Távora-Vieira Dayse, Bogdanov Caris, Berk Daniel, Voola Marcus, Choi Robyn, Kuthubutheen Jafri, Acharya Aanand
Fiona Stanley Fremantle Hospitals Group, Perth, Western Australia, Australia.
Medical School, Division of Surgery, The University of Western Australia, Perth, Australia.
Int J Audiol. 2024 Sep 13:1-5. doi: 10.1080/14992027.2024.2397063.
To evaluate the role of Extended Scope (ES) audiologists in managing adult Ear Nose and Throat (ENT)/Otology waitlists and analyse patient re-presentation rate to the ENT service within 12 months of being discharged from the clinic.
A retrospective cohort study assessing the efficacy of ES audiologists, measuring the discharge rate from ENT waitlists, the rate of escalation to ENT care, and the rate and reasons for any re-presentations to care.
394 adult patients.
Of the referred patients, 95% ( = 374) were deemed suitable for ES care. Of these, 75% were discharged without further ENT intervention, 20% required escalation to ENT, and 5% were returned to the waitlist. Only one patient re-presented for care within 12 months. The inclusion of patients with CHL/MHL and vestibular symptoms marked an expansion from our previous work. The re-presentation rate was notably lower compared to other allied health ES clinics.
The ES Audiology clinic demonstrates a high discharge rate with a low incidence of patient re-presentation, highlighting the ES audiologists' efficiency in managing non-urgent ENT cases. The study supports the continued use and expansion of ES roles to ensuring timely and quality care for patients on ENT waitlists.
评估扩大范围（ES）听力学家在管理成人耳鼻喉科（ENT）/耳科学候诊名单中的作用，并分析患者在诊所出院后12个月内再次就诊于耳鼻喉科服务的比率。
一项回顾性队列研究，评估ES听力学家的疗效，测量耳鼻喉科候诊名单的出院率、升级到耳鼻喉科护理的比率以及再次就诊护理的比率和原因。
394名成年患者。
在转诊患者中，95%（n = 374）被认为适合ES护理。其中，75%在无需进一步耳鼻喉科干预的情况下出院，20%需要升级到耳鼻喉科，5%被放回候诊名单。只有一名患者在12个月内再次就诊。纳入患有传导性听力损失/混合性听力损失和前庭症状的患者标志着比我们之前的工作有所扩展。与其他联合健康ES诊所相比，再次就诊率明显更低。
ES听力诊所显示出高出院率且患者再次就诊发生率低，突出了ES听力学家在管理非紧急耳鼻喉科病例方面的效率。该研究支持继续使用和扩大ES角色，以确保为耳鼻喉科候诊名单上的患者提供及时和高质量的护理。
