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Why Pediatricians Need to Consult An Otolaryngologist: Analysis of 3774 Patients

Yıl 2022, , 799 - 806, 28.11.2022
https://doi.org/10.20515/otd.1130429

Öz

A multidisciplinary approach may be necessary in the diagnosis and management of certain patients; therefore, interdisciplinary consultations have an important place in the medical practice. Diagnosis and management of children with ear, nose and throat (ENT) disorders take part in the practices of both otorhinolaryngologists and pediatricians. The aim of this study to investigate the reasons for pediatric ENT consultations, and examine them in relation with the pediatric age groups and the site of the requests. All pediatric consultations requested from the Otorhinolaryngology Department by the Pediatrics Department [outpatient, inpatient, intensive care unit (ICU) and pediatric emergency room (ER)] in 2021 were examined and included in the study. The pediatricians consulted a total of 3774 children in one-year period. The most common reason for consultation was hearing and/or speech evaluation (19.6%). The frequency of consultations for hearing and/or speech evaluation was significantly higher in early childhood (24.6%) (p<0.001) and lower in adolescents (10.7%) (p<0.001). The majority of the children consulted were in early childhood (38%) and middle childhood (28.5%). Most of the consultations were requested for outpatients (71.4%). Hearing and/or speech evaluation (26.6%) was the most common reason for outpatient consultations. Respiratory disorders (25.7%) in inpatients, prolonged intubation in the intensive care unit (47.1%) and foreign body (42.7%) in the emergency department were the most common reason for consultation. Pediatric consultations make up a large volume of work particularly in tertiary and higher health centers. Pediatric otorhinolaryngology units of these centers must be armed with equipment suitable for pediatric examination and surgery as well as an audiovestibular unit laboring audiologists and speech-language therapists.

Kaynakça

  • Referans1: Tunkel DE, Cull WL, Jewett EA, et al. Practice of pediatric otolaryngology: results of the future of pediatric education II project. Arch Otolaryngol Head Neck Surg 2002;28(7):759-764. https://doi.org/10.1001/archotol.128.7.759.
  • Referans2: Sher E, Nicholas B. Trends in otolaryngology consult volume at an academic institution from 2014 to 2018. Laryngoscope Investig Otolaryngol. 2020;5(5):813-818. https://doi.org/10.1002/lio2.422
  • Referans3: Demir E, Topal S, Atsal G, et al. Otologic Findings Based on no Complaints in a Pediatric Examination. Int Arch Otorhinolaryngol. 2019;23(1): 36-40. https://doi.org/10.1055/s-0038-1667007
  • Referans4: Sahin S, Bayindir T, Cingi C, et al. Epidemiologic variation in pediatric ear, nose, and throat diseases: pediatric emergency admissions in two different regions of Turkey. Journal of Pediatric Sciences. 2013;5:1-7.
  • Referans5: Shah-Becker S, Carr MM. Current Management and Referral Patterns of Pediatricians for Acute Otitis Media. International Journal of Pediatric Otorhinolaryngology. 2018;113:19-21. https://doi.org/ 10.1016/j.ijporl.2018.06.036.
  • Referans6: Sandra Y, Gray K, Albert N, et al. Clinical Aspects and Management of Children in Otorhinolaryngological Consultation: Case of University Clinics of Lubumbashi (DR Congo). Open Access Library Journal. 2019;6:1-11. https://doi.org/10.4236/oalib.1105729.
  • Referans7: Choi KJ, Kahmke RR, Crowson MG, et al. Trends in Otolaryngology Consultation Patterns at an Academic Quaternary Care Center. JAMA Otolaryngol. Head Neck Surg. 2017;143(5):472-477. https://doi.org/10.1001/jamaoto.2016.4056. PMID: 28056150; PMCID: PMC5824312.
  • Referans8: Topuz MF. General characteristics of otorhinolaryngology consultations: 3-year analysis. J. Surg. Med. 2020;4(10):865-869. https://doi.org/10.28982/josam.794291.
  • Referans9: Williams K, Thomson D, Seto I, et al. Standard 6: age groups for pediatric trials. Pediatrics. 2012;129(3):153-160. https://doi.org/10.1542/peds.2012-0055I.
  • Referans10: Taylor J, Goodkin HP. Dizziness and vertigo in the adolescent. Otolaryngol. Clin. North Am. 2011;44(2): 309-321. https://doi.org/10.1016/j.otc.2011.01.004. PMID: 21474006.

Pediatristler Neden Bir Kulak Burun Boğaz Uzmanına Danışır: 3774 Hastanın Analizi

