A multicentre retrospective cohort study on COVID-19-related physical interventions and adult hospital admissions for ENT infections

Quraishi, Natasha; Ray, Meghna; Srivastava, Rishi; Ray, Jaydip; Quraishi, M. S.

doi:10.1007/s00405-021-07180-y

Cited by 10 publications

(9 citation statements)

References 23 publications

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“…A significant reduction in adult ENT infection admissions was not observed in the current study, in contrast to studies completed throughout Europe 21,22,33,37,38 . The decrease in overall admissions in the current study was only 15.9%, which was nonsignificant.…”

Section: Discussioncontrasting

confidence: 98%

“…However, post hoc infection‐specific analyses indicated a significant 66.7% drop in admissions for sinus/orbital infections. This exceeded the 34% decrease in orbital infection admissions observed in the United Kingdom 22 . We think these significant decreases in sinus/orbital infection admissions in adults are likely largely explained by the decreased rate of URTI due to restriction implementation.…”

Section: Discussionmentioning

confidence: 66%

“…Although the public health orders and interventions were enacted to interrupt and reduce the spread of the emerging COVID‐19 respiratory virus, these interventions were also expected to minimize the spread of other infectious agents, including otolaryngology‐associated infections 2–6 . Multiple studies have indeed identified a decrease in ENT infection presentations, 7–9 diagnoses, 10–16 referrals, 17–20 and hospital admissions during the pandemic 17,21–24 . However, it is unclear whether this decrease in emergency presentations and referrals is truly indicative of a decrease in community infections and associated hospital utilization.…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4][5][6] Multiple studies have indeed identified a decrease in ENT infection presentations, 7-9 diagnoses, [10][11][12][13][14][15][16] referrals, [17][18][19][20] and hospital admissions during the pandemic. 17,[21][22][23][24] However, it is unclear whether this decrease in emergency presentations and referrals is truly indicative of a decrease in community infections and associated hospital utilization. If presentation to hospital is merely delayed, more aggressive intervention may be required.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of COVID‐19 Restrictions on Hospital Admissions of Common Head and Neck Infections

Urichuk,

Azzi,

Leitao

2024

The Laryngoscope

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IntroductionFollowing the emergence of COVID‐19, multiple preventative measures were implemented to limit the spread of the disease. This study aims to elucidate the impact of COVID‐19 restrictions on hospital admissions of otolaryngology‐related infections.Materials and MethodsA retrospective chart review was conducted to capture all admissions for otolaryngology‐related infections in the 2 years pre‐ and post‐COVID‐19 at the Health Sciences Centre in Winnipeg, Manitoba. These infections included croup, tracheitis, neck abscess, peritonsillar abscess, otitis media, mastoiditis, sinus infection, orbital infection, pharyngotonsillitis, retro/parapharyngeal abscess, and acute epiglottitis. Demographic information and admission details were collected and analyzed to compare pre‐ and post‐COVID‐19 admissions. Further analysis was conducted to compare hospital admissions of patients from rural/remote regions.ResultsBetween March 2018 and March 2022, 253 pediatric patients and 197 adults were admitted for otolaryngology‐related infections. Total pediatric admissions decreased post‐COVID‐19 (154 pre‐COVID‐19, 99 post‐COVID‐19; p < 0.001) whereas adult admissions remained stable (107 pre‐COVID‐19, 90 post‐COVID‐19; p = 0.25). No significant difference in mean patient age, admission duration, surgical rates or in the proportion of admissions from patients from rural/remote regions was observed in the pediatric or adult cohort when comparing pre‐COVID‐19 data to post‐COVID‐19 data. Diagnosis‐specific changes in admissions were observed in pediatric croup (40 pre‐COVID‐19, 15 post‐COVID‐19; p < 0.001) and in adult orbital infections (30 pre‐COVID‐19, six post‐COVID‐19; p < 0.001).ConclusionFollowing the implementation of COVID‐19 restrictions, there was a decrease in admissions due to pediatric croup and adult orbital infections with an overall decrease in pediatric Otolaryngology‐infection related admissions.Level of Evidence3 Laryngoscope, 2024

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Section: Discussioncontrasting

confidence: 98%

Section: Discussionmentioning

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Impact of COVID‐19 Restrictions on Hospital Admissions of Common Head and Neck Infections

Urichuk,

Azzi,

Leitao

2024

The Laryngoscope

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“…Although presentation of COVID‐19 in hospital and outpatient settings continued to increase, presentation of other viral infections decreased 9 . Studies from various countries showed that the prevalence of OM decreased compared with pre‐pandemic prevalence 10–32 . Lockdowns, school closures, and social distancing caused decreases in the incidence of various viral infections including viral OM.…”

