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远程神经耳科学评估——在 2019 冠状病毒病时代管理头晕。

The remote neuro-otology assessment - managing dizziness in the coronavirus disease 2019 era.

机构信息

ENT Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.

UCL Ear Institute, London, UK.

出版信息

J Laryngol Otol. 2020 Dec;134(12):1120-1122. doi: 10.1017/S0022215120002273. Epub 2020 Oct 21.

Abstract

BACKGROUND

Coronavirus disease 2019 and other factors have driven interest in conducting remote consultations, but there has been little research on this topic in neuro-otology. With suitable preparation, neuro-otology patients with dizziness can have remote assessments that include elements of neuro-otological physical examination, with tailored management and onward pathways arranged.

METHODS

This paper reports experience with remote consultation in over 700 neuro-otology patient consultations and suggests a systematic approach, illustrated by a clinical case report and data on 100 consultations.

CONCLUSION

Remote consultations can play a role in neuro-otology clinics. Further research is needed to establish patient acceptability, diagnostic accuracy, safety and efficiency of remote models of care for this patient group.

摘要

背景

2019 年冠状病毒病和其他因素推动了人们对远程咨询的兴趣,但在神经耳科学领域对此主题的研究甚少。通过适当的准备,头晕的神经耳科学患者可以进行远程评估,其中包括神经耳科学体检的要素,并进行针对性的管理和后续路径安排。

方法

本文报告了在 700 多次神经耳科学患者咨询中进行远程咨询的经验,并提出了一种系统的方法,通过临床病例报告和 100 次咨询的数据加以说明。

结论

远程咨询可在神经耳科学诊所中发挥作用。需要进一步的研究来确定患者对该患者群体的远程护理模式的可接受性、诊断准确性、安全性和效率。

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