Separating the Physician and Patient: A Paradigm Shift for Routine Otolaryngology Examinations in COVID-19-Like Aerosol-Contaminated Environments.

Autor:	Sayin I; Department of Otolaryngology-Head and Neck Surgery, University of Heath Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey., Yazıcı ZM; Department of Otolaryngology-Head and Neck Surgery, University of Heath Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey., Abakay MA; Department of Otolaryngology-Head and Neck Surgery, University of Heath Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey., Gülüstan F; Department of Otolaryngology-Head and Neck Surgery, University of Heath Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey., Devecioğlu İ; Department of Otolaryngology-Head and Neck Surgery, University of Heath Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey., Akgül A; Dean of Health Sciences Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Jazyk:	angličtina
Zdroj:	Ear, nose, & throat journal [Ear Nose Throat J] 2023 Feb; Vol. 102 (2), pp. NP89-NP94. Date of Electronic Publication: 2021 Feb 02.
DOI:	10.1177/0145561321992509
Abstrakt:	Objective: To evaluate the attitudes of physicians and patients toward physical examination in physically separated environments using a laryngoscopic examination model. Materials and Methods: Six experienced laryngologists performed laryngoscopic examinations in 30 patients in a closed-chamber examination unit. The physicians and patients were asked to compare all domains with their previous standard laryngoscopic examination experience using a 10-point visual analog scale (0, poor performance; 10, good performance), including effectiveness of communication, difficulty of examination, perception of safety against airborne transmission of COVID-19, applicability of the unit for future examinations, perception of protective environment, and overall comfort. Results: All laryngoscopic examinations were performed successfully. Effectiveness of communication, difficulty of examination, perception of protective environment, and overall comfort did not differ between physicians and patients ( P > .05 for all comparisons). However, both physicians and patients found the examination to be difficult. While physicians evaluated the system as safe against airborne transmission of COVID-19, patients were not confident that the system was safe (8.70 ± 1.93 vs 2.87 ± 2.37, respectively, P = .001). Physicians also gave a higher score to future applicability of the unit for examinations than patients (8.90 ± 1.42 vs 7.10 ± 2.62, respectively, P = .001). Conclusion: Physically separating the physician and patient is a feasible method of physical examination in aerosol-contaminated environments.
Databáze:	MEDLINE
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