5th International Conference on #Rhinology and #Otology
#November 16-17, 2018 #Melbourne, #Australia
Theme: Briefing the #Medical #Revolution in the
field of Rhinology and Otology
A retrospective
analysis was conducted of the medical records of patients at a #Quaternary care
center receiving inpatient #Otolaryngology consultations results of A
total of 1491 #consultations were completed for adult (1091 [73.2%]; 854 men
and 637 women; mean [SD] age 50.3 [19.3] years) and pediatric (400 [26.8%]; 232
boys and 168 girls; mean [SD] age, 4.0 [5.2] years) patients. Of the 1491
consultations, 766 (51.4%) originated from inpatient teams vs 725 (48.6%) from
the ED. A total of 995 of all consultations (66.7%) resulted in a bedside
procedure, and 243 (16.3%) required operative intervention. Consultations
regarding airway evaluation (362 [47.3%] vs 143 [19.7%]), management of
epistaxis (78 [10.2%] vs 33 [4.6%]), and rhinologic evaluation (79 [10.3%] vs
18 [2.5%]) were more frequent from inpatient teams than from the ED.
Consultations regarding management of head and neck infections (162 [22.3%] vs
32 [4.2%]), facial trauma (235 [32.4%] vs 16 [2.1%]), and postoperative
complications (73 [10.1%] vs 2 [0.3%]) were more frequent in the ED. Of the 725
consultations performed in the ED, 212 patients (29.2%) required
hospitalization.
The consultation volume of an
otolaryngology–#head and #neck #surgery service requires significant time and
resources. Consultations are most often for rhinology or laryngological issues
and are reflective of the clinical setting in which the patient is evaluated.
Cost savings may be realized by increasing health care access points for
nonurgent concerns that can be evaluated in an outpatient setting.
