Serveur d'exploration sur la COVID en France

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Impact of the SARS-CoV-2 epidemic on private ENT consulting practice during the first month of lockdown in Réunion Island in 2020.

Identifieur interne : 000D17 ( Main/Exploration ); précédent : 000D16; suivant : 000D18

Impact of the SARS-CoV-2 epidemic on private ENT consulting practice during the first month of lockdown in Réunion Island in 2020.

Auteurs : F. Rubin [France] ; J-F Vellin [France] ; J. Berkaoui [France] ; W. Al Assaf [France] ; A. Pennica [France] ; B. Girard [France] ; P. Hoarau [France] ; P. Pescatori [France] ; M. Dupre [France] ; S. Bensoussan [France] ; P. Vurpillot [France] ; N. Challut [France] ; O. Laccourreye [France]

Source :

RBID : pubmed:32712116

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To analyze the impact of the first month of lockdown related to the 2020 SARS-Cov-2 epidemic on the consulting activity of private ENT physicians in Réunion Island.

MATERIAL AND METHODS

A multicenter prospective study analyzed the consulting activity of 12 ENT physicians in full-time private practice. The main endpoints were the number, characteristics and conditions of consultations. Secondary endpoints comprised presenting symptoms, diagnosis, prescriptions, adverse effects, and progression of monthly consulting turnover.

RESULTS

Six hundred and ninety three consultations were performed during the study period (Appendix 1), with 50% emergency consultations. In 57.9% were face-to-face, 28.4% by phone and 13.7% video. In face-to-face consultation, the physician wore gloves in 53.8% of cases and a mask in 92.2%: surgical mask in 71.6% of cases and FFP2 in 28.4%. The three most frequent symptoms (48.5% of cases) were otalgia, hearing impairment, and vertigo. The three most frequent diagnoses (60.6% of cases) were otitis, intra-auricular foreign body (including wax), and pharyngeal infection. The three most frequently prescribed complementary exams (74.3% of cases) were imaging, hearing work-up, and specialist opinion. The three most frequently prescribed treatments (52.7% of cases) were intra-auricular drops, oral antibiotics, and nasal spray. The incidence of adverse effects was 0.001%. None of the physicians or patients seemed to have been infected by Covid-19 during the study period. There was a 47.3-91% (median, 75.6%) drop in monthly consultation turnover.

CONCLUSION

The present study underscored the availability and adaptability of ENT physicians in the Réunion Island in an epidemic context, although economic impact was detrimental.


DOI: 10.1016/j.anorl.2020.06.013
PubMed: 32712116
PubMed Central: PMC7309792


Affiliations:


Links toward previous steps (curation, corpus...)


