Impacts of lockdown during the SARS-CoV-2 pandemic on patients presenting with cervicofacial infection of odontogenic origin: a comparative study.
Identifieur interne : 000642 ( Main/Corpus ); précédent : 000641; suivant : 000643Impacts of lockdown during the SARS-CoV-2 pandemic on patients presenting with cervicofacial infection of odontogenic origin: a comparative study.
Auteurs : B E S. Dawoud ; P. Kent ; M W S. HoSource :
- The British journal of oral & maxillofacial surgery [ 1532-1940 ] ; 2020.
Abstract
The SARS-CoV-2 pandemic caused unprecedented disruption to primary and secondary healthcare services. Our aim was to explore whether the pandemic had had any impact on patients presenting with cervicofacial infections (CFI) of odontogenic origin to secondary care and management. Comparative analysis was carried out evaluating prospective and retrospective consecutively admitted patients with a diagnosis of CFI of odontogenic origin in the COVID-19 lockdown period from 15 March to 15 June 2020 and pre-COVID-19 during the same period of the previous year. Data included patients' demographics, comorbidities, systemic inflammatory response syndrome (SIRS) status on admission, clinical features, prior treatment in primary care, source of referral, SARS-COV-2 antigen status, treatment received in secondary care, intraoperative findings, and whether escalation of the level of care was required. Across both cohorts there were one hundred and twenty-five (125) patients admitted with CFI of odontogenic origin, with a 33% reduction (n=75 (2019) vs n=50 (2020)) in number of patients admitted during COVID-19 lockdown. There was no difference between the cohorts in terms of age (p=0.192), gender (p=0.609) or major comorbidities (p=0.654). Proportionally more patients in the COVID-19 group presented with SIRS (p=0.004). This group of patients persisted with symptoms for longer before presenting to secondary care (p=0.003), more delay from hospital admission to surgical intervention (p<0.005) and had longer hospital stays (p=0.001). More patients required extraoral surgical drainage during COVID-19 (p=0.056). This study suggests that the COVID-19 lockdown has had adverse effects on the presentation of CFI of odontogenic origin and its management within a Regional Acute Maxillofacial Service. Commissioners and clinicians should endeavour to plan for adequate primary and secondary care provision during any future local lockdowns to ensure that patient care is optimised.
DOI: 10.1016/j.bjoms.2020.09.014
PubMed: 33349495
PubMed Central: PMC7485545
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Impacts of lockdown during the SARS-CoV-2 pandemic on patients presenting with cervicofacial infection of odontogenic origin: a comparative study.</title><author><name sortKey="Dawoud, B E S" sort="Dawoud, B E S" uniqKey="Dawoud B" first="B E S" last="Dawoud">B E S. Dawoud</name><affiliation><nlm:affiliation>Oral & Maxillofacial Surgery, Leeds Dental Institute, Leeds Teaching Hospitals NHS Trust. Electronic address: basim.d@doctors.org.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Kent, P" sort="Kent, P" uniqKey="Kent P" first="P" last="Kent">P. Kent</name><affiliation><nlm:affiliation>Pinderfields Hospital, Mid Yorkshire Hospitals NHS Trust.</nlm:affiliation></affiliation></author><author><name sortKey="Ho, M W S" sort="Ho, M W S" uniqKey="Ho M" first="M W S" last="Ho">M W S. Ho</name><affiliation><nlm:affiliation>Oral & Maxillofacial Surgery, Leeds Dental Institute, Leeds Teaching Hospitals NHS Trust.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33349495</idno><idno type="pmid">33349495</idno><idno type="doi">10.1016/j.bjoms.2020.09.014</idno><idno type="pmc">PMC7485545</idno><idno type="wicri:Area/Main/Corpus">000642</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000642</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Impacts of lockdown during the SARS-CoV-2 pandemic on patients presenting with cervicofacial infection of odontogenic origin: a comparative study.</title><author><name sortKey="Dawoud, B E S" sort="Dawoud, B E S" uniqKey="Dawoud B" first="B E S" last="Dawoud">B E S. Dawoud</name><affiliation><nlm:affiliation>Oral & Maxillofacial Surgery, Leeds Dental Institute, Leeds Teaching Hospitals NHS Trust. Electronic address: basim.d@doctors.org.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Kent, P" sort="Kent, P" uniqKey="Kent P" first="P" last="Kent">P. Kent</name><affiliation><nlm:affiliation>Pinderfields Hospital, Mid Yorkshire Hospitals NHS Trust.