scholarly journals Effect of COVID-19 pandemic on orofacial and respiratory infections in ear, nose, and throat and oral and maxillofacial surgery emergency departments: a retrospective study of 7900 patients

2021 ◽  
Author(s):  
Aleksi Haapanen ◽  
Johanna Uittamo ◽  
Jussi Furuholm ◽  
Antti Mäkitie ◽  
Johanna Snäll
Keyword(s):  
Emergency Department ◽  
Respiratory Infection ◽  
Emergency Departments ◽  
Respiratory Infections ◽  
Maxillofacial Surgery ◽  
Emergency Department Visits ◽  
Outcome Variable ◽  
Oral And Maxillofacial Surgery ◽  
Patient Profile ◽  
Nose And Throat

Abstract Objectives The study purpose was to evaluate the effects of the COVID-19 pandemic on the rate and disease profile of orofacial and respiratory infections in oral and maxillofacial surgery (OMFS) and ear, nose, and throat (ENT) emergency units. Materials and methods Records of patients with orofacial or respiratory infection, or infectious symptoms, diagnosed in the OMFS or ENT Emergency Departments of the Helsinki University Hospital, Helsinki, Finland between 1st March and 30th October 2020 and the corresponding periods in 2018 and 2019 were reviewed. The main outcome variable was the occurrence of studied infections during the evaluated periods. Other study variables were age, gender, residence area, speciality, specific cause for the emergency department visit and admission to ward. Results There was a significant 37% decrease in the number of infection patients in 2020 compared to the years 2019 and 2018 (1894 vs. 2929 and 3077, respectively, p < .001). A mean decrease of 51% (from 1319 and 1249 patients in 2018 and 2019, respectively, to 592 patients in 2020) was seen in the “Other ENT respiratory infection” category. ENT patients were 51% less likely to be admitted to the ward in 2020 compared to 2019 and 2018 (p = .013). Conclusion A significant decrease was observed in the volume of emergency department visits for orofacial and respiratory infections during the COVID-19-pandemic in 2020 compared to the non-COVID periods. Clinical relevance It seems that social distancing, facial mask wearing, and other infection prevention precautions have changed the accustomed patient profile in orofacial and respiratory infections.

Differences in antibiotic prescriptions between direct-to-consumer telehealth and telehealth in the emergency department

2021 ◽  
pp. 1357633X2110349
Author(s):  
Peter Yao ◽  
Kriti Gogia ◽  
Sunday Clark ◽  
Hanson Hsu ◽  
Rahul Sharma ◽  
...  
Keyword(s):  
Emergency Department ◽  
Confidence Interval ◽  
Respiratory Infection ◽  
Antibiotic Stewardship ◽  
Odds Ratio ◽  
Acute Respiratory Infection ◽  
Respiratory Infections ◽  
Antibiotic Prescribing ◽  
Acute Respiratory Infections ◽  
Direct To Consumer

Background Telemedicine, which allows physicians to assess and treat patients via real-time audiovisual conferencing, is a rapidly growing modality for providing medical care. Antibiotic stewardship is one important measure of care quality, and research on antibiotic prescribing for acute respiratory infections in direct-to-consumer telemedicine has yielded mixed results. We compared antibiotic prescription rates for acute respiratory infections in two groups treated by telemedicine: (1) patients treated via a direct-to-consumer telemedicine application and (2) patients treated via telemedicine while physically inside the emergency department. Methods We included direct-to-consumer telemedicine and emergency department telemedicine visits for patients 18 years and older with physician-coded International Classification of Diseases, Tenth Revision acute respiratory infection diagnoses between November 2016 and December 2018. Patients in both groups were seen by the same emergency department faculty working dedicated telemedicine shifts. We compared antibiotic prescribing rates for direct-to-consumer telemedicine and emergency department telemedicine visits before and after adjustment for age, sex, and diagnosis. Results We identified a total of 468 acute respiratory infection visits: 191 direct-to-consumer telemedicine visits and 277 emergency department telemedicine visits. Overall, antibiotics were prescribed for 47% of visits (59% of direct-to-consumer telemedicine visits vs 39% of emergency department telemedicine visits; odds ratio 2.23; 95% confidence interval 1.53–3.25; P < 0.001). The difference in antibiotic prescribing rates remained significant after adjustment for age, sex, and diagnosis (odds ratio 2.49; 95% confidence interval 1.65–3.77; P < 0.001). Conclusion Patients seen by the same group of physicians for acute respiratory infection were significantly more likely to be prescribed antibiotics by direct-to-consumer telemedicine care compared with telemedicine care in the emergency department. This work suggests that contextual factors rather than evaluation over video may contribute to differences in antibiotic stewardship for direct-to-consumer telemedicine encounters.

