A Model for Provision of ENT Health Care Service at Primary and Secondary Hospital Level in a Developing Country

Emerson, Lingamdenne Paul; Job, Anand; Abraham, Vinod Joseph

doi:10.1155/2013/562643

Cited by 28 publications

(47 citation statements)

References 14 publications

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“…This is in accordance with a study by Das et al where most frequent age group was 21-30 (20.82%), followed by 11-20 and 31-40 age group, [11] as young age group is most common age group to seek medical advice in ENT field. [12,13] It was noticed in our study that first four decades accounted for 73.25% of total which is quite close to that of Mina et al; 72.59%. [10] In our study, maximum patients had attended ENT OPD for throat and neck complaints, followed by ear diseases and least with nasal disorder.…”

Section: Discussionsupporting

confidence: 90%

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An Audit of Patients Attending ENT OPD at a Medical College in Western UP

Saroha¹,

Tomar²

2018

AIMDR

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Background: ENT ailments are one of the most common causes for patients to attend hospitals. The present study was undertaken to assimilate data on patients visiting ENT OPD in consecutive 3 months, so that the trend of diseases in this part of Uttar Pradesh could be studied. Objective: To study the epidemiological profile of otorhinolaryngology disorders in the patients attending ENT OPD, Muzaffarnagar Medical College. Methods: This was a retrospective record based study, done in department of ENT &HNS from January to March 2018. Results: More than half of the patients were male. Rural community dominated OPD attendance. Most common ailments for attending ENT OPD were pertaining to throat and neck with female preponderance, of which most frequent diagnosis was pharyngitis. Next in line were otological diseases with CSOM as most common. Patients with nasal complaints were least with allergic rhinitis as most common diagnosis. Discussion: The literature available with respect to the aims and objectives was reviewed. Conclusion: Our OPD is with male preponderance and rural dominated. Maximum patients were suffering from throat and neck problems and nasal complaints were least.

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Section: Discussionsupporting

confidence: 90%

“…In other studies also it was noted that allergic rhinitis is most upcoming disease. [13] Due to increase in pollution allergic rhinitis and its comorbidities are on rising trend. Next was DNS which has been reported as most common diagnosis by Mina et al in their study.…”

Section: Discussionmentioning

confidence: 99%

An Audit of Patients Attending ENT OPD at a Medical College in Western UP

Saroha¹,

Tomar²

2018

AIMDR

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“…5 The age of onset of AOM is indirectly proportional to the chronicity of the disease; that is, early onset of AOM predisposes to chronic otitis media. 9 But, in our study CSOM was more common among the age-group 5-9 yrs. This may be due to one of the limitations of the study that all the patients, whether new or follow-up patients were included in the study.…”

Section: Discussioncontrasting

confidence: 59%

“…It is the most common cause of persistent mild to moderate hearing impairement and more commonly found in children of government school and rural areas. 7 Second most common ear disorder reported was OME 11.7% and 3 rd 9 Rijal et al reported AOM as most common ear disorder after wax. 5 Our study is different from other similar studies in that we attempted to see associations between three agegroups (0-4 yrs, 5-9 yrs, 10-16 yrs) and ENT disorders.…”

Section: Discussionmentioning

confidence: 99%

Spectrum of ear, nose and throat disorders among children reporting to the out-patient department of a tertiary care center, Nepal

Chaudhari

Gautam

Pantha

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Ear, nose and throat (ENT) problems are more common in children than adults. The objective of this study was to know the occurrence of various ENT disorders among children reporting to the out-patient department of a tertiary care center and to see their associations with three age-groups.Methods: A prospective cross-sectional study was conducted in the Out-Patient Department of Ear, Nose and Throat from 2016 to 2017. All the patients of age group 0-16yrs were included in the study. Informed consent or ascent from the patients and permission from their parents were taken. Detailed history taking, clinical examinations and appropriate investigations were performed and recorded in a pre-formed proforma. Data were entered into Microsoft Excel format 2013 and statistical analysis was done with SPSS 20 version. Results: A total of 968 patients were examined, males 633(65.4%) and females 335(34.6%). The spectrum of ENT disorders reported were chronic suppurative otitis media (CSOM) 126 (13.0%), Otitis media with effusion (OME) 113 (11.7%), acute otitis media (AOM) 98 (10.1%), otomycosis with otitis externa 59 (6.1%), wax 36 (3.7%), foreign body ear (FB ear) 11 (1.1%), acute mastoiditis 22 (2.3%), acute rhinitis 35(3.6%), chronic sinusitis 33(3.4%), deviated nasal septum (DNS) 34 (3.5%), FB nose 21 (2.2%), vestibulitis with epistaxis 20 (2.1%), injury/trauma 11 (1.1%), tonsillitis 89 (9.2%), adenoid hypertrophy 71 (7.3%), acute pharyngitis 52 (5.4%), chronic pharyngitis 46 (4.7%), cervical lymphadenitis 37 (3.8%), FB esophagus 8 (0.8%) and laryngitis 12 (1.2%). CSOM was significantly associated with the age-groups 5-9 yrs whereas, AOM with 0-4 yrs. Adenoid hypertrophy was significantly associated with 0-4 yrs whereas, pharyngitis with 10-16 yrs.Conclusions: Most common ENT disorders reported were ear disorders and second most common throat disorders. Significant associations were found between disorders and age-groups.

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“…1 In addition to the economic impact of hearing loss at an individual level, hearing loss substantially affects social and economic development in communities and countries so interventions in the form of trained community health staff could be an effective way for improving the access for rural community for health care services specific to ear problems. 12 As the prevalence of hearing impairment was higher among elderly, specific need based interventions for this population can be provided.…”

Section: Discussionmentioning

confidence: 99%

Self-reported hearing impairment among rural adult population of coastal Tamil Nadu

Chauhan

Mishra²,

Kandan³

et al. 2015

Int J Otorhinolaryngol Head Neck Surg

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Background: Hearing impairment is the most frequent sensory deficit in human population and irrespective of the age of development, has devastating consequences. This study was done to assess the burden of hearing impairment among the rural adult population of a coastal area in Tamil Nadu. Methods: This community-based descriptive study was conducted in a rural area of Tamil Nadu state in India. The study protocol was approved by the institute ethics committee of PIMS. Eligible participants from all the household in the study area were selected. A semi-structured questionnaire was used to collect the information and hearing impairment was assessed by self-reporting by the participants. Proportions for categorical variables were calculated and Chi-square test was applied to find the associations.Results: Among a total of 5621 participants interviewed and examined, 232 (4.1%) participants reported to have hearing impairment. Among them, majority reported that they have hearing impairment due to advanced age or non-specific causes resulted in hard to hearing (77.6%) and 12.5% reported to have deafness. Ear discharge (4.3%), wax (3.0%) were other commonly reported cause of hearing impairment. The hearing impairment increased with age and was common among elderly. The reported hearing impairment ranges from 1.5% to 11.3% in different age groups. Age, sex, education and occupation were significantly associated with hearing impairment (p value <0.05).Conclusions: A large number of people in rural communities were having hearing impairment. Improving access to health education and raising awareness about prevention and the needs of people with hearing loss in community is required.

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A Model for Provision of ENT Health Care Service at Primary and Secondary Hospital Level in a Developing Country

Cited by 28 publications

References 14 publications

An Audit of Patients Attending ENT OPD at a Medical College in Western UP

An Audit of Patients Attending ENT OPD at a Medical College in Western UP

Spectrum of ear, nose and throat disorders among children reporting to the out-patient department of a tertiary care center, Nepal

Self-reported hearing impairment among rural adult population of coastal Tamil Nadu

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