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21 June 2019
Article (Scientific journals)
A prospective audit of acute ENT activity in a university teaching hospital
Atta, Lucas; Delrez, Sophie  ; Asimakopoulos, Asimakis et al.
2019 • In B-ENT, 15, p. 71-76
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Keywords :
Emergency; medical education; ENT; Training; Healthcare cost
Abstract :
[en] Introduction and aim: Acute ENT coverage is available out-of-hours in most hospitals. However, increasing pressure to reduce healthcare cost threatens this 24-hour availability. Our goal was to audit the emergency ENT activity in our institution. Methods: A prospective audit of all ENT emergency referrals was carried out over a one-month period in an academic hospital. Descriptive statistics were produced for age, sex, origin, admission time, diagnosis, management, and patient outcome. Results: A total of 190 patients (109 men and 81 women) were referred to the ENT emergency service over the study period (mean, 6.1 cases/day). Mean age was 47.9 (SD ±23.6) years. Most admissions (76.4%) occurred during normal working hours, and 62.0% of patients were self-referred. The mean complaint duration before admission was 7.6 (±13.7) days. One third (33.2% patients) required ambulatory treatment, a quarter (24.7% patients) had a minor ENT procedure, 18 (9.5%) required admission to the ward, and 8 (4.2%) required surgical treatment. Severity of diagnosis or management between patients did not differ with referral by a physician (GP or specialist) and self-referral. At 30 days, 3 (1.6%) patients died, 106 (55.8%) benefitted from an ENT follow-up, 65 (34.2%) were referred to another physician (GP or specialist), and 16 (8.4%) were lost to follow-up. Conclusions: The results of this workload audit suggest that emergency ENT activity is justified in our hospital. Restricting emergency ENT cover to patients referred by a GP or another physician would not improve patient selection.
Disciplines :
Otolaryngology
Author, co-author :
Atta, Lucas;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
Delrez, Sophie ;  Centre Hospitalier Universitaire de Liège - CHU > Emergency
Asimakopoulos, Asimakis;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
BENDAVID, Guillaume ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
DELHEZ, Amandine ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
Goffinet, Maxime ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
ROGISTER, Florence  ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
LEFEBVRE, Philippe ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
POIRRIER, Anne-Lise ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
Language :
English
Title :
A prospective audit of acute ENT activity in a university teaching hospital
Publication date :
June 2019
Journal title :
B-ENT
ISSN :
1781-782X
eISSN :
2684-4907
Publisher :
Royal Belgian Society, Belgium
Volume :
15
Pages :
71-76
Peer reviewed :
Peer Reviewed verified by ORBi

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