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非感染性 CRS 患者在 COVID-19 大流行中的损失。

The toll of noninfected CRS patients to the COVID-19 pandemic.

机构信息

Centre for Rhinology and Allergology, Wiesbaden, Germany.

Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center, Mainz, Germany.

出版信息

Rhinology. 2020 Oct 1;58(5):522-523. doi: 10.4193/Rhin20.250.

DOI:10.4193/Rhin20.250
PMID:33130830
Abstract

Social distancing with the aim of avoiding infections and pre-serve critical care capacities during the COVID-19 pandemic has been implemented in Germany according to World Health Organization (WHO) recommendations from early March onwards. Limitations of physical contacts to reduce exposure to SARS-CoV-2 infected individuals were handled strictly, particularly in medical centers dealing with airway diseases, like rhinology and pneumology clinics. Such measures and reluctance to visit out- and inpatient services resulted in a 82% decrease in consultations to the 12 German oto-rhino-laryngological (ORL) centres forming our database during the 50 days following March 09 in 2020 if compared to the same period in 2019. Our data on CRS care underline reports on undertreatment of non-COVID-19 individuals with several different diseases during the current pandemic. We should try to reduce the toll these patients have to pay as much as possible. We established telemedicine, e-Health and artificial intelligence-supported triage for selecting the right patients for onsite-consultations and to advise patients in several demands.

摘要

为避免感染并在 COVID-19 大流行期间保护重症监护能力,德国根据世界卫生组织(WHO)的建议,从 3 月初开始实施社会隔离。严格限制身体接触以减少与 SARS-CoV-2 感染个体的接触,特别是在处理气道疾病(如鼻科学和肺病学诊所)的医疗中心。这些措施以及不愿就诊于门诊和住院服务,导致 2020 年 3 月 9 日之后的 50 天内,我们的数据库中 12 个德国耳鼻喉科(ORL)中心的咨询量与 2019 年同期相比下降了 82%。我们关于 CRS 护理的数据强调了在当前大流行期间,对患有多种不同疾病的非 COVID-19 个体治疗不足的报告。我们应该尽量减少这些患者的负担。我们建立了远程医疗、电子健康和人工智能支持的分诊,以选择合适的患者进行现场咨询,并在多个需求上为患者提供建议。

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