</nlm:affiliation></affiliation></author><author><name sortKey="Ho, M W S" sort="Ho, M W S" uniqKey="Ho M" first="M W S" last="Ho">M W S. Ho</name><affiliation><nlm:affiliation>Oral & Maxillofacial Surgery, Leeds Dental Institute, Leeds Teaching Hospitals NHS Trust.</nlm:affiliation></affiliation></author></analytic><series><title level="j">The British journal of oral & maxillofacial surgery</title><idno type="eISSN">1532-1940</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The SARS-CoV-2 pandemic caused unprecedented disruption to primary and secondary healthcare services. Our aim was to explore whether the pandemic had had any impact on patients presenting with cervicofacial infections (CFI) of odontogenic origin to secondary care and management. Comparative analysis was carried out evaluating prospective and retrospective consecutively admitted patients with a diagnosis of CFI of odontogenic origin in the COVID-19 lockdown period from 15 March to 15 June 2020 and pre-COVID-19 during the same period of the previous year. Data included patients' demographics, comorbidities, systemic inflammatory response syndrome (SIRS) status on admission, clinical features, prior treatment in primary care, source of referral, SARS-COV-2 antigen status, treatment received in secondary care, intraoperative findings, and whether escalation of the level of care was required. Across both cohorts there were one hundred and twenty-five (125) patients admitted with CFI of odontogenic origin, with a 33% reduction (n=75 (2019) vs n=50 (2020)) in number of patients admitted during COVID-19 lockdown. There was no difference between the cohorts in terms of age (p=0.192), gender (p=0.609) or major comorbidities (p=0.654). Proportionally more patients in the COVID-19 group presented with SIRS (p=0.004). This group of patients persisted with symptoms for longer before presenting to secondary care (p=0.003), more delay from hospital admission to surgical intervention (p<0.005) and had longer hospital stays (p=0.001). More patients required extraoral surgical drainage during COVID-19 (p=0.056). This study suggests that the COVID-19 lockdown has had adverse effects on the presentation of CFI of odontogenic origin and its management within a Regional Acute Maxillofacial Service. Commissioners and clinicians should endeavour to plan for adequate primary and secondary care provision during any future local lockdowns to ensure that patient care is optimised.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33349495</PMID><DateRevised><Year>2020</Year><Month>12</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-1940</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Sep</Month><Day>11</Day></PubDate></JournalIssue><Title>The British journal of oral & maxillofacial surgery</Title><ISOAbbreviation>Br J Oral Maxillofac Surg</ISOAbbreviation></Journal><ArticleTitle>Impacts of lockdown during the SARS-CoV-2 pandemic on patients presenting with cervicofacial infection of odontogenic origin: a comparative study.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S0266-4356(20)30523-4</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bjoms.2020.09.014</ELocationID><Abstract><AbstractText>The SARS-CoV-2 pandemic caused unprecedented disruption to primary and secondary healthcare services. Our aim was to explore whether the pandemic had had any impact on patients presenting with cervicofacial infections (CFI) of odontogenic origin to secondary care and management. Comparative analysis was carried out evaluating prospective and retrospective consecutively admitted patients with a diagnosis of CFI of odontogenic origin in the COVID-19 lockdown period from 15 March to 15 June 2020 and pre-COVID-19 during the same period of the previous year. Data included patients' demographics, comorbidities, systemic inflammatory response syndrome (SIRS) status on admission, clinical features, prior treatment in primary care, source of referral, SARS-COV-2 antigen status, treatment received in secondary care, intraoperative findings, and whether escalation of the level of care was required. Across both cohorts there were one hundred and twenty-five (125) patients admitted with CFI of odontogenic origin, with a 33% reduction (n=75 (2019) vs n=50 (2020)) in number of patients admitted during COVID-19 lockdown. There was no difference between the cohorts in terms of age (p=0.192), gender (p=0.609) or major comorbidities (p=0.654). Proportionally more patients