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

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. Demogra...

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Autores principales: Shetty, Kunal R., Anderson, Brady J., Ahmad, Jumah G., Liu, Lucy X., Chow, Kevin, Erickson, Samuel G., Shetty, Shohan, Luong, Amber U.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese Society of Otorhinolaryngology-Head and Neck Surgery, Inc. Published by Elsevier B.V. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9350678/
https://www.ncbi.nlm.nih.gov/pubmed/35961807
http://dx.doi.org/10.1016/j.anl.2022.08.002
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author Shetty, Kunal R.
Anderson, Brady J.
Ahmad, Jumah G.
Liu, Lucy X.
Chow, Kevin
Erickson, Samuel G.
Shetty, Shohan
Luong, Amber U.
author_facet Shetty, Kunal R.
Anderson, Brady J.
Ahmad, Jumah G.
Liu, Lucy X.
Chow, Kevin
Erickson, Samuel G.
Shetty, Shohan
Luong, Amber U.
author_sort Shetty, Kunal R.
collection PubMed
description 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.
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spelling pubmed-93506782022-08-04 Otolaryngology consultations for COVID-19 patients: A retrospective cohort study of indications, interventions, and considerations Shetty, Kunal R. Anderson, Brady J. Ahmad, Jumah G. Liu, Lucy X. Chow, Kevin Erickson, Samuel G. Shetty, Shohan Luong, Amber U. Auris Nasus Larynx Article 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. Japanese Society of Otorhinolaryngology-Head and Neck Surgery, Inc. Published by Elsevier B.V. 2023-04 2022-08-04 /pmc/articles/PMC9350678/ /pubmed/35961807 http://dx.doi.org/10.1016/j.anl.2022.08.002 Text en © 2022 Japanese Society of Otorhinolaryngology-Head and Neck Surgery, Inc. Published by Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Shetty, Kunal R.
Anderson, Brady J.
Ahmad, Jumah G.
Liu, Lucy X.
Chow, Kevin
Erickson, Samuel G.
Shetty, Shohan
Luong, Amber U.
Otolaryngology consultations for COVID-19 patients: A retrospective cohort study of indications, interventions, and considerations
title Otolaryngology consultations for COVID-19 patients: A retrospective cohort study of indications, interventions, and considerations
title_full Otolaryngology consultations for COVID-19 patients: A retrospective cohort study of indications, interventions, and considerations
title_fullStr Otolaryngology consultations for COVID-19 patients: A retrospective cohort study of indications, interventions, and considerations
title_full_unstemmed Otolaryngology consultations for COVID-19 patients: A retrospective cohort study of indications, interventions, and considerations
title_short Otolaryngology consultations for COVID-19 patients: A retrospective cohort study of indications, interventions, and considerations
title_sort otolaryngology consultations for covid-19 patients: a retrospective cohort study of indications, interventions, and considerations
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9350678/
https://www.ncbi.nlm.nih.gov/pubmed/35961807
http://dx.doi.org/10.1016/j.anl.2022.08.002
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