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儿科人群中的耳鼻咽喉异物:新冠疫情封锁措施有何影响?

Ear, Nose, and Throat Foreign Bodies in the Paediatric Population: Did the COVID-19 Lockdown Change Anything?

作者信息

Garg Joshua, De Castro Francis, Puttasidiah Paramesh

机构信息

Otolaryngology, Morriston Hospital, Swansea, GBR.

出版信息

Cureus. 2022 Aug 11;14(8):e27892. doi: 10.7759/cureus.27892. eCollection 2022 Aug.

DOI:10.7759/cureus.27892
PMID:36110438
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9464042/
Abstract

Background In the pediatric population, the ear, nose, and throat (ENT) foreign body is a common presentation for emergency departments (ED) and ENT units. COVID-19 has led to a significant impact on the health care system and the overall mental well-being of the general population. With the health care system under significant strain, we noted a continued presence of children with foreign bodies, with some requiring removal under a general anesthetic. Aim We aimed to assess if lockdown measures increased or decreased the incidence of children presenting to the hospital with ear, nose, and throat foreign bodies and to evaluate their management by the ED and ENT specialties. Method A retrospective data of children presenting with a foreign body in the ear, nose, and throat from March 2020 to August 2020 was compared with the data for the same period in 2019. Results Our study showed an overall decrease in children presenting with foreign bodies in 2020 compared to 2019 (n=90 and n=106, respectively). However, the number of children needing general anesthetic remained the same, and those presenting with foreign bodies in the upper aerodigestive tract were higher in 2020. Conclusion Children with foreign ear, nose, and throat bodies continued to present to the hospital during the COVID-19 lockdown. Our study shows an overall decrease in the number of children presenting with Ear, Nose, and Throat foreign body during the lockdown, but not statistically significantly different.

摘要

背景 在儿科人群中,耳鼻咽喉(ENT)异物是急诊科(ED)和耳鼻喉科常见的就诊情况。新型冠状病毒肺炎(COVID-19)对医疗保健系统和普通人群的整体心理健康产生了重大影响。在医疗保健系统承受巨大压力的情况下,我们注意到仍有儿童出现异物情况,其中一些需要在全身麻醉下取出。目的 我们旨在评估封锁措施是否增加或减少了因耳鼻咽喉异物到医院就诊的儿童的发病率,并评估急诊科和耳鼻喉科专科对他们的处理情况。方法 将2020年3月至2020年8月因耳鼻咽喉异物就诊的儿童的回顾性数据与2019年同期的数据进行比较。结果 我们的研究表明,与2019年相比,2020年出现异物的儿童总体有所减少(分别为n = 90和n = 106)。然而,需要全身麻醉的儿童数量保持不变,并且2020年在上呼吸道消化道出现异物的儿童数量有所增加。结论 在COVID-19封锁期间,患有耳鼻咽喉异物的儿童仍继续到医院就诊。我们的研究表明,封锁期间因耳鼻咽喉异物就诊的儿童数量总体有所减少,但差异无统计学意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd36/9464042/3fa22e04a3fa/cureus-0014-00000027892-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd36/9464042/8d0c2a5fc3c0/cureus-0014-00000027892-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd36/9464042/d2f34a9d1292/cureus-0014-00000027892-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd36/9464042/3fa22e04a3fa/cureus-0014-00000027892-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd36/9464042/8d0c2a5fc3c0/cureus-0014-00000027892-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd36/9464042/d2f34a9d1292/cureus-0014-00000027892-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd36/9464042/3fa22e04a3fa/cureus-0014-00000027892-i03.jpg

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The impact of COVID-19 on anaesthesia and critical care services in the UK: a serial service evaluation.新冠疫情对英国麻醉与重症监护服务的影响:一项连续服务评估。
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