Evidence map›Paper›PMID 34186437›Full record

Observational studyAmerican journal of otolaryngology

The impact of the COVID-19 pandemic on otolaryngologic emergency department visits at two major NYC hospital systems.

Viraj M Patel, Evan Kominsky, Tristan Tham, Danielle Bottalico, Michael Setzen, Denisa Ferastraoaru, Nadeem Akbar, Judd H Fastenberg

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in American journal of otolaryngology. 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. Observational
  3. Review
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

8 authors.

Viraj M PatelDepartment of Otolaryngology - Head and Neck Surgery, Montefiore Medical Center, Bronx, NY, USA.
Evan KominskyAlbert Einstein College of Medicine, Bronx, NY, USA.
Tristan ThamDepartment of Otolaryngology - Head and Neck Surgery, Long Island Jewish Medical Center and North Shore University Hospital, Northwell Health, New Hyde Park, NY, USA.
Danielle BottalicoDepartment of Otolaryngology - Head and Neck Surgery, Montefiore Medical Center, Bronx, NY, USA.
Michael SetzenWeill Cornell Medical College, Michael Setzen Otolaryngology, PC, Great Neck, NY, USA.
Denisa FerastraoaruDepartment of Allergy and Immunology, Montefiore Medical Center, Bronx, NY, USA.
Nadeem AkbarDepartment of Otolaryngology - Head and Neck Surgery, Montefiore Medical Center, Bronx, NY, USA.
Judd H FastenbergDepartment of Otolaryngology - Head and Neck Surgery, Long Island Jewish Medical Center and North Shore University Hospital, Northwell Health, New Hyde Park, NY, USA.. Electronic address: jfastenberg@northwell.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSince the COVID-19 pandemic began, emergency departments (ED) across the country have seen a significant decrease in patient visits. We aim to evaluate the impact of COVID-19 on ED visits for acute otolaryngologic complaints in New York City, one of the first epicenters of the pandemic in the US. MATERIALS AND

methodsWe conducted a retrospective study of patients who presented to the ED with a primary diagnosis of an acute otolaryngologic complaint between March 1 and May 31 in 2019 and 2020. This was a multicenter study, including two tertiary care hospital systems encompassing Manhattan, Bronx, Queens, and Long Island.

resultsA total of 10,162 patients were identified. Significantly fewer patients presented to the ED for acute otolaryngologic complaints in 2020 (7332 vs 2830, p < 0.001). The rate of total otolaryngology-related ED visits was decreased by a factor of 0.635 (95% CI 0.6079 to 0.6634). In a subgroup analysis of each individual diagnosis, there was a significant decrease in rate of ED visits for 13 out of 18 diagnoses, including for life-threatening conditions, such as anaphylaxis. There was no significant difference based on which borough in New York City. Pediatric patients (age 0-17) were more significantly impacted by the pandemic compared to other age groups.

conclusionThe COVID-19 pandemic has led to a reduction in the utilization of ED for acute otolaryngologic complaints, including those requiring emergent management, and an even more significant reduction in the pediatric population. Healthcare providers should encourage patients to seek appropriate care, particularly for those illnesses with significant associated morbidity and mortality.

Indexed as

Emergency Service, HospitalAdolescentAdultAgedChildChild, PreschoolCOVID-19FemaleHospitalizationHumansInfantInfant, NewbornMaleMiddle AgedNew York CityOtorhinolaryngologic DiseasesCOVID-19EmergencyENTOtolaryngologyPandemic

Identifiers

PMID34186437
PMCPMC8214322

What OpenQuestion holds

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Registered trials

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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.