Evidence map›Paper›PMID 34791514›Full record

Observational studyHNO2022

[Analysis of ENT emergency patients during the COVID-19 pandemic in Germany].

Olcay Cem Bulut, Maximilian Pilz, Sina M Beisel, Burkard M Lippert, Katrin Knopf

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in HNO, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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

5 authors at 2 institutions in 1 country.

Olcay Cem BulutKlinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, plastische Operationen, SLK-Kliniken am Gesundbrunnen, Am Gesundbrunnen 20-26, 74078, Heilbronn, Deutschland. ocbulut@hotmail.com.
Maximilian PilzInstitut für Medizinische Biometrie und Informatik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Deutschland.
Sina M BeiselKlinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, plastische Operationen, SLK-Kliniken am Gesundbrunnen, Am Gesundbrunnen 20-26, 74078, Heilbronn, Deutschland.
Burkard M LippertKlinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, plastische Operationen, SLK-Kliniken am Gesundbrunnen, Am Gesundbrunnen 20-26, 74078, Heilbronn, Deutschland.
Katrin KnopfKlinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, plastische Operationen, SLK-Kliniken am Gesundbrunnen, Am Gesundbrunnen 20-26, 74078, Heilbronn, Deutschland.
SLK-Kliniken Heilbronn · DEInstitut für Medizinische Biometrie, Informatik und Epidemiologie · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis retrospective observational study was undertaken to assess the ENT emergency workload during the COVID-19 pandemic caused by the severe acute respiratory coronavirus‑2 (SARS-CoV-2). MATERIALS AND

methodsAll 3230 patients who were treated as an emergency from 23.01.2020 to 06.08.2020 in the Department of Otolaryngology at the SLK-Kliniken Heilbronn were included in this study. Demographic data, diagnostics, diagnosis, and treatment (in-/outpatient) were retrospectively retrieved. Not only did the physicians on call triage the emergency department (ED) ENT patients, but the patients also self-assessed their urgency of treatment.

resultsThe number of patients consulting our ED decreased significantly during the pandemic, by 42.2%. However, the top diagnoses remained almost constant, with epistaxis being the most frequent diagnosis before, during, and after COVID-19. Facial trauma remained the second most frequent consultation reason. The hospitalization rate decreased from 21.9% before COVID-19 to 16.2% during the pandemic. Surgical therapy was necessary in 17.6% of patients before COVID-19 and this increased to 23.5% during COVID-19. The self-referral rate increased from 61 to 66% during the pandemic. More men than women consulted the ED during COVID-19. Regarding the triage assessment by the physician on call and the patient's self-assessment, a significant discrepancy was noted before, during, and after COVID-19.

conclusionThe reasons for reduction in ENT ED visits are multifactorial. The clinical consequences of decreased hospitalizations remain uncertain. However, health authorities need to advocate the safety of the hospital environment to limit potential damage.

Indexed as

COVID-19PandemicsEmergency Service, HospitalFemaleHumansMaleRetrospective StudiesSARS-CoV-2Ambulatory careCOVID-19Emergency medicineHospitalisationTriage

Identifiers

PMID34791514
PMCPMC8597875
OpenAlexW3212484075

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.