Sagalow Emily S, Duffy Alexander, Selvakumar Priyanga, Cognetti David M
Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
OTO Open. 2022 Mar 30;6(1):2473974X221091156. doi: 10.1177/2473974X221091156. eCollection 2022 Jan-Mar.
In the beginning of the COVID-19 pandemic in spring 2020, elective and oncologic surgical cases were cancelled. After adequate safety protocols were established, each subspecialty within otolaryngology faced unique challenges in reengaging patients for surgical scheduling.
Retrospective review from March to May 2020.
Single academic institution.
Patients whose otolaryngology surgery was cancelled due to COVID-19 hospital precautions were identified. Rescheduling rates were analyzed by subspecialty. Case completion was determined as the percentage of initially cancelled cases that were completed within 6 months of their original planned dates.
Of 833 otolaryngology cases scheduled between March 16 and May 29, 2020, a total of 555 (66.63%) were cancelled due to COVID-19 precautions, and 71.17% were rescheduled within 6 months. Cancellation and rescheduling rates per subspeciality were as follows, respectively: head and neck surgery, 42.79% and 88.76%; sleep surgery, 83.92% and 64.07%; rhinology and skull base, 72.67% and 64.80%; facial plastic and reconstructive surgery, 80.00% and 74.17%; otology and neurotology, 71.05% and 66.67%; and laryngology, 68.57% and 79.17%. The case completion rates were as follows: head and neck surgery, 95.2%; laryngology, 85.7%; facial plastic and reconstructive surgery, 79.3%; otology and neurotology, 76.3%; rhinology and skull base, 74.4%; and sleep surgery, 69.9%.
Differences for surgical rescheduling rates during the COVID-19 pandemic shutdown exist among otolaryngology subspecialties. Our experience suggests that subspecialties that functioned on an elective nature were more likely to face lower rates of case completion.
在2020年春季新冠疫情初期，择期手术和肿瘤外科手术病例被取消。在制定了充分的安全协议后，耳鼻喉科的每个亚专业在重新安排患者进行手术排班时都面临着独特的挑战。
对2020年3月至5月进行回顾性研究。
单一学术机构。
确定因新冠疫情医院预防措施而取消耳鼻喉科手术的患者。按亚专业分析重新安排手术的比例。病例完成情况以最初取消的病例在其原计划日期的6个月内完成的百分比来确定。
在2020年3月16日至5月29日安排的833例耳鼻喉科手术中，共有555例（66.63%）因新冠疫情预防措施而取消，71.17%在6个月内重新安排了手术。各亚专业的取消率和重新安排手术率分别如下：头颈外科，42.79%和88.76%；睡眠外科，83.92%和64.07%；鼻科和颅底外科，72.67%和64.80%；面部整形和重建外科，80.00%和74.17%；耳科和神经耳科，71.05%和66.67%；以及喉科，68.57%和79.17%。病例完成率如下：头颈外科，95.2%；喉科，85.7%；面部整形和重建外科，79.3%；耳科和神经耳科，76.3%；鼻科和颅底外科，74.4%；以及睡眠外科，69.9%。
新冠疫情封锁期间，耳鼻喉科各亚专业的手术重新安排率存在差异。我们的经验表明，以择期性质开展工作的亚专业更有可能面临较低的病例完成率。
