Mahendran Geethanjeli N, Tey Ching Siong, Musso Mary Frances, Anand Grace Shebha, Larson Jeffrey, Mehta Mitesh, Reichert Lara, Prickett Kara, Raol Nikhila Pinnapureddy
Emory University School of Medicine, Atlanta, GA, USA.
Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Ear Nose Throat J. 2022 Oct 14:1455613221134428. doi: 10.1177/01455613221134428.
To determine if postponement of elective pediatric otorhinolaryngology surgeries results in a change in overall healthcare utilization and if there is any commensurate impact on disease progression. We identified patients ≤18 years of age whose surgeries were postponed at the onset of the COVID-19 pandemic-related shutdown. We then tracked patients' rate of and patterns of rescheduling surgery. Surveys were also sent to caregivers to better characterize his/her decision regarding moving forward with his/her child's surgery during COVID-19. A total of 1915 pediatric patients had elective surgeries canceled, of which 992 (51.8%) were rescheduled within 4 months. No difference in rates of rescheduling was identified based on race or ethnicity. Patients who were scheduled for tonsillectomies and/or adenoidectomies were 1.22 times more likely to reschedule compared to those patients with other planned procedures (CI: 1.02-1.46). A total of 95 caregivers at two hospitals completed surveys: 44 (47.4%) rescheduled their child's surgery. Most caregivers who rescheduled were concerned their child's disease could impact their future (n = 14, 32%). Just over half of patients who had pediatric otolaryngologic surgery canceled during a period of social distancing went on to have surgery within a 4-month timeframe. This reflects the dependence of pediatric otolaryngologic surgery on environmental exposures and may represent a potential target for prevention and management of some pediatric otolaryngology diseases.
为了确定择期小儿耳鼻咽喉科手术的推迟是否会导致整体医疗保健利用率的变化，以及对疾病进展是否有相应影响。我们确定了18岁及以下在与COVID-19大流行相关的停工开始时手术被推迟的患者。然后我们跟踪了患者重新安排手术的速率和模式。还向护理人员发送了调查问卷，以更好地了解他们在COVID-19期间关于推进孩子手术的决定。共有1915名小儿患者的择期手术被取消，其中992例（51.8%）在4个月内重新安排了手术。根据种族或民族未发现重新安排手术的速率有差异。与其他计划手术的患者相比，计划进行扁桃体切除术和/或腺样体切除术的患者重新安排手术的可能性高1.22倍（置信区间：1.02-1.46）。两家医院共有95名护理人员完成了调查：44名（47.4%）重新安排了孩子的手术。大多数重新安排手术的护理人员担心孩子的疾病会影响他们的未来（n = 14，32%）。在社交距离期间小儿耳鼻咽喉科手术被取消的患者中，略超过一半在4个月的时间内进行了手术。这反映了小儿耳鼻咽喉科手术对环境暴露的依赖性，可能代表了一些小儿耳鼻咽喉科疾病预防和管理的潜在目标。
