Clinic-epidemiological analysis of an otorhinolaryngology emergency unit care in a tertiary hospital

Abstract

Emergenci es are common in our Otorhinolaringology specialty. However, the clinical and epidemiological features are not very well known. Objectives:To evaluate the clinical and epidemiological profiles of otorhinolaryngological disorders in an emergency unit of a tertiary hospital, and to determine the appropriateness of the level of health care for a tertiary hospital. Materials and methods:An analytical study using data records of an otorhinolaryngological emergency unit at a tertiary hospital in the Federal District for a year, full time, and no screening. The age, sex, arrival time and clinical diagnosis were evaluated. The entities were separated into cases of pharingolaryngoesthomatology, otology, rhinology, and head and neck surgery. These were evaluated according to the urgency level, the required care, and the arrival time.Results: 26,584 data records were selected, of which 2,001 were excluded. The group comprised 54.48% women, and 45.51% men. Otological complaints (62.27%) prevailed. 61.26% of cases were considered emergencies. Only 9.7% of those required medium or high complex resources for resolution. Conclusion:The study showed that 61.26% of the otorhinolaryngological cases are emergencies, and only 9.7% required medium or high complexity resources. Braz J Otorhinolaryngol. 2011;77(4):426-31. ORIGINAL ARTICLE BJORL

Otorhinolaryngology emergency department hospitalizations in a secondary medical center

“…This was also noted as the most frequent ENT surgical emergency in population-based estimates of global burden [4]. The data was supported with other studies results [2,3,5,12]. Some authors estimate that less than 10% of emergency otorhinolaryngology cases require middle and high complexity resources in tertiary medical centers [3,13].…”

“…According to the results of univariate logistic regression analysis (Table 6) to patients who would otherwise be treated by their general practitioner. About 25% to 40% of the medical practice of general practitioner consists of ear, nose, and throat diseases [3].…”

“…Due to population growth, industry and traffic expansion, workload of the otorhinolaryngology emergency department is steadily on the rise. Facial, orofacial, and cervical trauma and various infections with complications are most frequent causes for emergency hospitalization [2,3]. Most of otorhinolaryngology emergency cases are not life threatening, but certain number of patients require hospitalization for further assessment and treatment.…”

Clinical Aspects and Management of Children in Otorhinolaryngological Consultation: Case of University Clinics of Lubumbashi (DR Congo)

“…In our series, otology accounted for 67.6% of complaints followed by rhinology and laryngo-pharyngology and appendices (neck and salivary glands) with respectively 36.6% and 32.4%. Furtado in Brazil [14] also found a prevalence of otological complaints. This frequency distribution was also found in the study by José Santos De Andrade in Brazil [15] with a predominance of otology cases in all ENT emergencies of his series as well as a high frequency of ear infections.…”

Caracterização do atendimento de urgência e emergência em otorrinolaringologia do hospital das clínicas da universidade federal de Goiás

“…O setor de UE em ORL, em geral, realiza grande parcela dos atendimentos em hospitais de alta complexidade. Observa-se, porém, que dentre os serviços prestados, uma quantidade significativa é composta de atendimento que não são de urgência/emergência, e que boa parte das afecções detectadas não estão relacionadas aos problemas de ORL (FURTADO et al, 2011;BREMEN et al, 2012;ANDRADE et al, 2013 A organização da assistência hospitalar de UE visa estabelecer a porta de entrada para o atendimento, seja por demanda espontânea ou regulada nos hospitais, servindo inclusive de apoio para outros locais de atendimento de menor complexidade (BRASIL, 2011) Estudo realizado buscando esta caracterização da demanda concluiu que existe o mau uso dos recursos e a falta de orientação da clientela sobre o funcionamento e oferta dos serviços (OLIVEIRA et al, 2011) Neste estudo foi possível observar que os pacientes em sua maioria foram encaminhados via central de vagas de regulação. Isso contradiz estudos anteriores sobre o atendimento de UE, que descrevem a demanda espontânea como a responsável pela sobrecarga dos serviços.…”