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新冠疫情对非择期耳鼻喉科住院治疗的影响以及临床实践中的积极变化。

The effect of the COVID-19 pandemic on non-elective otolaryngology admissions and a positive change in clinical practice.

作者信息

Wright B, McKenna C, Reddy Cee

机构信息

Craigavon Area Hospital, UK.

出版信息

Ann R Coll Surg Engl. 2021 Jul;103(7):496-498. doi: 10.1308/rcsann.2021.0100.

Abstract

As the COVID-19 pandemic progressed across the UK and Northern Ireland in March 2020, our otolaryngology department began to make preparations and changes in practice to accommodate for potentially large numbers of patients with COVID-19 related respiratory illness in the hospital. We retrospectively reviewed the number of non-elective admissions to our department between the months of January and May in 2019 and 2020. A significant reduction in admissions of up to 94% during the months of the pandemic was observed. Our practice shifted to manage patients with epistaxis and peritonsillar abscess on an outpatient basis, and while prospectively collecting data on this, we did not observe any significant adverse events. We view this as a positive learning point and change in our practice as a result of the COVID-19 pandemic.

摘要

随着2020年3月新冠疫情在英国和北爱尔兰蔓延,我们的耳鼻喉科开始做准备并改变诊疗方式,以应对医院可能出现的大量新冠相关呼吸道疾病患者。我们回顾性分析了2019年1月至5月以及2020年同期我科非择期入院患者的数量。发现在疫情期间入院人数显著减少,降幅高达94%。我们的诊疗方式转变为在门诊处理鼻出血和扁桃体周围脓肿患者,在对此进行前瞻性数据收集时,未观察到任何重大不良事件。我们将此视为新冠疫情带来的积极经验教训以及诊疗方式的改变。

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本文引用的文献

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Epistaxis 2016: national audit of management.
J Laryngol Otol. 2017 Dec;131(12):1131-1141. doi: 10.1017/S002221511700202X.
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National prospective cohort study of peritonsillar abscess management and outcomes: the Multicentre Audit of Quinsies study.
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