The clinical consequences of the <scp>COVID</scp>‐19 lockdown: A report from an Italian referral <scp>ENT</scp> department

Gallo, Oreste; Locatello, Luca Giovanni; Orlando, Pietro; Martelli, Federica; Bruno, Chiara; Cilona, Maria; Fancello, Giuseppe; Mani, Riccardo; Vitali, D.; Bianco, Giacomo; Trovati, Massimo; Tomaiuolo, Matteo; Maggiore, Giandomenico

doi:10.1002/lio2.446

Cited by 14 publications

(17 citation statements)

References 26 publications

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“…The main result of our study was that total ER admissions in 2020 decreased by 81%. Our results are similar to previous studies that have demonstrated the same trend in both child and adult patients [ 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ]. We can speculate that social-distancing measures, the use of face masks, hand washing, and the complete closure of social activities may have contributed not only to the reduction of SARS-CoV-2 diffusion [ 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 ] but also to the reduction of the spread of other diseases, particularly of acute communicable diseases, as confirmed in a recent study [ 41 ].…”

Section: Discussionsupporting

confidence: 93%

SARS-CoV-2 Pandemic Impact on Pediatric Emergency Rooms: A Multicenter Study

Matera

Nenna

Rizzo

et al. 2020

IJERPH

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From 9 March to 3 May 2020, lockdown was declared in Italy due to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. Our aim was to evaluate how the SARS-CoV-2 pandemic and related preventive strategies affected pediatric emergency rooms (ERs) during this period. We performed a retrospective cohort multicenter study, comparing the lockdown period to the corresponding period in 2019. We examined 15 Italian pediatric ERs in terms of visit rates, specific diagnoses (grouped as air communicable diseases and non-air communicable diseases), and triage categories. During the lockdown period, ER admissions decreased by 81% compared to 2019 (52,364 vs. 10,112). All ER specific diagnoses decreased in 2020 and this reduction was significantly higher for air communicable diseases (25,462 vs. 2934, p < 0.001). Considering the triage category, red codes remained similar (1% vs. 1%), yellow codes increased (11.2% vs. 22.3%), and green codes decreased (80.3% vs. 69.5%). We can speculate that social distancing and simple hygiene measures drastically reduced the spread of air communicable diseases. The increase in yellow codes may have been related to a delay in primary care and, consequently, in ER admissions.

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Section: Discussionsupporting

confidence: 93%

SARS-CoV-2 Pandemic Impact on Pediatric Emergency Rooms: A Multicenter Study

Matera

Nenna

Rizzo

et al. 2020

IJERPH

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“…Total laryngectomy and cT4aN0 was performed on the patients. Outpatient ENT consultations and treatments of choice decreased by 78% and 75%, respectively, while emergency surgery increased by 128% during this epidemic [12] .…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on the stage and the type of surgical treatment of laryngeal cancer

Akbari

Motiee-Langroudi

Heidari

et al. 2022

American Journal of Otolaryngology

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Purpose Changes in the entire health care system during COVID-19 epidemic have affected the management of patients with head and neck cancer and posed several clinical challenges for ENT surgeons. Therefore, the present study aimed to investigate the effect of COVID-19 on the stage and the type of surgical treatments used in laryngeal cancer (including total laryngectomy, supracricoid partial laryngectomy (SCPL) and transoral laser microsurgery (TLM)) and also to compare the results of April 2020 to April 2021 with the previous year. Materials and methods This cross-sectional study was performed on all patients with a diagnosis of laryngeal cancer who underwent surgery in the tertiary care center from April 2020 to April 2021 and the year before the pandemic in the same time. Demographic, cancer stage, and treatment data of all patients were recorded and analysis in two groups. Results Patients referred at the time of the virus outbreak; 111 were male and 5 were female, and in the group of patients referred before COVID-19, 90 were male and 12 were female. The type of surgical treatment of laryngeal cancer, mean time elapsed from sampling to surgery, stage of disease and mean tumor volume was statistically significant differences in patients before and during the outbreak. Conclusion Patients who referred for diagnosis and treatment at the time of COVID-19 outbreak had more advanced stages of the disease and also the tumor volume was higher in them than patients who had referred before the outbreak. It is necessary to provide new solutions, education and treatment management for patients with laryngeal cancer in such pandemics.

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“…As others have described, the COVID-19 pandemic has resulted in significant reductions in the overall volume of procedures and outpatient consultations in otolaryngology [ 2 , 19 ] and in delays in the care of non-COVID-19 otolaryngologic pathologies [ 20 ]. Some groups have reported reductions in inpatient and emergency room otolaryngologic consultations in Europe [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

Essential inpatient otolaryngology: what COVID-19 has revealed

Shomorony

Chern

Long

et al. 2021

Eur Arch Otorhinolaryngol

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Purpose To identify areas of critical otolaryngology contributions to inpatient care resistant to disruption by the COVID-19 pandemic. Methods Medical records of 614 otolaryngology consults seen between January and June of 2019 and 602 seen between January and June of 2020 were reviewed. Extracted data included patient demographics, SARS-CoV-2 status, medical comorbidities, consult location, consult category, reason for consult, procedures performed, and overall outcome. Prevalence of data items was compared using t tests and Chi-squared tests. ResultsThe number of monthly consults to the otolaryngology service remained approximately stable after the onset of the COVID-19 pandemic. However, there was a substantial increase in ICU consults and a decrease in ER and floor consults. The proportion of otology, rhinology, and head and neck consults decreased while that of airway consults-most of which were tracheostomy-related-greatly increased. While the top ten reasons for consult remained essentially the same, they dramatically increased as a percentage of consults during COVID-19 (55-92%), whereas there was a dramatic decrease in the proportion of less frequent consults. Conclusion The changes in otolaryngology consultation patterns seen after the onset of the pandemic are multifactorial, but may be attributed to novel pathologies, attitudes, and policies. Nonetheless, these patterns reveal that a set of core otolaryngologic issues, including acute airway issues, head and neck lesions, severe sinusitis and epistaxis, are essential and need to be addressed in the inpatient setting, whereas the significant drop in other consults suggests that they may be appropriately managed on an outpatient basis.

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The clinical consequences of the COVID‐19 lockdown: A report from an Italian referral ENT department

Abstract: Objectives: To evaluate the clinical effects of health care reorganization because of COVID-19, in a non-red zone Italian referral department of Otorhinolaryngology.

Cited by 14 publications

References 26 publications

SARS-CoV-2 Pandemic Impact on Pediatric Emergency Rooms: A Multicenter Study

SARS-CoV-2 Pandemic Impact on Pediatric Emergency Rooms: A Multicenter Study

Impact of the COVID-19 pandemic on the stage and the type of surgical treatment of laryngeal cancer

Essential inpatient otolaryngology: what COVID-19 has revealed

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