{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T05:58:09Z","timestamp":1768629489333,"version":"3.49.0"},"reference-count":41,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Following the emergence of COVID\u201019, multiple preventative measures were implemented to limit the spread of the disease. This study aims to elucidate the impact of COVID\u201019 restrictions on hospital admissions of otolaryngology\u2010related infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A retrospective chart review was conducted to capture all admissions for otolaryngology\u2010related infections in the 2\u2009years pre\u2010 and post\u2010COVID\u201019 at the Health Sciences Centre in Winnipeg, Manitoba. These infections included croup, tracheitis, neck abscess, peritonsillar abscess, otitis media, mastoiditis, sinus infection, orbital infection, pharyngotonsillitis, retro\/parapharyngeal abscess, and acute epiglottitis. Demographic information and admission details were collected and analyzed to compare pre\u2010 and post\u2010COVID\u201019 admissions. Further analysis was conducted to compare hospital admissions of patients from rural\/remote regions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between March 2018 and March 2022, 253 pediatric patients and 197 adults were admitted for otolaryngology\u2010related infections. Total pediatric admissions decreased post\u2010COVID\u201019 (154 pre\u2010COVID\u201019, 99 post\u2010COVID\u201019; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) whereas adult admissions remained stable (107 pre\u2010COVID\u201019, 90 post\u2010COVID\u201019; <jats:italic>p<\/jats:italic>\u2009=\u20090.25). No significant difference in mean patient age, admission duration, surgical rates or in the proportion of admissions from patients from rural\/remote regions was observed in the pediatric or adult cohort when comparing pre\u2010COVID\u201019 data to post\u2010COVID\u201019 data. Diagnosis\u2010specific changes in admissions were observed in pediatric croup (40 pre\u2010COVID\u201019, 15 post\u2010COVID\u201019; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and in adult orbital infections (30 pre\u2010COVID\u201019, six post\u2010COVID\u201019; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Following the implementation of COVID\u201019 restrictions, there was a decrease in admissions due to pediatric croup and adult orbital infections with an overall decrease in pediatric Otolaryngology\u2010infection related admissions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3 <jats:italic>Laryngoscope<\/jats:italic>, 134:3542\u20133547, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31366","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T08:14:02Z","timestamp":1709108042000},"page":"3542-3547","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Impact of <scp>COVID<\/scp>\u201019 Restrictions on Hospital Admissions of Common Head and Neck Infections"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2555-3036","authenticated-orcid":false,"given":"Matthew","family":"Urichuk","sequence":"first","affiliation":[{"name":"Max Rady College of Medicine University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason Lee","family":"Azzi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren J.","family":"Leitao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,28]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"World Health Organization.WHO Director\u2010General's opening remarks at the media briefing on COVID\u201019\u201011 March 2020.2020."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31142-9"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006207.pub5"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmaid.2020.101751"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofab133"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/20503121211022973"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-06046-z"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13869"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2020.11.010"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S002221512100205X"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2022.103526"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-020-02314-w"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000002883"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2021.768377"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-021-07107-7"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820987458"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121000530"},{"key":"e_1_2_6_19_1","article-title":"ENT referral from emergency department during COVID\u201019: a single\u2010center experience","author":"Campagnoli M","year":"2021","journal-title":"Ear Nose Throat J"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215120002091"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.446"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13920"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-021-07180-y"},{"issue":"7","key":"e_1_2_6_24_1","first-page":"496","article-title":"The effect of the COVID\u201019 pandemic on non\u2010elective otolaryngology admissions and a positive change in clinical practice","volume":"103","author":"Wright B","year":"2021","journal-title":"Ann Dent"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10132851"},{"key":"e_1_2_6_26_1","unstructured":"Government of Manitoba.Manitoba government declares state of emergency to protect the public reduce spread of COVID\u201019.2020. 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