AI Article Synopsis
- The study investigates how COVID-19 restrictions affected hospital admissions for infections related to otolaryngology (ear, nose, and throat) before and after the pandemic at a center in Winnipeg, Manitoba.
- A retrospective review showed that pediatric admissions significantly dropped post-COVID-19 (from 154 to 99), while adult admissions remained stable despite some specific diagnoses like croup and orbital infections seeing notable declines.
- Findings suggest that while pediatric otolaryngology-related admissions decreased after COVID-19 restrictions, overall admission dynamics for adults remained unchanged, indicating differing impacts based on age groups.
Article Abstract
Introduction: Following 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 Methods: A 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.
Results: Between 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).
Conclusion: Following 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 Evidence: 3 Laryngoscope, 134:3542-3547, 2024.
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| http://dx.doi.org/10.1002/lary.31366 | DOI Listing |
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