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Geriatric otorhinolaryngology: reasons for outpatient referrals from generalists to ENT specialists
PURPOSE: To determine the main symptoms leading to referral of geriatric patients from primary care to otorhinolaryngology. METHODS: Retrospective, observational study performed on patients aged 65 and older, referred from Primary Care to the Otorhinolaryngology and Head and Neck Surgery department...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9466320/ https://www.ncbi.nlm.nih.gov/pubmed/36094563 http://dx.doi.org/10.1007/s00405-022-07641-y |
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author | Alves, Clara Serdoura Santos, Mariline Castro, Afonso Lino, João Freitas, Susana Vaz Almeida e Sousa, Cecília da Silva, Álvaro Moreira |
author_facet | Alves, Clara Serdoura Santos, Mariline Castro, Afonso Lino, João Freitas, Susana Vaz Almeida e Sousa, Cecília da Silva, Álvaro Moreira |
author_sort | Alves, Clara Serdoura |
collection | PubMed |
description | PURPOSE: To determine the main symptoms leading to referral of geriatric patients from primary care to otorhinolaryngology. METHODS: Retrospective, observational study performed on patients aged 65 and older, referred from Primary Care to the Otorhinolaryngology and Head and Neck Surgery department of a tertiary centre during 2019 and 2020. Symptoms leading to otorhinolaryngological referral were categorized as “Oto-neurological symptoms”, “Nasal symptoms”, “Pharyngolaryngeal symptoms”, “Other Head and Neck symptoms” and “Other Reasons”. Data regarding age, gender and whether patients maintain follow-up or have been discharged was also collected. RESULTS: The study population included a total of 1304 patients (697 female; 607 male). Oto-neurological symptoms were found to be the most prevalent symptoms, with 65% of patients reporting oto-neurological symptoms as at least one of the reasons for referral. Hearing loss was the most commonly reported symptom, with an association found between this symptom and age (p < 0.001). Results also showed an association between the female gender and vertigo/dizziness (p < 0.001) and tinnitus (p = 0.007). An association between the male gender and nasal symptoms was also found (p = 0.018), particularly nasal obstruction (p = 0.003) and epistaxis (p = 0.028). No statistically significant associations were found among the pharyngolaryngeal group. CONCLUSIONS: This retrospective observational study allowed for a better understanding of the type of otorhinolaryngological symptoms affecting elderly patients and driving otorhinolaryngology evaluation, cementing hearing loss as one of the major complaints among older adults and allowing for a better preparation by otorhinolaryngologists for the changing needs of this subset of the population. |
format | Online Article Text |
id | pubmed-9466320 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-94663202022-09-12 Geriatric otorhinolaryngology: reasons for outpatient referrals from generalists to ENT specialists Alves, Clara Serdoura Santos, Mariline Castro, Afonso Lino, João Freitas, Susana Vaz Almeida e Sousa, Cecília da Silva, Álvaro Moreira Eur Arch Otorhinolaryngol Miscellaneous PURPOSE: To determine the main symptoms leading to referral of geriatric patients from primary care to otorhinolaryngology. METHODS: Retrospective, observational study performed on patients aged 65 and older, referred from Primary Care to the Otorhinolaryngology and Head and Neck Surgery department of a tertiary centre during 2019 and 2020. Symptoms leading to otorhinolaryngological referral were categorized as “Oto-neurological symptoms”, “Nasal symptoms”, “Pharyngolaryngeal symptoms”, “Other Head and Neck symptoms” and “Other Reasons”. Data regarding age, gender and whether patients maintain follow-up or have been discharged was also collected. RESULTS: The study population included a total of 1304 patients (697 female; 607 male). Oto-neurological symptoms were found to be the most prevalent symptoms, with 65% of patients reporting oto-neurological symptoms as at least one of the reasons for referral. Hearing loss was the most commonly reported symptom, with an association found between this symptom and age (p < 0.001). Results also showed an association between the female gender and vertigo/dizziness (p < 0.001) and tinnitus (p = 0.007). An association between the male gender and nasal symptoms was also found (p = 0.018), particularly nasal obstruction (p = 0.003) and epistaxis (p = 0.028). No statistically significant associations were found among the pharyngolaryngeal group. CONCLUSIONS: This retrospective observational study allowed for a better understanding of the type of otorhinolaryngological symptoms affecting elderly patients and driving otorhinolaryngology evaluation, cementing hearing loss as one of the major complaints among older adults and allowing for a better preparation by otorhinolaryngologists for the changing needs of this subset of the population. Springer Berlin Heidelberg 2022-09-12 2023 /pmc/articles/PMC9466320/ /pubmed/36094563 http://dx.doi.org/10.1007/s00405-022-07641-y Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022, Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Miscellaneous Alves, Clara Serdoura Santos, Mariline Castro, Afonso Lino, João Freitas, Susana Vaz Almeida e Sousa, Cecília da Silva, Álvaro Moreira Geriatric otorhinolaryngology: reasons for outpatient referrals from generalists to ENT specialists |
title | Geriatric otorhinolaryngology: reasons for outpatient referrals from generalists to ENT specialists |
title_full | Geriatric otorhinolaryngology: reasons for outpatient referrals from generalists to ENT specialists |
title_fullStr | Geriatric otorhinolaryngology: reasons for outpatient referrals from generalists to ENT specialists |
title_full_unstemmed | Geriatric otorhinolaryngology: reasons for outpatient referrals from generalists to ENT specialists |
title_short | Geriatric otorhinolaryngology: reasons for outpatient referrals from generalists to ENT specialists |
title_sort | geriatric otorhinolaryngology: reasons for outpatient referrals from generalists to ent specialists |
topic | Miscellaneous |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9466320/ https://www.ncbi.nlm.nih.gov/pubmed/36094563 http://dx.doi.org/10.1007/s00405-022-07641-y |
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