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The clinical consequences of the COVID‐19 lockdown: A report from an Italian referral ENT department

OBJECTIVES: To evaluate the clinical effects of health care reorganization because of COVID‐19, in a non‐red zone Italian referral department of Otorhinolaryngology. MATERIALS AND METHODS: We retrospectively reviewed the statistics of admissions to the Emergency Department (ED) of the Careggi Univer...

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Autores principales: Gallo, Oreste, Locatello, Luca Giovanni, Orlando, Pietro, Martelli, Federica, Bruno, Chiara, Cilona, Maria, Fancello, Giuseppe, Mani, Riccardo, Vitali, Daniele, Bianco, Giacomo, Trovati, Massimo, Tomaiuolo, Matteo, Maggiore, Giandomenico
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7461474/
https://www.ncbi.nlm.nih.gov/pubmed/32904910
http://dx.doi.org/10.1002/lio2.446
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author Gallo, Oreste
Locatello, Luca Giovanni
Orlando, Pietro
Martelli, Federica
Bruno, Chiara
Cilona, Maria
Fancello, Giuseppe
Mani, Riccardo
Vitali, Daniele
Bianco, Giacomo
Trovati, Massimo
Tomaiuolo, Matteo
Maggiore, Giandomenico
author_facet Gallo, Oreste
Locatello, Luca Giovanni
Orlando, Pietro
Martelli, Federica
Bruno, Chiara
Cilona, Maria
Fancello, Giuseppe
Mani, Riccardo
Vitali, Daniele
Bianco, Giacomo
Trovati, Massimo
Tomaiuolo, Matteo
Maggiore, Giandomenico
author_sort Gallo, Oreste
collection PubMed
description OBJECTIVES: To evaluate the clinical effects of health care reorganization because of COVID‐19, in a non‐red zone Italian referral department of Otorhinolaryngology. MATERIALS AND METHODS: We retrospectively reviewed the statistics of admissions to the Emergency Department (ED) of the Careggi University Hospital, Florence, from January 1, 2020, to May 17, 2020. Data regarding elective and urgent head and neck disorders were reviewed and the most challenging cases were discussed. RESULTS: During the lockdown period, outpatient otolaryngological consultations and elective procedures decreased by 78% and 75% respectively, while emergency/urgency surgery increased by 128%. The five most emblematic clinical cases were thoroughly analyzed. CONCLUSION: Our analysis shows how the profound rearrangement of clinical and surgical activities, along with the citizens' fear to seek medical care has probably exacerbated the management of many routine head and neck conditions. LEVEL OF EVIDENCE: 4.
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spelling pubmed-74614742020-09-02 The clinical consequences of the COVID‐19 lockdown: A report from an Italian referral ENT department Gallo, Oreste Locatello, Luca Giovanni Orlando, Pietro Martelli, Federica Bruno, Chiara Cilona, Maria Fancello, Giuseppe Mani, Riccardo Vitali, Daniele Bianco, Giacomo Trovati, Massimo Tomaiuolo, Matteo Maggiore, Giandomenico Laryngoscope Investig Otolaryngol Comprehensive (General) Otolaryngology OBJECTIVES: To evaluate the clinical effects of health care reorganization because of COVID‐19, in a non‐red zone Italian referral department of Otorhinolaryngology. MATERIALS AND METHODS: We retrospectively reviewed the statistics of admissions to the Emergency Department (ED) of the Careggi University Hospital, Florence, from January 1, 2020, to May 17, 2020. Data regarding elective and urgent head and neck disorders were reviewed and the most challenging cases were discussed. RESULTS: During the lockdown period, outpatient otolaryngological consultations and elective procedures decreased by 78% and 75% respectively, while emergency/urgency surgery increased by 128%. The five most emblematic clinical cases were thoroughly analyzed. CONCLUSION: Our analysis shows how the profound rearrangement of clinical and surgical activities, along with the citizens' fear to seek medical care has probably exacerbated the management of many routine head and neck conditions. LEVEL OF EVIDENCE: 4. John Wiley & Sons, Inc. 2020-08-26 /pmc/articles/PMC7461474/ /pubmed/32904910 http://dx.doi.org/10.1002/lio2.446 Text en © 2020 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Comprehensive (General) Otolaryngology
Gallo, Oreste
Locatello, Luca Giovanni
Orlando, Pietro
Martelli, Federica
Bruno, Chiara
Cilona, Maria
Fancello, Giuseppe
Mani, Riccardo
Vitali, Daniele
Bianco, Giacomo
Trovati, Massimo
Tomaiuolo, Matteo
Maggiore, Giandomenico
The clinical consequences of the COVID‐19 lockdown: A report from an Italian referral ENT department
title The clinical consequences of the COVID‐19 lockdown: A report from an Italian referral ENT department
title_full The clinical consequences of the COVID‐19 lockdown: A report from an Italian referral ENT department
title_fullStr The clinical consequences of the COVID‐19 lockdown: A report from an Italian referral ENT department
title_full_unstemmed The clinical consequences of the COVID‐19 lockdown: A report from an Italian referral ENT department
title_short The clinical consequences of the COVID‐19 lockdown: A report from an Italian referral ENT department
title_sort clinical consequences of the covid‐19 lockdown: a report from an italian referral ent department
topic Comprehensive (General) Otolaryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7461474/
https://www.ncbi.nlm.nih.gov/pubmed/32904910
http://dx.doi.org/10.1002/lio2.446
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