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Published on: November 7, 2020
[A 3-YEAR COMPARATIVE COHORT - TRENDS IN OTOLARYNGOLOGY CONSULTATIONS IN THE PEDIATRIC EMERGENCY DEPARTMENT DURING
Nir Tsur1, Omri Frig2, Yaakov Eyal3
1Department of Head and Neck Otolaryngology Rabin Medical Center, Petah Tikva, Israel, The Sackler Faculty of Medicine, Tel Aviv University, Israel, Department of Otorhinolaryngology, Schneider Children; Medical Center of Israel, Petah Tikva, Israel.
Aims:
The SARS-CoV-2 (COVID-19) pandemic has changed emergency department (ED) referral trends worldwide.
Objectives:
We aim to investigate inpatient consultation in the ED of a pediatric otolaryngology-head and neck surgery service during the COVID-19 pandemic compared to two preceding years.
Methods:
A retrospective chart review of children under 18 years who had an otolaryngology consultation in Schneider Children's Hospital ED from 2018-2020.
Results:
Of the 4,213 patients who underwent otolaryngology consultations in the ED, infection pathogenesis was the leading cause, presenting in 51.1% of the patients during the three-year study period. During the year 2020, the proportion of patients admitted to the ED who were referred to otolaryngology-head and neck consultations was significantly higher than in previous years (p<0.001), especially during the summer (p=0.001). In addition, increased rates were observed of trauma, foreign body pathogenesis, and mastoiditis (16% vs. 13%, p=0.03; 13% vs. 8%, p<0.001; and 2.4% vs. 0.9%, p = 0.01, respectively).
Conclusions:
During the COVID-19 pandemic, otolaryngology consultations in the emergency department increased substantially. Improvements in community clinics service may alleviate this increased burden.
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