Epidemiology of otorhinolaryngologic emergencies in a secondary hospital: analysis of 64,054 cases

Merino-Galvez, Esteban; Gómez-Hervás, Javier; Perez-Mestre, Dionisio; Llamas-Peiro, José Miguel; Perez-Gil, Eduardo; Belda-Palazon, Manuel

doi:10.1007/s00405-019-05331-w

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…Upper respiratory tract infections constitute most applications in pediatric emergency services 14,15 . In this study, the rate of consulting the ENT clinic for infectious diseases such as acute lymphadenitis, abscesses, acute tonsillitis, acute otitis media (AOM), and acute otitis externa was found to be quite low.…”

Section: Discussionmentioning

confidence: 82%

Analysis of Ear Nose Throat Consultations Requested From the Pediatric Emergency Service in a Tertiary Hospital

Uğur

Yüksel²

2023

Pediatr Emer Care

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ObjectiveThe aim of this study is to examine the reasons and the methods of approach to the patients for the ear nose and throat (ENT) consultations requested from the patients who applied to the pediatric emergency department.MethodsThe files of 351 patients who applied to the pediatric emergency outpatient clinic and were asked for consultation from the ENT clinic were reviewed retrospectively. Demographic data, complaints on admission, diagnostic examinations, diagnoses, treatment methods, and hospitalizations were recorded.ResultsOf the patients included in the study, 190 (54.1%) were female and 161 (45.9%) were male. The median age of the patients was 4.0 years (3.0–8.0 years). The most common diagnoses after ENT examination are; 120 patients (34.2%) had foreign body (FB) in the nose, 58 patients (16.5%) had FB in the ear, 16 patients (4.6%) had FB in the throat, 16 patients (4.6%) had epistaxis, and 15 patients (4.3%) had Bell's palsy. According to age group, it was determined that FB in the nose and ear was more common in the 0- to 5- and 6- to 11-year age group, and Bell's palsy, FB in the ear and epistaxis were more common in the 12- to 17-year age group. A normal examination was also an important finding in 83 of the patients (23.6%).ConclusionsForeign bodies are the most common reason for admission to the emergency services in children, and it is frequently seen between 0 and 5 years of age. Informing and raising awareness of parents on this topic will reduce both unwanted complications and ENT consultations along with admission to pediatric emergency services.

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Section: Discussionmentioning

confidence: 82%

Analysis of Ear Nose Throat Consultations Requested From the Pediatric Emergency Service in a Tertiary Hospital

Uğur

Yüksel²

2023

Pediatr Emer Care

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“…Tonsillitis and quinsy account for the largest group of ENT emergencies seen in hospital A&E up to 39.8%, 1 , 2 , 6 followed by ear infections. 2 A previous study in Scotland showed an increased frequency of hospital admissions for tonsillitis, quinsy and deep neck space infection following SIGN guidelines for tonsillectomy in 2010.…”

Section: Discussionmentioning

confidence: 99%

“…Emergency ear, nose, and throat (ENT) conditions have been reported to contribute to over 11% of the total cases in an accident and emergency department (A&E). 1 Acute ENT infections account for many of these presentations. 2 Hospital admissions have increased for tonsillitis, peritonsillar abscess (quinsy) and deep neck space infection in the last decade.…”

Section: Introductionmentioning

confidence: 99%

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Ten‐year prevalence of acute hospital ENT infections and the impact of COVID: A large population study

