Impact of the COVID-19 epidemic on ENT surgical volume

Copyright © 2020 Elsevier Masson SAS. All rights reserved..

PURPOSE: The purpose of this study was to assess the impact of the COVID-19 pandemic on the surgical volume of three ENT departments in Ile-de-France, a region severely affected by the epidemic.

MATERIALS AND METHODS: The number and nature of surgeries was collected from three university hospital ENT departments from 17/03/2020 to 17/04/2020 and from 18/03/2019 to 18/04/2019. Centre 1 is a general adult ENT department specialized in otology, centre 2 is a general adult ENT department specialized in cancer and centre 3 is a paediatric ENT department. Comparative analysis of the decreased surgical volume was conducted between 2019 and 2020.

OBJECTIVE: To analyse the reduction of ENT surgical volume.

RESULTS: The three centres operated on 540 patients in 2019, versus 89 in 2020, i.e. an 84% decrease: 89% in Centre 1, 61% in Centre 2, and 95% in the paediatric centre. Otological surgery decreased by 97%, endonasal surgery decreased by 91%, head and neck surgery decreased by 54%, plastic surgery decreased by 82%, and transoral surgery decreased by 85%. The number of surgical operations for skin cancer decreased (24 vs. 9), while the total number of head and neck cancer surgeries remained stable (18 vs. 22). The number of planned tracheostomies increased from 8 to 22.

CONCLUSION: The number of ENT surgeries decreased by 84% during the first month of the COVID-19 epidemic. This decreased surgical volume mainly concerned functional surgery, while the level of cancer surgery remained stable. Hospital units will need to absorb a marked excess surgical volume after the epidemic.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:137

Enthalten in:

European annals of otorhinolaryngology, head and neck diseases - 137(2020), 4 vom: 24. Sept., Seite 269-271

Sprache:

Englisch

Beteiligte Personen:

Hervochon, R [VerfasserIn]
Atallah, S [VerfasserIn]
Levivien, S [VerfasserIn]
Teissier, N [VerfasserIn]
Baujat, B [VerfasserIn]
Tankere, F [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
ENT surgery
Journal Article
Multicenter Study
Observational Study
Surgical volume

Anmerkungen:

Date Completed 10.09.2020

Date Revised 10.01.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.anorl.2020.08.006

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM313822557