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<name sortKey="Dupre, M" sort="Dupre, M" uniqKey="Dupre M" first="M" last="Dupre">M. Dupre</name>
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<term>Humans (MeSH)</term>
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<term>Time Factors</term>
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<keywords scheme="MESH" xml:lang="fr">
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Oto-rhino-laryngologie</term>
<term>Pandémies</term>
<term>Réunion</term>
<term>Études prospectives</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To analyze the impact of the first month of lockdown related to the 2020 SARS-Cov-2 epidemic on the consulting activity of private ENT physicians in Réunion Island.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MATERIAL AND METHODS</b>
</p>
<p>A multicenter prospective study analyzed the consulting activity of 12 ENT physicians in full-time private practice. The main endpoints were the number, characteristics and conditions of consultations. Secondary endpoints comprised presenting symptoms, diagnosis, prescriptions, adverse effects, and progression of monthly consulting turnover.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Six hundred and ninety three consultations were performed during the study period (Appendix 1), with 50% emergency consultations. In 57.9% were face-to-face, 28.4% by phone and 13.7% video. In face-to-face consultation, the physician wore gloves in 53.8% of cases and a mask in 92.2%: surgical mask in 71.6% of cases and FFP2 in 28.4%. The three most frequent symptoms (48.5% of cases) were otalgia, hearing impairment, and vertigo. The three most frequent diagnoses (60.6% of cases) were otitis, intra-auricular foreign body (including wax), and pharyngeal infection. The three most frequently prescribed complementary exams (74.3% of cases) were imaging, hearing work-up, and specialist opinion. The three most frequently prescribed treatments (52.7% of cases) were intra-auricular drops, oral antibiotics, and nasal spray. The incidence of adverse effects was 0.001%. None of the physicians or patients seemed to have been infected by Covid-19 during the study period. There was a 47.3-91% (median, 75.6%) drop in monthly consultation turnover.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>The present study underscored the availability and adaptability of ENT physicians in the Réunion Island in an epidemic context, although economic impact was detrimental.</p>
</div>
</front>
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<Day>10</Day>
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<Year>2020</Year>
<Month>09</Month>
<Day>10</Day>
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<ISSN IssnType="Electronic">1879-730X</ISSN>
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<Volume>137</Volume>
<Issue>4</Issue>
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<Year>2020</Year>
<Month>Sep</Month>
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<Title>European annals of otorhinolaryngology, head and neck diseases</Title>
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<ArticleTitle>Impact of the SARS-CoV-2 epidemic on private ENT consulting practice during the first month of lockdown in Réunion Island in 2020.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To analyze the impact of the first month of lockdown related to the 2020 SARS-Cov-2 epidemic on the consulting activity of private ENT physicians in Réunion Island.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">A multicenter prospective study analyzed the consulting activity of 12 ENT physicians in full-time private practice. The main endpoints were the number, characteristics and conditions of consultations. Secondary endpoints comprised presenting symptoms, diagnosis, prescriptions, adverse effects, and progression of monthly consulting turnover.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Six hundred and ninety three consultations were performed during the study period (Appendix 1), with 50% emergency consultations. In 57.9% were face-to-face, 28.4% by phone and 13.7% video. In face-to-face consultation, the physician wore gloves in 53.8% of cases and a mask in 92.2%: surgical mask in 71.6% of cases and FFP2 in 28.4%. The three most frequent symptoms (48.5% of cases) were otalgia, hearing impairment, and vertigo. The three most frequent diagnoses (60.6% of cases) were otitis, intra-auricular foreign body (including wax), and pharyngeal infection. The three most frequently prescribed complementary exams (74.3% of cases) were imaging, hearing work-up, and specialist opinion. The three most frequently prescribed treatments (52.7% of cases) were intra-auricular drops, oral antibiotics, and nasal spray. The incidence of adverse effects was 0.001%. None of the physicians or patients seemed to have been infected by Covid-19 during the study period. There was a 47.3-91% (median, 75.6%) drop in monthly consultation turnover.</AbstractText>
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<Initials>J</Initials>
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<Affiliation>Clinique des Orchidées, 30, avenue Lénine, 97420 Le Port, La Réunion, France.</Affiliation>
</AffiliationInfo>
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<LastName>Al Assaf</LastName>
<ForeName>W</ForeName>
<Initials>W</Initials>
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<ForeName>A</ForeName>
<Initials>A</Initials>
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<Affiliation>Clinique des Orchidées, 30, avenue Lénine, 97420 Le Port, La Réunion, France.</Affiliation>
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<Initials>B</Initials>
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<Affiliation>Clinique des Orchidées, 30, avenue Lénine, 97420 Le Port, La Réunion, France.</Affiliation>
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<LastName>Bensoussan</LastName>
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<Initials>S</Initials>
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<LastName>Vurpillot</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
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<Affiliation>Clinique des Orchidées, 30, avenue Lénine, 97420 Le Port, La Réunion, France.</Affiliation>
</AffiliationInfo>
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<LastName>Challut</LastName>
<ForeName>N</ForeName>
<Initials>N</Initials>
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<Affiliation>Clinique des Orchidées, 30, avenue Lénine, 97420 Le Port, La Réunion, France.</Affiliation>
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<LastName>Laccourreye</LastName>
<ForeName>O</ForeName>
<Initials>O</Initials>
<AffiliationInfo>
<Affiliation>Université Paris Centre, Service ORL HEGP, AP-HP, 20-40, rue Leblanc, 75015 Paris, France.</Affiliation>
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<Language>eng</Language>
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<Year>2020</Year>
<Month>06</Month>
<Day>23</Day>
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