Mettias

Jenkins

Rea

2022

Clinical Otolaryngology

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Background Acute ear, nose and throat (ENT) infections were the commonest referrals from accident and emergency to ENT services. The referral rate changed dramatically with season, year, national outbreaks and during the COVID pandemic. Method Retrospective longitudinal study of the epidemiology of seven acute ENT infections in secondary care over 10 years. A mixed city and rural population of over 650 000 in central England was studied. The risk factors for each wave of infection during the surge of infection were sought. A statistical analysis of their significance was undertaken. This included analysis and correlation of group A‐beta haemolytic streptococcus (GABHS) in hospital and community. Seasonal variations, hospital admissions and the impact of the COVID were analysed. Results There were 16 883 reported cases of the seven index ENT infections during the 10‐year period. Great seasonal and year‐to‐year variations were recorded. There was an incremental rise in 2018. Spring had the highest season of acute ENT infections. An outbreak of GABHS was noted in the community in 2014. The mean duration of hospital admission was 1.5 days. There was no statistical ethnic or gender predominance. A dramatically lower number of acute ENT infections were recorded during the COVID‐19 pandemic, and this continued after lifting of lockdown restrictions. Conclusion A resurgence in scarlet fever directly and indirectly contributed to an incremental rise in acute ENT infections in the following years. Both hospital and community B‐haemolytic cultures have declined during the COVID‐19 pandemic due to a reduction in infections as opposed to reduced case ascertainment.

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“…Similarly, in the ED setting, only a subset of acutely dizzy patients will be seen by specialists. In a secondary Spanish hospital, only 1.7% of all patients presenting with vertigo, gait instability, or dizziness to the ED were evaluated by ENT physicians ( 11 ). In contrast, in the ED of a large Swiss academic hospital, with the availability of neurologists and ENT physicians 24/7, substantial fractions of dizzy patients were seen by a neurologist (35.3%) or an ENT physician (11.4%).…”

Section: Introductionmentioning

confidence: 99%

What is the current status of care by neuro-otology specialists in Switzerland—A national survey

Zwergal,

Mantokoudis,

Heg

et al. 2023

Front. Neurol.

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BackgroundVertigo and dizziness are frequent presenting symptoms in the emergency department and in outpatient centers. While the majority of dizzy patients are evaluated by primary care physicians, specialists are often involved in the diagnostic workup. We aimed to gain more insights into the role of specialists in the care of dizzy patients.Materials and methodsBoard-certified neurologists and ear–nose–throat (ENT) physicians working in Switzerland were invited to participate in an online survey. Descriptive statistical analyses were performed, and prospectively defined hypotheses were assessed using correlation analyses.ResultsAll 111 participating specialists (neurologists = 62; ENT specialists = 49) were familiar with testing for posterior canal benign paroxysmal positional vertigo (BPPV), and 66% regularly applied provocation maneuvers for suspected lateral canal BPPV. Reposition maneuvers for posterior (99%) and lateral (68%) canals were frequently performed. ENT physicians were familiar with lateral canal BPPV repositioning maneuvers significantly more often than neurologists (84 vs. 56%, p ≤ 0.012). Specialists strongly agreed that performing the head impulse test (86%) and looking for deficient eccentric gaze holding (82%) are important. Compared to neurologists, significantly fewer ENT physicians indicated ordering brain MRI in acutely dizzy patients (OR = 0.33 [0.16–0.067], p = 0.002) and physical therapy in patients with acute (50 vs. 20%, p = 0.005) or episodic/chronic dizziness (78 vs. 50%, p = 0.003).ConclusionWe found substantial differences in the care of dizzy patients by neurologists and ENT physicians. This underlines the need for a standardized, guideline-oriented diagnostic workup and treatment across specialties. Dedicated training for performing lateral canal BPPV repositioning maneuvers should be prioritized for neurologists. Similarly, physical therapy should be considered more often by ENT physicians.

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Epidemiology of otorhinolaryngologic emergencies in a secondary hospital: analysis of 64,054 cases

Cited by 6 publications

References 12 publications

Analysis of Ear Nose Throat Consultations Requested From the Pediatric Emergency Service in a Tertiary Hospital

Analysis of Ear Nose Throat Consultations Requested From the Pediatric Emergency Service in a Tertiary Hospital

Ten‐year prevalence of acute hospital ENT infections and the impact of COVID: A large population study

What is the current status of care by neuro-otology specialists in Switzerland—A national survey

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