Approaching Otolaryngology Patients During the COVID‐19 Pandemic

作者：Chong Cui, Qi Yao, Di Zhang, Yu Zhao, Kun Zhang, Eric S. Nisenbaum, Pengyu Cao, Ke‐Qing Zhao, Xiaolong Huang, Dewen Leng, Chunhan Liu, Ning Li, Yan Luo, Bing Chen, Roy R. Casiano, Donald T. Weed, Zoukaa Sargi, Fred F. Telischi, Hongzhou Lu, James C. Denneny, Yilai Shu, Xuezhong Liu · 发表于：Otolaryngology · 年份：2020 · DOI：10.1177/0194599820926144 · 被引用次数：83 · 研究领域：Infection Control and Ventilation、COVID-19 and healthcare impacts、Tracheal and airway disorders

Objective. To describe coronavirus disease 2019 (COVID‐19) patient presentations requiring otolaryngology consultation and provide recommendations for protective measures based on the experience of ear, nose, and throat (ENT) departments in 4 Chinese hospitals during the COVID‐19 pandemic. Study Design. Retrospective case series. Setting. Multicenter. Subjects and Methods. Twenty hospitalized COVID‐19 patients requiring ENT consultation from 3 designated COVID‐19 hospitals in Wuhan, Shanghai, and Shenzhen were identified. Data on demographics, comorbidities, COVID‐19 symptoms and severity, consult reason, treatment, and personal protective equipment (PPE) use were collected and analyzed. Infection control strategies implemented for ENT outpatients and emergency room visits at the Eye and ENT Hospital of Fudan University were reported. Results. Median age was 63 years, 55% were male, and 95% were in severe or critical condition. Six tracheotomies were performed. Posttracheotomy outcomes were mixed (2 deaths, 2 patients comatose, all living patients still hospitalized). Other consults included epistaxis, pharyngitis, nasal congestion, hyposmia, rhinitis, otitis externa, dizziness, and tinnitus. At all hospitals, powered air‐supply filter respirators (PAPRs) were used for tracheotomy or bleeding control. PAPR or N95‐equivalent masks plus full protective clothing were used for other complaints. No inpatient ENT providers were infected. After implementation of infection control st...