[一项为期3年的比较队列研究——新冠疫情期间儿科急诊科耳鼻喉科会诊的趋势]

[A 3-YEAR COMPARATIVE COHORT - TRENDS IN OTOLARYNGOLOGY CONSULTATIONS IN THE PEDIATRIC EMERGENCY DEPARTMENT DURING THE COVID-19 PANDEMIC].

作者信息

Tsur Nir, Frig Omri, Eyal Yaakov, Kohlberg Gavriel, Hod Roy, Zloczower Elchanan, Reuven Yonatan

机构信息

Department of Head and Neck Otolaryngology Rabin Medical Center, Petah Tikva, Israel, The Sackler Faculty of Medicine, Tel Aviv University, Israel, Department of Otorhinolaryngology, Schneider Children; Medical Center of Israel, Petah Tikva, Israel.

The Sackler Faculty of Medicine, Tel Aviv University, Israel.

出版信息

Harefuah. 2024 Jul;163(7):423-429.

PMID:39569950

Abstract

AIMS

The SARS-CoV-2 (COVID-19) pandemic has changed emergency department (ED) referral trends worldwide.

OBJECTIVES

We aim to investigate inpatient consultation in the ED of a pediatric otolaryngology-head and neck surgery service during the COVID-19 pandemic compared to two preceding years.

METHODS

A retrospective chart review of children under 18 years who had an otolaryngology consultation in Schneider Children's Hospital ED from 2018-2020.

RESULTS

Of the 4,213 patients who underwent otolaryngology consultations in the ED, infection pathogenesis was the leading cause, presenting in 51.1% of the patients during the three-year study period. During the year 2020, the proportion of patients admitted to the ED who were referred to otolaryngology-head and neck consultations was significantly higher than in previous years (p<0.001), especially during the summer (p=0.001). In addition, increased rates were observed of trauma, foreign body pathogenesis, and mastoiditis (16% vs. 13%, p=0.03; 13% vs. 8%, p<0.001; and 2.4% vs. 0.9%, p = 0.01, respectively).

CONCLUSIONS

During the COVID-19 pandemic, otolaryngology consultations in the emergency department increased substantially. Improvements in community clinics service may alleviate this increased burden.

摘要

目的

严重急性呼吸综合征冠状病毒2（SARS-CoV-2，即新冠病毒）大流行改变了全球急诊科的转诊趋势。

目标

我们旨在调查新冠病毒大流行期间，与前两年相比，一家儿科耳鼻喉头颈外科服务机构急诊科的住院会诊情况。

方法

对2018年至2020年在施耐德儿童医院急诊科接受耳鼻喉科会诊的18岁以下儿童进行回顾性病历审查。

结果

在急诊科接受耳鼻喉科会诊的4213名患者中，感染病因是主要原因，在三年研究期间占患者总数的51.1%。2020年，急诊科转诊至耳鼻喉头颈科会诊的患者比例显著高于前几年（p<0.001），尤其是在夏季（p=0.001）。此外，还观察到创伤、异物病因和乳突炎的发生率有所增加（分别为16%对13%，p=0.03；13%对8%，p<0.001；2.4%对0.9%，p = 0.01）。