法国 COVID 流行后,耳鼻喉科在成人插管后喉气管狭窄方面的不同做法:CHERRIES分析。

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY
A. Tendron, S. Atallah, I. Wagner, B. Baujat, E. Dauzier, Expert panel
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引用次数: 0

摘要

目的:SARS-CoV-2大流行可能会增加先天性喉气管狭窄(LTS)的发病率,但其治疗方法尚未明确。本研究的目的是调查法国耳鼻喉科医生的临床实践,并评估他们的需求:方法:2022 年 7 月至 12 月期间,我们向法国耳鼻喉科医生小组发送了一份包含 4 个部分共 41 个项目的调查问卷,在全国范围内对先天性 LTS 的管理进行了调查。主要终点是55份关于LTS管理的建议书之间答复的异质性:结果:回复率为 20%(52/263)。回复异质性率为 69%(38/55)。异质性涉及诊断(7/12,58%)和管理(7/10,70%)、LTS 病例管理(22/27,81%)以及耳鼻喉科医生的期望(33%,2/6)等一般性问题。只有 21% 的受访者认为培训质量良好或优秀。80%以上的受访者强烈支持制定国家指导方针、建立专家中心和国家数据库:讨论:这项研究表明,法国耳鼻喉科医生对成人插管后 LTS 的管理存在差异。大多数受访者认为培训质量较差或一般。他们赞成制定国家指南并建立 LTS 专家中心。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Varying ENT practices in adult post-intubation laryngotracheal stenosis after the COVID epidemic in France: A CHERRIES analysis

Aim

The SARS-CoV-2 pandemic may increase the incidence of iatrogenic laryngotracheal stenosis (LTS), whereas management is not well defined. The aim of this study was to survey a panel of French otorhinolaryngologists about their practices and to evaluate their needs.

Method

A national-level survey of the management of iatrogenic LTS was conducted using a 41-item questionnaire, in 4 sections, sent to a panel of French otorhinolaryngologists between July and December 2022. The main endpoint was heterogeneity in responses between 55 proposals on LTS management.

Results

The response rate was 20% (52/263). The response heterogeneity rate was 69% (38/55). Heterogeneity concerned general questions on diagnosis (7/12, 58%) and management (7/10, 70%), LTS case management (22/27, 81%), and otorhinolaryngologists’ expectations (33%, 2/6). Quality of training was considered good or excellent by only 21% of respondents. More than 80% were strongly in favor of creating national guidelines, expert centers and a national database.

Discussion

This study demonstrated the heterogeneity of adult post-intubation LTS management between otorhinolaryngologists in France. Training quality was deemed poor or mediocre by a majority of respondents. They were in favor of creating national guidelines and expert centers in LTS.

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来源期刊
CiteScore
3.70
自引率
28.00%
发文量
97
审稿时长
12 days
期刊介绍: European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.
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