PDF(Pubmed)
Abstract：
UNASSIGNED: To perform a systematic review of otolaryngologic presentation rates to emergency department settings before and after lockdown due to the COVID-19 pandemic.
UNASSIGNED: PubMed, Scopus, and CINAHL.
UNASSIGNED: A systematic search was conducted following PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-analyses) for studies describing otolaryngologic presentations to emergency department and rapid access clinic settings both in the before-lockdown and after-lockdown periods. The start of after-lockdown period varied based on initiation of lockdown, ranging from March 1st to June 1st of 2020 across general emergency department studies.
UNASSIGNED: A total of 14 studies were included in this review. About 10 were general emergency departments, 3 were specifically pediatric emergency departments, and 1 study focused on the geriatric population (>65 years). A total of 13 790 patients were included, with 9446 in the before-lockdown period (68.5%) and 4344 in the after-lockdown period (31.5%). Meta-analysis of proportions for otolaryngologic presentations across general emergency departments was performed. Comparison of weighted proportions found significant differences between before-lockdown and after-lockdown presentation rates for infectious etiologies, tonsillitis specifically, foreign bodies, non-infectious airway issues, and epistaxis among these studies.
UNASSIGNED: The increased proportions of various non-infectious presentations (eg, epistaxis, foreign bodies, and airway issues) following lockdown might be associated with proportional decreases in infectious pathologies, given decreased social contact to prevent SARS-CoV-2 transmission. Overall, it is important for otolaryngologists to recognize what presentations might more commonly be seen and require evaluation and potential intervention in light of a global pandemic.
UNASSIGNED: PubMed, Scopus, and CINAHL.
UNASSIGNED: A systematic search was conducted following PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-analyses) for studies describing otolaryngologic presentations to emergency department and rapid access clinic settings both in the before-lockdown and after-lockdown periods. The start of after-lockdown period varied based on initiation of lockdown, ranging from March 1st to June 1st of 2020 across general emergency department studies.
UNASSIGNED: A total of 14 studies were included in this review. About 10 were general emergency departments, 3 were specifically pediatric emergency departments, and 1 study focused on the geriatric population (>65 years). A total of 13 790 patients were included, with 9446 in the before-lockdown period (68.5%) and 4344 in the after-lockdown period (31.5%). Meta-analysis of proportions for otolaryngologic presentations across general emergency departments was performed. Comparison of weighted proportions found significant differences between before-lockdown and after-lockdown presentation rates for infectious etiologies, tonsillitis specifically, foreign bodies, non-infectious airway issues, and epistaxis among these studies.
UNASSIGNED: The increased proportions of various non-infectious presentations (eg, epistaxis, foreign bodies, and airway issues) following lockdown might be associated with proportional decreases in infectious pathologies, given decreased social contact to prevent SARS-CoV-2 transmission. Overall, it is important for otolaryngologists to recognize what presentations might more commonly be seen and require evaluation and potential intervention in light of a global pandemic.
摘要：
■对因COVID-19大流行而封锁前后急诊科设置的耳鼻喉科表现率进行系统评价。
■PubMed,Scopus,和CINAHL。
■根据PRISMA指南（系统评价和荟萃分析的首选报告项目）进行了系统搜索，以研究描述在封锁前和封锁后耳鼻喉科向急诊科和快速进入诊所的介绍。锁定后时段的开始根据锁定的开始而变化，范围从3月1日至2020年6月1日在一般急诊科研究。
■本综述共纳入14项研究。大约有10个是普通急诊科，3个是专门的儿科急诊科，1项研究集中在老年人群(>65岁)。共纳入13790例患者，其中9446处于封锁前阶段(68.5%)，4344处于封锁后阶段(31.5%)。对一般急诊科耳鼻喉表现的比例进行了荟萃分析。加权比例的比较发现，封锁前和封锁后传染病的呈现率之间存在显着差异，特别是扁桃体炎，异物,非感染性气道问题，这些研究中的鼻出血。
■各种非传染性表现的比例增加（例如，鼻出血,异物,和气道问题)封锁后可能与感染性病变的成比例下降有关，减少社会接触以防止SARS-CoV-2传播。总的来说,对于耳鼻喉科医师来说,重要的是认识到哪些表现可能更常见,并需要根据全球大流行进行评估和潜在干预.
■PubMed,Scopus,和CINAHL。
■根据PRISMA指南（系统评价和荟萃分析的首选报告项目）进行了系统搜索，以研究描述在封锁前和封锁后耳鼻喉科向急诊科和快速进入诊所的介绍。锁定后时段的开始根据锁定的开始而变化，范围从3月1日至2020年6月1日在一般急诊科研究。
■本综述共纳入14项研究。大约有10个是普通急诊科，3个是专门的儿科急诊科，1项研究集中在老年人群(>65岁)。共纳入13790例患者，其中9446处于封锁前阶段(68.5%)，4344处于封锁后阶段(31.5%)。对一般急诊科耳鼻喉表现的比例进行了荟萃分析。加权比例的比较发现，封锁前和封锁后传染病的呈现率之间存在显着差异，特别是扁桃体炎，异物,非感染性气道问题，这些研究中的鼻出血。
■各种非传染性表现的比例增加（例如，鼻出血,异物,和气道问题)封锁后可能与感染性病变的成比例下降有关，减少社会接触以防止SARS-CoV-2传播。总的来说,对于耳鼻喉科医师来说,重要的是认识到哪些表现可能更常见,并需要根据全球大流行进行评估和潜在干预.
