Author:
Symvoulakis Emmanouil K,Klinis Spyridon,Alegakis Athanasios,Kyrmizakis Dionysios E,Drivas Emmanouil I,Rachiotis Georgios,Philalithis Anastas,Velegrakis George A
Abstract
Abstract
Background
In Greece, primary care is still developing. The aim of this study was to define the epidemiologic profile of common otorhinolaryngological, head and neck disorders in order to help general practitioners to deal with them in a primary care future.
Methods
A total of 6771 patients attended the Otorhinolaryngology emergency department of the University General Hospital of Heraklion (Crete), between January and December 2004. All cases were included in this retrospective study. The registry of the Otorhinolaryngology emergency department was analysed and age, sex, seasonality and clinical diagnosis were tabulated. All patients were evaluated by Otorhinolaryngologists. The classification of the cases was based on the main symptom or clinical sign that conditioned the reason for seeking care. Diagnoses were also coded according to the International Classification of Diseases (ICD-10).
Results
The male to female ratio was 1:1. The mean age for females was 36.3 years standard deviation (SD): 21.1 and for males was 36.8 years (SD = 22.0). Eight hundred eighty six patients (13.1%) formed the paediatric sub-group. Over 60% of the cases were classified in ten major groups of diagnosis. Acute tonsillitis (12.3%) and acute pharyngitis (9.0%) were the most common causes of all medical visits, followed by otitis media (7.6%) and external ear canal obstruction by ear wax (6.2%). Oedema of the larynx was detected in 0.4%. A negative diagnosis of otorhinolaryngological, head and neck disorder was formulated in 553 patients (8.2%). Hospitalization rate was 5.2%. The highest rate of visits was registered in March.
Conclusion
Most patients used the facility as a primary care service. Real emergencies were a minority. Recovering data about which areas of Otorhinolaryngology deserve more emphasis might help primary health care providers to diagnose and manage the common otorhinolaryngological, head and neck disorders properly.
Publisher
Springer Science and Business Media LLC
Reference13 articles.
1. Federman DG, Concato J, Kirsner RS: Comparison of Dermatologic diagnoses by Primary Care Practitioners and Dermatologists. A review of the literature. Arch Fam Med. 1999, 8: 170-2. 10.1001/archfami.8.2.170.
2. Symvoulakis EK, Krasagakis K, Komninos ID, Kastrinakis I, Lyronis I, Philalithis A, Tosca AD: Primary care and pattern of skin diseases in a mediterranean island. BMC Family Practice. 2006, 7: 6-10.1186/1471-2296-7-6.
3. Census 2001: General secretarial of national statistical service of Greece. (Online). 2001, (Accessed 15 February 2006), [http://www.statistics.gr]
4. Baghestani S, Zare S, Mahoobi AA: Skin disease patterns in Hormozgan, Iran. Int J Dermatol. 2005, 44: 641-5. 10.1111/j.1365-4632.2004.02140.x.
5. W.H.O: International Statistical Classification of Diseases and related Health Problems. 10th Revision, version for 2003. (Accessed 28 April 2006), [http://www3.who.int/icd/vol1htm2003/fr-icd.htm]
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