Otolaryngology consultations for COVID-19 patients: A retrospective cohort study of indications, interventions, and considerations.

Autor: Shetty KR; Department of Otorhinolaryngology-Head and Neck Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, United States. Electronic address: kunal.r.shetty@uth.tmc.edu., Anderson BJ; Department of Otolaryngology-Head and Neck Surgery, The University of Iowa Hospitals and Clinics, Iowa City, IA, United States., Ahmad JG; Department of Otorhinolaryngology-Head and Neck Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, United States., Liu LX; Department of Otolaryngology-Head and Neck Surgery, LSU Health Shreveport, Shreveport, LA, United States., Chow K; Department of Otorhinolaryngology-Head and Neck Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, United States., Erickson SG; Department of Otolaryngology-Head and Neck Surgery, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States., Shetty S; Washington University in St. Louis, St. Louis, MO, United States., Luong AU; Department of Otorhinolaryngology-Head and Neck Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, United States; Center for Immunology and Autoimmune Diseases, Institute of Molecular Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, United States.
Jazyk: angličtina
Zdroj: Auris, nasus, larynx [Auris Nasus Larynx] 2023 Apr; Vol. 50 (2), pp. 292-298. Date of Electronic Publication: 2022 Aug 04.
DOI: 10.1016/j.anl.2022.08.002
Abstrakt: Objective: To identify differences in inpatient otolaryngology consultations and interventions for patients based on COVID-19.
Methods: Records were reviewed for all patients for whom otolaryngology was consulted at a high-volume tertiary care hospital from April 30, 2020 to October 1, 2020. Demographic information, length of stay, COVID-19 status, indication for consultation, and otolaryngology interventions were recorded. Statistical analysis was performed using R software.
Results: Bleeding composed a significantly higher proportion of otolaryngology consults in COVID-19 positive patients (28% vs. 8.4%, p<0.0001). Management of bleeding was the most common procedure performed in positive patients (n=37, 35%), and they had a higher median number of interventions performed when compared to bleeding patients who tested negative (1, IQR 1-2 vs. 1, IQR 0-1, p=0.04). COVID-19 positive patients with bleeding were more likely to expire than those with other indications for otolaryngology consultation (50% vs. 7%, p<0.001).
Conclusion: Bleeding and associated interventions comprised the predominant discrepancy between COVID-19 positive and negative patients in our cohort. We encourage routine use of simple and cost-effective methods to decrease risk of bleeding.
(Copyright © 2022 Japanese Society of Otorhinolaryngology-Head and Neck Surgery, Inc. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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