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ENT Service during the COVID-19 pandemic: a cross-sectional study in 572 patients.
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  • Nicolas Peigneux,
  • Lionel Benchimol,
  • Guillaume Bendavid,
  • Marie Detroz,
  • Chloe Marecaux,
  • Laurence Pottier,
  • Marc Samaha,
  • Philippe Lefebvre,
  • Anne-Lise Poirrier
Nicolas Peigneux
Centre hospitalier universitaire de Liege
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Lionel Benchimol
Centre hospitalier universitaire de Liege
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Guillaume Bendavid
Centre hospitalier universitaire de Liege
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Marie Detroz
Centre hospitalier universitaire de Liege
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Chloe Marecaux
Centre hospitalier universitaire de Liege
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Laurence Pottier
Centre hospitalier universitaire de Liege
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Marc Samaha
Centre hospitalier universitaire de Liege
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Philippe Lefebvre
Centre hospitalier universitaire de Liege
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Anne-Lise Poirrier
Centre hospitalier universitaire de Liege
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Abstract

Objective: To provide objective data on the impact of COVID-19 crisis on our ENT practice. Design: Cross-sectional study. Setting: Tertiary referral hospital (1038 inpatients beds). Participants: 572 consecutive patients presenting to the ENT clinic and ENT operating theatre from March 16, 2020 to May 3, 2020 were prospectively included. Main outcome measures: Demographic and clinical data, admission time, paraclinic testing, management, outcome and follow’up were recorded. Retrospective search for comparison to past year over the same period of time was carried out. Results: Coronavirus crisis and the strict lockdown rules led to a severe disruption of the ENT service. A drop in overall activity of 91.1% was observed. Mortality rates increased from 0.82% to 4.55%. While some patients in real need may not have been able to be seen, others presented without ground. More than a quarter of admissions (n=157, 27.6%) resulted in no specific ENT treatment. Patient selection improved when patients had a recent ENT history (OR=2.39 [1.50-3.81], p=0.0003) or were referred by a physician (OR=5.30 [3.69-7.61], p<0.0001). Conclusions: Our data suggested impaired healthcare of all ENT patients. Special attention should be paid to non-Covid otolaryngology patients.

Peer review status:UNDER REVIEW

04 Jun 2020Submitted to Clinical Otolaryngology
10 Jun 2020Assigned to Editor
10 Jun 2020Submission Checks Completed
12 Aug 2020Reviewer(s) Assigned