Otolaryngology consultations for COVID-19 patients: A retrospective cohort study of indications, interventions, and considerations.
Auris Nasus Larynx
; 50(2): 292-298, 2023 Apr.
Article
en En
| MEDLINE
| ID: mdl-35961807
ABSTRACT
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.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Otolaringología
/
COVID-19
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Auris Nasus Larynx
Año:
2023
Tipo del documento:
Article