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10.1016/j.amjoto.2020.102865

http://scihub22266oqcxt.onion/10.1016/j.amjoto.2020.102865
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suck abstract from ncbi


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pmid33450479      Am+J+Otolaryngol 2021 ; 42 (2): 102865
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  • ENT emergencies during the first wave of COVID-19 pandemic in Spain: Our experience #MMPMID33450479
  • Herranz-Larraneta J; Klein-Rodriguez A; Menendez-Riera M; Mejuto-Torreiro L; Lopez-Eiroa A; Vazquez-Barro JC; Herranz Gonzalez-Botas J; Mayo-Yanez M
  • Am J Otolaryngol 2021[Mar]; 42 (2): 102865 PMID33450479show ga
  • OBJECTIVES: To analyze the characteristics of the visits attended to in an ENT Emergency Department (ENT-ED) during the first wave of COVID-19, comparing them with the emergencies attended to during the same period of time in 2019. METHODS: Descriptive and analytical observational retrospective study of all emergency consultations between March 1, 2020, and May 21, 2020, carried out by the Otorhinolaryngology-Head and Neck Surgery Department of a tertiary university hospital. The adequacy of consultations was assessed with the Hospital Emergency Suitability Protocol (HESP). The correlation between the emergencies and the SARS-CoV-2 confirmed cases was assessed with a generalized linear model. RESULTS: Although there was a decrease of almost 50% in ENT-ED visits during the first wave of COVID-19, the pattern of most cases remained similar to the pre-COVID-19 era: non-urgent consultations, not previously assessed by Primary Care (PC), being considered inadequate by the HESP. The three main reasons for consultation were otalgia, odynophagia, and epistaxis. The number of ENT-ED visits and the total number of confirmed cases of SARS-CoV-2 in the health area were correlated. CONCLUSIONS: SARS-CoV-2 pandemic was a challenge for the Spanish health system. The critical epidemiological situation experienced during March, April, and May explains the reduction in the number of visits to the ENT-ED. However, this condition did not affect the predominant pattern of visits with respect to the pre-COVID-19 era, which were mostly inadequate. A strengthening of PC and an improvement in the population's health education is essential.
  • |*Emergency Service, Hospital[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Otorhinolaryngologic Diseases/*epidemiology[MESH]
  • |Pandemics[MESH]
  • |Referral and Consultation[MESH]
  • |Retrospective Studies[MESH]
  • |Spain/epidemiology[MESH]


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