the elective otolaryngology activities were suspended during the pandemic; the only procedures were for oncology and emergency patients. Italian Otolaryngologists have demonstrated a high availability to collaborate with non-surgical colleagues.

摘要

目的

本研究旨在准确描绘 COVID-19 大流行期间发生的变化,以及意大利耳鼻喉科单位所做出的贡献。

方法

对意大利各地的 154 个耳鼻喉科单位进行了一项包含 29 个项目的问卷调查,调查内容包括地理分布、工作量管理方面的主要变化、临床和手术活动以及对医护人员和患者 COVID-19 的筛查程序。

结果

对问卷调查做出回应的耳鼻喉科单位中,近一半与其他单位合并,22%的单位转变为 COVID-19 单位或暂时关闭。报告称团队成员减少了 8.55%,约有 50%的单位为所有员工实行统一轮班制。择期活动被统一停止或推迟,从每周 30295 例(COVID-19 前数据)减少到每周 5684 例,平均减少 81.24%(p < 0.001)。

结论

大流行期间,大多数耳鼻喉科的择期手术活动都被暂停;仅为肿瘤和急症患者开展手术。意大利耳鼻喉科医生表现出高度的意愿,愿意与非外科医生同事合作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5f9/7726641/8a2173e0aed4/aoi-2020-05-325-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5f9/7726641/9b73b23fd3c0/aoi-2020-05-325-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5f9/7726641/e839515efb47/aoi-2020-05-325-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5f9/7726641/8a225645f4ef/aoi-2020-05-325-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5f9/7726641/52f04e9469ef/aoi-2020-05-325-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5f9/7726641/8a2173e0aed4/aoi-2020-05-325-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5f9/7726641/9b73b23fd3c0/aoi-2020-05-325-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5f9/7726641/e839515efb47/aoi-2020-05-325-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5f9/7726641/8a225645f4ef/aoi-2020-05-325-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5f9/7726641/52f04e9469ef/aoi-2020-05-325-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5f9/7726641/8a2173e0aed4/aoi-2020-05-325-g005.jpg

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