scholarly journals PEAK LOWER EXTREMITY SOCCER INJURIES OCCUR IMMEDIATELY FOLLOWING GROWTH IN ADOLESCENTS: AN EPIDEMIOLOGIC REVIEW OF EMERGENCY DEPARTMENT VISITS

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0021
Author(s):  
Aidan P. Wright ◽  
Aaron J. Zynda ◽  
Jane S. Chung ◽  
Philip L. Wilson ◽  
Henry B. Ellis ◽  
...  
Keyword(s):  
Emergency Department ◽  
Lower Extremity ◽  
Emergency Departments ◽  
Skeletal Maturity ◽  
Epidemiologic Study ◽  
The United States ◽  
Emergency Department Visits ◽  
Injury Surveillance System ◽  
Lower Extremity Injuries ◽  
Extremity Injuries

BACKGROUND: Soccer has become the most popular youth sport in the world. Within the last decade, there has been limited epidemiologic research on pediatric soccer-related injuries based on sex and age. PURPOSE: To examine trends associated with soccer injuries presenting to emergency departments and to describe differences in injury pattern and location based on sex and age during periods of growth. METHODS: An epidemiologic study was conducted utilizing publicly accessible data from the National Electronic Injury Surveillance System (NEISS). The NEISS compiles Emergency Department (ED) data on all injuries presenting to the approximately 100 participating network hospitals in the United States. Information on all soccer-related injuries occurring in ages 7-19 from January 2009 – December 2018 was extracted and summary statistics were calculated. RESULTS: Approximately 54,287 pediatric soccer-related injuries were identified. The average age for all injuries was 13.3 years, and males (60.50%) presented more often than females (39.50%). Concussions and head injuries (15.57%) were most commonly reported overall, with a greater percentage occurring in females than males (17.44% vs. 14.35%). The ankle (15.3%) was the second most common injury location with females also presenting more commonly than males (18.71% vs. 13.62%). Age and sex-based evaluation noted peaks in lower extremity injuries in females younger than in males. Both ankle (F=13-15 years, M=15-17 years) and knee (F=14 years, M=16 years) injuries peaked at ages coinciding with recognized sex-based lower extremity skeletal maturity (Figure 1). CONCLUSION: Peak pediatric soccer-related ankle and knee injuries presenting to emergency departments occur at different ages in females and males and appear to, on average, coincide with maturation (age 14 in females and 16 in males). Lower extremity injuries significantly increase nearing the completion of lower extremity growth, and may indicate appropriate timing for differential sex-specific injury prevention programs within soccer. [Figure: see text]

scholarly journals Child Development and Pediatric Sport and Recreational Injuries by Age

2014 ◽  
Vol 49 (6) ◽  
pp. 780-785 ◽  
Author(s):  
David C. Schwebel ◽  
Carl M. Brezausek
Keyword(s):  
United States ◽  
Emergency Department ◽  
Emergency Departments ◽  
Injury Risk ◽  
The United States ◽  
Emergency Department Visits ◽  
Sociocultural Factors ◽  
Childhood And Adolescence ◽  
Injury Surveillance System ◽  
Sport And Recreation

