Evidence map›Paper›PMID 33779296›Full record

ArticleThe Annals of otology, rhinology, and laryngology2022

Otolaryngology Consult Protocols in the Setting of COVID-19: The University of Pittsburgh Approach.

Harish Dharmarajan, Michael A Belsky, Jennifer L Anderson, Shaum Sridharan

Abstract read
In one paragraph

Article in The Annals of otology, rhinology, and laryngology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Otolaryngology in the face of A pandemic.Operative techniques in otolaryngology--head and neck surgery · 2022
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Harish DharmarajanDepartment of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Michael A BelskyUniversity of Pittsburgh School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0002-8626-2866
Jennifer L AndersonDepartment of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0002-1471-5803
Shaum SridharanDepartment of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze trends in otolaryngology consultations and provide algorithms to guide management during the COVID-19 pandemic.

methodsA retrospective cohort study at a single institution tertiary care hospital. A total of 95 otolaryngology consultations were performed from March 1, 2020 to April 26, 2020 (COVID-era) and 363 were performed from September 1, 2019 to February 29, 2020 (pre-COVID-era) at the UPMC Oakland campus. Data collected included patient demographics, COVID-19 status, reason for consult, location of consult, type of consult, procedures performed, need for surgical intervention, length of hospital stay and recommended follow up.

resultsPatient populations in the pre-COVID-era and COVID-era were similar in terms of their distribution of demographics and chief complaints. Craniofacial trauma was the most common reason for consultation in both periods, followed by vocal fold and airway-related consults. We saw a 21.5% decrease in the rate of consults seen per month during the COVID-era compared to the 6 months prior. Review of trends in the consult workflow allowed for development of several algorithms to safely approach otolaryngology consults during the COVID-19 pandemic.

conclusionsOtolaryngology consultations provide valuable services to inpatients and patients in the emergency department ranging from evaluation of routine symptoms to critical airways. Systematic otolaryngology consult service modifications are required in order to reduce risk of exposure to healthcare providers while providing comprehensive patient care.

Indexed as

AlgorithmsCOVID-19OtolaryngologyOtorhinolaryngologic DiseasesAdolescentAdultAgedAged, 80 and overClinical ProtocolsCohort StudiesFemaleHospitals, UniversityHumansMaleMiddle AgedPennsylvaniaconsultCOVID-19protocolsafetytraining

Identifiers

PMID33779296
PMCPMC8010376

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.