衡量医疗延误对小儿耳鼻喉科手术完成率的影响。

IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2025-08-01 Epub Date: 2022-10-14 DOI:10.1177/01455613221134428
Geethanjeli N Mahendran, Ching Siong Tey, Mary Frances Musso, Grace Shebha Anand, Jeffrey Larson, Mitesh Mehta, Lara Reichert, Kara Prickett, Nikhila Pinnapureddy Raol
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引用次数: 0

摘要

目的确定推迟小儿耳鼻喉科择期手术是否会导致整体医疗保健利用率的变化,以及是否会对疾病进展产生相应的影响。方法:我们确定了在 COVID-19 大流行相关停诊开始时被推迟手术的 18 岁以下患者。然后,我们追踪了患者重新安排手术的比例和模式。我们还向护理人员发送了调查问卷,以更好地了解他们在 COVID-19 期间是否决定继续为孩子进行手术。结果:共有 1915 名儿科患者的择期手术被取消,其中 992 人(51.8%)在 4 个月内重新安排了手术。重新安排手术的比例并未因种族或民族而有所差异。计划进行扁桃体切除术和/或腺样体切除术的患者与计划进行其他手术的患者相比,重新安排手术的可能性要高 1.22 倍(CI:1.02-1.46)。两家医院共有 95 名护理人员完成了调查:其中 44 人(47.4%)重新安排了孩子的手术时间。大多数重新安排手术时间的护理人员担心孩子的疾病会影响他们的未来(14 人,32%)。结论在社会疏远期取消小儿耳鼻喉科手术的患者中,有一半以上的患者在 4 个月内继续接受了手术。这反映了小儿耳鼻喉科手术对环境暴露的依赖性,并可能成为一些小儿耳鼻喉科疾病预防和管理的潜在目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Measuring the Impact of a Delay in Care on Pediatric Otolaryngologic Surgery Completion.

Objective: To determine if postponement of elective pediatric otorhinolaryngology surgeries results in a change in overall healthcare utilization and if there is any commensurate impact on disease progression. Methods: We identified patients ≤18 years of age whose surgeries were postponed at the onset of the COVID-19 pandemic-related shutdown. We then tracked patients' rate of and patterns of rescheduling surgery. Surveys were also sent to caregivers to better characterize his/her decision regarding moving forward with his/her child's surgery during COVID-19. Results: A total of 1915 pediatric patients had elective surgeries canceled, of which 992 (51.8%) were rescheduled within 4 months. No difference in rates of rescheduling was identified based on race or ethnicity. Patients who were scheduled for tonsillectomies and/or adenoidectomies were 1.22 times more likely to reschedule compared to those patients with other planned procedures (CI: 1.02-1.46). A total of 95 caregivers at two hospitals completed surveys: 44 (47.4%) rescheduled their child's surgery. Most caregivers who rescheduled were concerned their child's disease could impact their future (n = 14, 32%). Conclusions: Just over half of patients who had pediatric otolaryngologic surgery canceled during a period of social distancing went on to have surgery within a 4-month timeframe. This reflects the dependence of pediatric otolaryngologic surgery on environmental exposures and may represent a potential target for prevention and management of some pediatric otolaryngology diseases.

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来源期刊
Accounts of Chemical Research
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.
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