in the COVID-19 group presented with SIRS (p=0.004). This group of patients persisted with symptoms for longer before presenting to secondary care (p=0.003), more delay from hospital admission to surgical intervention (p<0.005) and had longer hospital stays (p=0.001). More patients required extraoral surgical drainage during COVID-19 (p=0.056). This study suggests that the COVID-19 lockdown has had adverse effects on the presentation of CFI of odontogenic origin and its management within a Regional Acute Maxillofacial Service. Commissioners and clinicians should endeavour to plan for adequate primary and secondary care provision during any future local lockdowns to ensure that patient care is optimised.</AbstractText><CopyrightInformation>Crown Copyright © 2020. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dawoud</LastName><ForeName>B E S</ForeName><Initials>BES</Initials><AffiliationInfo><Affiliation>Oral & Maxillofacial Surgery, Leeds Dental Institute, Leeds Teaching Hospitals NHS Trust. Electronic address: basim.d@doctors.org.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kent</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Pinderfields Hospital, Mid Yorkshire Hospitals NHS Trust.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ho</LastName><ForeName>M W S</ForeName><Initials>MWS</Initials><AffiliationInfo><Affiliation>Oral & Maxillofacial Surgery, Leeds Dental Institute, Leeds Teaching Hospitals NHS Trust.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Scotland</Country><MedlineTA>Br J Oral Maxillofac Surg</MedlineTA><NlmUniqueID>8405235</NlmUniqueID><ISSNLinking>0266-4356</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Cervicofacial Infection</Keyword><Keyword MajorTopicYN="N">SARS-CoV-2</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>08</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>09</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>12</Month><Day>22</Day><Hour>5</Hour><Minute>39</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>12</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>12</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33349495</ArticleId><ArticleId IdType="pii">S0266-4356(20)30523-4</ArticleId><ArticleId IdType="doi">10.1016/j.bjoms.2020.09.014</ArticleId><ArticleId IdType="pmc">PMC7485545</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Am J Emerg Med. 2010 Jul;28(6):668-72</Citation><ArticleIdList><ArticleId IdType="pubmed">20637381</ArticleId></ArticleIdList></Reference><Reference><Citation>Br J Oral Maxillofac Surg. 2017 Nov;55(9):940-945</Citation><ArticleIdList><ArticleId IdType="pubmed">29033149</ArticleId></ArticleIdList></Reference><Reference><Citation>Br J Oral Maxillofac Surg. 2020 Jul;58(6):675-680</Citation><ArticleIdList><ArticleId IdType="pubmed">32507644</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2020 Jul 4;396(10243):27-38</Citation><ArticleIdList><ArticleId IdType="pubmed">32479829</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet Child Adolesc Health. 2020 May;4(5):e10-e11</Citation><ArticleIdList><ArticleId IdType="pubmed">32278365</ArticleId></ArticleIdList></Reference><Reference><Citation>Br Dent J. 2020 Jun;228(12):927-931</Citation><ArticleIdList><ArticleId IdType="pubmed">32591704</ArticleId></ArticleIdList></Reference><Reference><Citation>BMJ. 2020 Apr 8;369:m1403</Citation><ArticleIdList><ArticleId IdType="pubmed">32269032</ArticleId></ArticleIdList></Reference><Reference><Citation>J Oral Maxillofac Surg. 2017 Mar;75(3):467-474</Citation><ArticleIdList><ArticleId IdType="pubmed">27875708</ArticleId></ArticleIdList></Reference><Reference><Citation>Anaesth Intensive Care. 1999 Dec;27(6):659-61</Citation><ArticleIdList><ArticleId IdType="pubmed">10631426</ArticleId></ArticleIdList></Reference><Reference><Citation>Int J Oral Sci. 2020 Mar 3;12(1):9</Citation><ArticleIdList><ArticleId IdType="pubmed">32127517</ArticleId></ArticleIdList></Reference><Reference><Citation>Br J Oral Maxillofac Surg. 2019 Apr;57(3):196-206</Citation><ArticleIdList><ArticleId IdType="pubmed">30770139</ArticleId></ArticleIdList></Reference><Reference><Citation>Br J Oral Maxillofac Surg. 2020 May;58(4):409-415</Citation><ArticleIdList><ArticleId IdType="pubmed">31987682</ArticleId></ArticleIdList></Reference><Reference><Citation>J Otolaryngol. 1998 Jun;27(3):141-4</Citation><ArticleIdList><ArticleId IdType="pubmed">9664243</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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