Paediatric post-grommets surgery review: Audiology-led clinic

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-07-09 DOI:10.1016/j.ijporl.2024.112035

Dayse Távora-Vieira , Vivien W. Schrader , Marcus Voola , Caris M. Bogdanov , Tamara Veselinović , Robyn S.M. Choi

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引用次数: 0

Abstract

Background

Otitis media (OM) has a high prevalence in childhood, and grommet insertion is the most common surgical treatment for OM. The public health system in Australia faces considerable strains, including high demand for Ear, Nose and Throat (ENT) specialists. Extending the scope of practice for audiologists to manage post-operative care for children receiving grommets has the potential to alleviate this burden.

Methods

This non-randomised, cross-sectional study investigated the efficacy and feasibility of an audiology-led clinic for managing paediatric patients after grommet insertion at a tertiary teaching hospital in Western Australia. Senior audiologists reviewed children at 6 weeks and 10 months post-operatively, escalating care to an ENT specialist if abnormalities were observed. Children with normal hearing and patent grommets were reviewed and discharged by the audiologist.

Results

A total of 93 children were included (mean age 5.18 ± 2.25 years, range 1.59–11.46 years). At the 6-week review, 72/93 (77 %) presented with in-situ grommets and normal hearing, while 21/93 (22 %) were escalated for immediate ENT care. At the 10-month review, 54/72 (75 %) were discharged without further ENT intervention, and 18/72 (25 %) required additional ENT investigation.

Conclusion

This study demonstrated that an audiology-led follow-up clinic for post-grommet insertion is a viable option, providing efficient, high-quality care. Two-thirds of paediatric patients did not require ENT input or review post-operatively. The results support interdisciplinary models of care, which could help address challenges faced by overburdened ENT services.

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儿科格麦茨手术后复查：听力主导诊所

背景中耳炎（OM）在儿童时期发病率很高，植入扣环是治疗中耳炎最常见的手术方法。澳大利亚的公共卫生系统面临着巨大的压力，包括对耳鼻喉科专家的高需求。方法这项非随机横断面研究调查了西澳大利亚州一家三级教学医院由听力学家主导的诊所管理植入扣环后儿科患者的有效性和可行性。高级听力学家分别在术后 6 周和 10 个月对患儿进行复查，如果发现异常，则将护理工作升级至耳鼻喉科专家。听力正常且扣环通畅的患儿由听力学家进行复查后出院。结果共纳入 93 名患儿（平均年龄为 5.18 ± 2.25 岁，年龄范围为 1.59-11.46 岁）。在 6 周的复查中，72/93（77%）的儿童原位扣环和听力正常，21/93（22%）的儿童需要立即接受耳鼻喉科治疗。在 10 个月的复查中，54/72（75%）的患者出院时未接受进一步的耳鼻喉科干预，18/72（25%）的患者需要接受额外的耳鼻喉科检查。三分之二的儿科患者在术后不需要耳鼻喉科的介入或复查。研究结果支持跨学科护理模式，有助于解决耳鼻喉科服务负担过重所面临的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.