Section: Introductionmentioning

confidence: 99%

Global Otitis Media Incidence Changes During the COVID Pandemic: Systematic Review and Meta‐Analysis

Warner,

Durrant,

Nguyen

et al. 2023

The Laryngoscope

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ObjectiveThe aim was to analyze the global impact of the COVID‐19 pandemic and national lockdowns on the incidence of otitis media (OM), a common otolaryngologic disease.Data SourcesPubMed, Scopus, and CINAHL.Review MethodsA systematic review and meta‐analysis were performed using PRISMA reporting guidelines. OM incidence (measured as newly diagnosed OM cases over total patients seen over a time period), OM antibiotic prescriptions (OM cases for which antibiotics were prescribed over total OM cases), and tympanostomy tube surgeries (all tympanostomy tube surgeries over total surgical cases) were extracted. Meta‐analysis of proportions and comparison of proportions were performed.ResultsOf 1004 studies screened, 26 studies in 11 countries met inclusion criteria. The percentages of OM cases pre‐ and during‐lockdown were 6.67%, 95% CI [4.68%, 8.99%], and 2.63% [2.02%, 3.31%], respectively, with an OR of 0.31 favoring during‐lockdown [0.25, 0.39] (p < 0.00001). Antibiotic prescriptions per all OM episodes pre‐ and during‐lockdown were 1.61% [0.17%, 8.46%] and 0.62% [0.07%, 3.32%], with an OR of 0.37 favoring during‐lockdown ([0.35, 0.40], p < 0.00001). Tympanostomy tube surgery proportions pre‐ and during‐lockdown were 31.64% [6.85%, 64.26%] and 29.99% [4.14%, 66.55%], with an OR of 0.94 favoring neither during‐ nor pre‐lockdown [0.45, 2.00] (p = 0.88).ConclusionThe incidence of OM decreased significantly following international lockdowns due to the COVID‐19 pandemic, with antibiotic prescriptions for OM episodes showing a corresponding decrease. Despite these reductions, numbers of tympanostomy tube procedures did not change significantly. These reductions are likely due to social distancing, decreased exposure through high transmission facilities such as day cares, decreased health care utilization, and even possibly decreased air pollution. Laryngoscope, 2023

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Increase in acute mastoiditis at the end of the COVID-19 pandemic

Goldberg-Bockhorn,

Hurzlmeier,

Vahl

et al. 2024

Eur Arch Otorhinolaryngol

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Purpose Common respiratory infections were significantly reduced during the COVID-19 pandemic due to general protective and hygiene measures. The gradual withdrawal of these non-pharmaceutical interventions (NPI) was associated with a notable increase in these infections, particularly in pediatric and adult otorhinolaryngology. The aim of this retrospective monocentric study was to evaluate the impact of NPI during the COVID-19 pandemic on the incidence and severity of acute mastoiditis (AM). Methods Pre-pandemic clinical data of AM cases from 2011 to 2019 were compared with infection counts from January 2020 to June 2023 for seasonal periodicity, age-specific differences, pathogens, and complication rates in a German third-level hospital. Results Out of 196 patients with AM 133 were children, the majority between 1 and 5 years of age. Complications of AM, such as meningitis, brain abscess, and sinus vein thrombosis, were more common in adults (87%) than in children (17%). Morbidity and mortality rates were similar before, during and after the pandemic. Pneumococci were the most common pathogen in both age groups, with a post-pandemic cumulation of Streptococcus pyogenes infections in children. While pre-pandemic cases clustered in spring, seasonality was absent in all age groups during the main phase of the pandemic. The cessation of NPI caused a steep rise in AM cases in both age groups starting from December 2022. Conclusion NPI during the COVID-19 pandemic reduced the incidence of AM. Their reversal led to a substantial increase in the incidence of AM during the post-pandemic period, which may be due to a general increase in viral respiratory infections and an insufficiently trained immune system.

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A multicentre retrospective cohort study on COVID-19-related physical interventions and adult hospital admissions for ENT infections

Cited by 10 publications

References 23 publications

The Impact of COVID‐19 Restrictions on Hospital Admissions of Common Head and Neck Infections

The Impact of COVID‐19 Restrictions on Hospital Admissions of Common Head and Neck Infections

Global Otitis Media Incidence Changes During the COVID Pandemic: Systematic Review and Meta‐Analysis

Increase in acute mastoiditis at the end of the COVID-19 pandemic

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