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新冠疫情对慢性化脓性中耳炎手术量的影响。

Impact of the COVID-19 pandemic on the volume of chronic suppurative otitis media surgeries.

作者信息

Lasminingrum Lina, Mahdiani Sally, Dermawan Arif, Husnayain Muthiah Miftahul

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.

出版信息

Ann Med Surg (Lond). 2022 Jul;79:103921. doi: 10.1016/j.amsu.2022.103921. Epub 2022 Jun 8.

Abstract

BACKGROUND

Chronic suppurative otitis media (CSOM) is a case of ear infection which prevalence is still relatively high, especially in developing countries. Surgery is the definitive management for CSOM that aims to eradicate the infection and improve the hearing conduction system. The COVID-19 pandemic has put enormous pressure on the global health care system, including limitations on elective surgical procedure at most hospital at the beginning of the pandemic.

OBJECTIVE

This study aimed to assess the impact of the Covid-19 pandemic on the volume of chronic suppurative otitis media surgeries.

METHODS

A retrospective study on 236 chronic suppurative otitis media patients. The number of surgeries collected from April to December 2019 and 2020 was compared. Statistical analysis used the t-independence and linear regression test with  < 0.05.

RESULTS

The otologic surgeries decreased by 83.7% between 2019 and 2020. There were 203 surgeries (2019) vs 33 (2020). The average number of surgeries per month in 2019 and 2020 was 23 ± 6 patients and 4 ± 2 patients, respectively ( = 2.365;  < 0.001). All cases that underwent surgery in 2020 were cases with complications. Special consent and preparation must be completed before surgery.

CONCLUSION

The number of otitis media surgeries significantly decreases during the COVID-19 pandemic.

摘要

背景

慢性化脓性中耳炎(CSOM)是一种耳部感染疾病,其患病率仍然相对较高,尤其是在发展中国家。手术是慢性化脓性中耳炎的最终治疗方法,旨在根除感染并改善听力传导系统。2019冠状病毒病疫情给全球医疗系统带来了巨大压力,包括在疫情初期大多数医院对择期手术的限制。

目的

本研究旨在评估2019冠状病毒病疫情对慢性化脓性中耳炎手术量的影响。

方法

对236例慢性化脓性中耳炎患者进行回顾性研究。比较2019年4月至12月和2020年收集的手术数量。统计分析采用t独立性检验和线性回归检验,P<0.05。

结果

2019年至2020年,耳科手术减少了83.7%。2019年有203例手术,2020年有33例。2019年和2020年每月平均手术患者数分别为23±6例和4±2例(t=2.365;P<0.001)。2020年所有接受手术的病例均为有并发症的病例。手术前必须完成特殊同意和准备工作。

结论

在2019冠状病毒病疫情期间,中耳炎手术数量显著减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c71/9289333/23bdf55ebf61/gr1.jpg

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