Literature DB >> 19416607

The potential role of primary care in the management of common ear, nose or throat disorders presenting to the emergency department in Greece.

Ioanna Vasileiou1, Athanasios Giannopoulos, Chris Klonaris, Kostas Vlasis, Spyros Marinos, Ioannis Koutsonasios, Athanasios Katsargyris, Kostas Konstantopoulos, Chris Karamoutsos, Andreas Tsitsikas, George Marinos.   

Abstract

BACKGROUND: The aim of this study was to assess the prevalence of common ear, nose or throat (ENT) conditions presenting to emergency departments that could be managed by a primary healthcare system Method: Between January 2001 and January 2006 a total of 33 792 patients attended the ENT emergency department of one hospital. All cases were included in this retrospective study. The registry of ENT emergency department was analysed; age, sex and clinical diagnosis were tabulated. All patients were evaluated by a specialist. Classification of the cases was based on the main symptom seeking care.
RESULTS: A total of 33 792 patients visited the otorhinolaryngology emergency department. Of these, 17 775 patients (52.6%) were men and 16 017 (47.4%) were women. Over 40% of the cases were classified in eight major groups of diagnosis. Acute tonsillitis (12.5%) and acute pharyngitis (11.4%) followed by acute otitis externa (5.9%) were the most common causes of all ENT emergency department visits. The admission rate was 1.2 % and only 0.6% (84) of patients were referred to other specialties.
CONCLUSION: Most common ENT disorders presenting to the emergency department in Greece could be managed at the level of primary health care. Incorporating ENT expertise into educational and training programmes of general practitioners may be successful in managing ENT problems in primary care in future.

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Year:  2009        PMID: 19416607

Source DB:  PubMed          Journal:  Qual Prim Care        ISSN: 1479-1064


  6 in total

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Authors:  P Lennon; J P O'Donovan; S O'Donoghue; J E Fenton
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3.  Epidemiology of otologic diagnoses in United States emergency departments.

Authors:  Elliott D Kozin; Rosh K V Sethi; Aaron K Remenschneider; Alyson B Kaplan; Daniel A Del Portal; Stacey T Gray; Mark G Shrime; Daniel J Lee
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4.  Utility of a smartphone-enabled otoscope in the instruction of otoscopy and middle ear anatomy.

Authors:  Amir A Hakimi; Aaron S Lalehzarian; Simon P Lalehzarian; Ariel M Azhdam; Sharon Nedjat-Haiem; Benjamin D Boodaie
Journal:  Eur Arch Otorhinolaryngol       Date:  2019-07-17       Impact factor: 2.503

5.  Subspecialty emergency room as alternative model for otolaryngologic care: implications for emergency health care delivery.

Authors:  Rosh K V Sethi; Elliott D Kozin; Aaron K Remenschneider; Daniel J Lee; Stacey T Gray; Mark G Shrime; Richard E Gliklich
Journal:  Am J Otolaryngol       Date:  2014-07-10       Impact factor: 1.808

6.  Impact of indian public health standards for rural health care facilities on national programme for control of deafness in India: The results of a cohort study.

Authors:  Sanjeev Davey; Chaitanya Maheshwari; Santosh Kumar Raghav; Nirankar Singh; Khursheed Muzammil; Prakhar Pandey
Journal:  J Family Med Prim Care       Date:  2018 Jul-Aug
  6 in total

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