The effect of the COVID-19 pandemic on non-elective otolaryngology admissions and a positive change in clinical practice

Author:

Wright B1,McKenna C1,Reddy CEE1

Affiliation:

1. Craigavon Area Hospital, UK

Abstract

As the COVID-19 pandemic progressed across the UK and Northern Ireland in March 2020, our otolaryngology department began to make preparations and changes in practice to accommodate for potentially large numbers of patients with COVID-19 related respiratory illness in the hospital. We retrospectively reviewed the number of non-elective admissions to our department between the months of January and May in 2019 and 2020. A significant reduction in admissions of up to 94% during the months of the pandemic was observed. Our practice shifted to manage patients with epistaxis and peritonsillar abscess on an outpatient basis, and while prospectively collecting data on this, we did not observe any significant adverse events. We view this as a positive learning point and change in our practice as a result of the COVID-19 pandemic.

Publisher

Royal College of Surgeons of England

Subject

General Medicine,Surgery

Reference6 articles.

1. Information Analysis Directorate. Emergency Care Waiting Time Statistics for Northern Ireland (April – June 2020). https://www.health-ni.gov.uk/sites/default/files/publications/health/hs-niwts-ecwt-q1-20-21_0.pdf (cited September 2020).

2. National prospective cohort study of peritonsillar abscess management and outcomes: the Multicentre Audit of Quinsies study

3. ENT UK guidelines. Covid-19 epistaxis management [online]. https://www.entuk.org/covid-19-epistaxis-management (cited December 2020).

4. ENT UK guidelines. Covid-19 adult tonsillitis and quinsy guidelines [online]. https://www.entuk.org/covid-19-adult-tonsillitis-quinsy-guidelines. (cited December 2020).

5. Epistaxis 2016: national audit of management

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