Context: In 2010, 8.6 million children were treated for unintentional injuries in American emergency departments. Child engagement in sports and recreation offers many health benefits but also exposure to injury risks. In this analysis, we consider possible developmental risk factors in a review of age, sex, and incidence of 39 sport and recreational injuries. Objective: To assess (1) how the incidence of 39 sport and recreational injuries changed through each year of child and adolescent development, ages 1 to 18 years, and (2) sex differences. Design Descriptive epidemiology study. Setting: Emergency department visits across the United States, as reported in the 2001–2008 National Electronic Injury Surveillance System database. Patients or Other Participants: Data represent population-wide emergency department visits in the United States. Main Outcome Measure(s) Pediatric sport- and recreation-related injuries requiring treatment in hospital emergency departments. Results: Almost 37 pediatric sport or recreational injuries are treated hourly in the United States. The incidence of sport- and recreation-related injuries peaks at widely different ages. Team-sport injuries tend to peak in the middle teen years, playground injuries peak in the early elementary ages and then drop off slowly, and bicycling injuries peak in the preteen years but are a common cause of injury throughout childhood and adolescence. Bowling injuries peaked at the earliest age (4 years), and injuries linked to camping and personal watercraft peaked at the oldest age (18 years). The 5 most common causes of sport and recreational injuries across development, in order, were basketball, football, bicycling, playgrounds, and soccer. Sex disparities were common in the incidence of pediatric sport and recreational injuries. Conclusions: Both biological and sociocultural factors likely influence the developmental aspects of pediatric sport and recreational injury risk. Biologically, changes in perception, cognition, and motor control might influence injury risk. Socioculturally, decisions must be made about which sport and recreational activities to engage in and how much risk taking occurs while engaging in those activities. Understanding the developmental aspects of injury data trends allows preventionists to target education at specific groups.

scholarly journals Otorhinolaryngology emergency department hospitalizations in a secondary medical center

2020 ◽  
pp. 99-99
Author(s):  
Zorana Radin ◽  
Dejan Bakic ◽  
Dimitrije Ilic ◽  
Ana Jotic
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Medical Center ◽  
Maxillofacial Surgery ◽  
Emergency Department Visits ◽  
Neck Trauma ◽  
Medication Therapy ◽  
Growth Industry ◽  
Emergency Hospitalization ◽  
Invasive Intervention

Introduction/Objective. Overall number of emergency department visits, including otorhinolaryngology, has increased. Due to population growth, industry and traffic expansion, workload of the otorhinolaryngology emergency department is steadily on the rise. The objective of this study was to determine most common indications for emergency hospitalization in otorhinolaryngology department in secondary medical center. Also, we examined course of diagnostics and treatment upon admittance, outcome of hospitalization and possible referral to tertiary medical center. Methods. Retrospective study included patients who were urgently hospitalized on the Department of otorhinolaryngology and maxillofacial surgery in Djordje Joanovic General Hospital in Zrenjanin in a two-year period. The data were obtained by processing patients? medical charts. Results. The study included 428 patients who were urgently hospitalized on the Department of otorhinolaryngology of the secondary medical center in two-year period. 245 (57.2%) were male and were 183 (42.8%) female, with average age of 48.5 years. Patients were most frequently hospitalized because of tonsillopharyngitis and its? complications, followed by head and neck trauma. Most of the patients were treated conservatively with medication therapy (72%), and 28% underwent surgical or other invasive intervention. 27 (6.3%) patients were referred to tertiary medical center, which was correlated significantly with number of comorbidities and consultative exams. Conclusion. Otorhinolaryngology inflammatory/infectious diseases are the most frequent indication for urgent hospital admission in secondary medical center. Most of the patients were treated conservatively. Referral to tertiary medical center was significantly correlated to number of comorbidities and consultative exams.

Decontamination and Traceability of Flexible Endoscopes

2007 ◽  
Vol 17 (6) ◽  
pp. 257-264 ◽  
Author(s):  
Angus Crawford
Keyword(s):  
General Hospital ◽  
Maxillofacial Surgery ◽  
Cost Effective ◽  
Daily Basis ◽  
Oral And Maxillofacial Surgery ◽  
Nose And Throat ◽  
Hospital Use

The Ear, Nose and Throat (ENT) and Oral and Maxillofacial Surgery (OMFS) departments at Glasgow's Southern General Hospital use their 21 flexible endoscopes on a daily basis for a variety of surgical and anaesthetic procedures, including difficult intubations and the examination of the throat and airway. This article will examine the possible risks to the patient with these procedures and some cost-effective methods of minimising those risks within these departments.

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