Yıl 2022, , 799 - 806, 28.11.2022
https://doi.org/10.20515/otd.1130429

Öz

Bazı hastaların tanı ve tedavisinde multidisipliner bir yaklaşım gerekli olabilir; bu nedenle disiplinler arası konsültasyonların tıp pratiğinde önemli bir yeri vardır. Kulak burun boğaz (KBB) rahatsızlığı olan çocukların tanı ve tedavisi hem kulak burun boğaz uzmanlarının hem de pediatristlerin uygulamalarında yer alır. Bu çalışmanın amacı, pediatrik KBB konsültasyonlarının nedenlerini araştırıp, yaş ve talep edile yer ile olan ilişkisini belirlemektir. Pediatri bölümü [ayaktan hasta, yatan hasta, yoğun bakım (YBÜ) ve çocuk acil servisi (AS)] tarafından KBB bölümüne 2021 yılında konsülte edilen tüm pediatrik hastalar incelenerek çalışmaya dahil edildi. Pediatristler bir yıllık süre içinde toplam 3774 hastayı konsülte etti. En sık konsültasyon nedeni işitme ve/veya konuşma değerlendirmesiydi (%19,6). İşitme ve/veya konuşma değerlendirmesi için konsültasyon sıklığı erken çocukluk döneminde anlamlı olarak daha yüksek (%24,6) (p<0,001) ve adolesanlarda daha düşüktü (%10,7) (p<0,001). Konsülte edilen çocukların çoğunluğu erken çocukluk (%38) ve orta çocukluk (%28,5) yaş grubundaydı. Konsültasyonların çoğu ayaktan hastalar için istendi (%71,4). İşitme ve/veya konuşma değerlendirmesi (%26,6) ayaktan, solunum bozuklukları (%25,7) yatan, uzamış entübasyon (%47,1) yoğun bakım, yabancı cisim (%42,7) ise acil servis konsültasyonlarının en sık sebebiydi. Pediatrik konsültasyonlar, özellikle üçüncü basamak ve üzeri sağlık merkezlerinde büyük bir iş yükü oluşturmaktadır. Bu merkezlerin KBB üniteleri, pediatrik muayene ve cerrahiye uygun ekipmanlar yanı sıra odyolog ve konuşma-dil terapistlerini de bünyelerinde bulunduran bir odyovestibüler ünite ile donatılmalıdır.

Kaynakça

  • Referans1: Tunkel DE, Cull WL, Jewett EA, et al. Practice of pediatric otolaryngology: results of the future of pediatric education II project. Arch Otolaryngol Head Neck Surg 2002;28(7):759-764. https://doi.org/10.1001/archotol.128.7.759.
  • Referans2: Sher E, Nicholas B. Trends in otolaryngology consult volume at an academic institution from 2014 to 2018. Laryngoscope Investig Otolaryngol. 2020;5(5):813-818. https://doi.org/10.1002/lio2.422
  • Referans3: Demir E, Topal S, Atsal G, et al. Otologic Findings Based on no Complaints in a Pediatric Examination. Int Arch Otorhinolaryngol. 2019;23(1): 36-40. https://doi.org/10.1055/s-0038-1667007
  • Referans4: Sahin S, Bayindir T, Cingi C, et al. Epidemiologic variation in pediatric ear, nose, and throat diseases: pediatric emergency admissions in two different regions of Turkey. Journal of Pediatric Sciences. 2013;5:1-7.
  • Referans5: Shah-Becker S, Carr MM. Current Management and Referral Patterns of Pediatricians for Acute Otitis Media. International Journal of Pediatric Otorhinolaryngology. 2018;113:19-21. https://doi.org/ 10.1016/j.ijporl.2018.06.036.
  • Referans6: Sandra Y, Gray K, Albert N, et al. Clinical Aspects and Management of Children in Otorhinolaryngological Consultation: Case of University Clinics of Lubumbashi (DR Congo). Open Access Library Journal. 2019;6:1-11. https://doi.org/10.4236/oalib.1105729.
  • Referans7: Choi KJ, Kahmke RR, Crowson MG, et al. Trends in Otolaryngology Consultation Patterns at an Academic Quaternary Care Center. JAMA Otolaryngol. Head Neck Surg. 2017;143(5):472-477. https://doi.org/10.1001/jamaoto.2016.4056. PMID: 28056150; PMCID: PMC5824312.
  • Referans8: Topuz MF. General characteristics of otorhinolaryngology consultations: 3-year analysis. J. Surg. Med. 2020;4(10):865-869. https://doi.org/10.28982/josam.794291.
  • Referans9: Williams K, Thomson D, Seto I, et al. Standard 6: age groups for pediatric trials. Pediatrics. 2012;129(3):153-160. https://doi.org/10.1542/peds.2012-0055I.
  • Referans10: Taylor J, Goodkin HP. Dizziness and vertigo in the adolescent. Otolaryngol. Clin. North Am. 2011;44(2): 309-321. https://doi.org/10.1016/j.otc.2011.01.004. PMID: 21474006.
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm ORİJİNAL MAKALELER / ORIGINAL ARTICLES
Yazarlar

Mustafa Çolak 0000-0002-3191-4134

İrem Damla Güver Çalapkulu 0000-0002-7483-2913

Abdülkerim Taşdemir 0000-0003-2912-1327

Ali Rıza Yağmur 0000-0001-6283-2505

Şeyda Akbal Çufalı 0000-0003-4554-9278

Nagihan Gülhan Yaşar 0000-0003-1207-3584

Yayımlanma Tarihi 28 Kasım 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

Vancouver Çolak M, Güver Çalapkulu İD, Taşdemir A, Yağmur AR, Akbal Çufalı Ş, Gülhan Yaşar N. Why Pediatricians Need to Consult An Otolaryngologist: Analysis of 3774 Patients. Osmangazi Tıp Dergisi. 2022;44(6):799-806.


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