{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T01:53:56Z","timestamp":1779155636244,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T00:00:00Z","timestamp":1646352000000},"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":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the impact of the COVID\u201019 pandemic on acute admissions and inpatient activity at a tertiary referral centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective review of coding\u2010based inpatient electronic records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>An otolaryngology and head and neck surgery department at a major UK trauma and tertiary referral centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Otolaryngology patients admitted as an emergency over a period of 10\u00a0months pre\u2010COVID19 (01\/04\/2019\u201023\/01\/2020) and 10\u00a0months post\u2010COVID19 (01\/04\/2020\u201023\/01\/2021).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Baseline characteristics, admission rates, length of stay (LoS), overall mortality and 30\u2010day mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1620 records were reviewed; (1066 pre\u2010COVID19, 554 post\u2010COVID19). Admissions across all age groups were reduced, with an increase in mean age from 39.88 to 47.4\u00a0years (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.018). LoS remained unchanged (3.85 vs 3.82\u00a0days, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.160). Infection remained the most common presentation, followed secondly by epistaxis which entailed an increased LoS compared to the pre\u2010COVID19 cohort. GP referrals reduced from 18.3% to 4.2% (<jats:italic>n<\/jats:italic>\u00a0=\u00a0195 vs <jats:italic>n<\/jats:italic>\u00a0=\u00a023, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001) and ED referrals proportionally increased from 71.9% to 85.9% (<jats:italic>n<\/jats:italic>\u00a0=\u00a0766 vs <jats:italic>n<\/jats:italic>\u00a0=\u00a0476, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001). Critical care admissions were higher in the post\u2010COVID19 cohort (OR 1.78 (1.07\u20132.98) [95% CI], <jats:italic>p<\/jats:italic>\u00a0=\u00a0.027).<\/jats:p><jats:p>There was no significant difference in overall mortality between groups (<jats:italic>n<\/jats:italic>\u00a0=\u00a060, 5.6% vs. <jats:italic>n<\/jats:italic>\u00a0=\u00a033, 6.0%; <jats:italic>p<\/jats:italic>\u00a0=\u00a0.844). Thirty\u2010day mortality increased from 0.9% (<jats:italic>n<\/jats:italic>\u00a0=\u00a012) pre\u2010COVID19 to 2.3% (<jats:italic>n<\/jats:italic>\u00a0=\u00a013) post\u2010COVID19 (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.039).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates significant changes and a reduction in acute otolaryngology presentations. Our findings may suggest that sicker, frailer patients were admitted during the pandemic. This study reports the observational effect that the pandemic has had on acute otolaryngology admissions, which may be relevant in addressing unmet care needs in the post\u2010pandemic period.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13920","type":"journal-article","created":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T07:43:35Z","timestamp":1645515815000},"page":"447-454","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of the COVID\u201019 pandemic on acute otolaryngology inpatient activity at a tertiary referral centre: A retrospective analysis"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7838-4321","authenticated-orcid":false,"given":"Praveena","family":"Deekonda","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Southampton General Hospital University Hospital Southampton NHS Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3003-4984","authenticated-orcid":false,"given":"Adal Hussain","family":"Mirza","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Southampton General Hospital University Hospital Southampton NHS Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3329-2145","authenticated-orcid":false,"given":"Huw","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Southampton General Hospital University Hospital Southampton NHS Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n995"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2001737"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002986"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-020-00424-7"},{"key":"e_1_2_12_6_1","unstructured":"Guidance for ENT during the COVID\u201019 pandemic [Internet]. ENT UK. [cited 2021 Jul 1]. Available from:https:\/\/www.entuk.org\/guidance\u2010ent\u2010during\u2010covid\u201019\u2010pandemic"},{"key":"e_1_2_12_7_1","volume-title":"What happened to English NHS hospital activity during the COVID\u201019 pandemic?","author":"Burn S","year":"2021"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AS9.0000000000000020"},{"issue":"2020","key":"e_1_2_12_9_1","first-page":"2975089","article-title":"Impact of the COVID\u201019 pandemic on acute general surgical admissions in a district general hospital in the United Kingdom: a retrospective cohort study","volume":"12","author":"Callan R","year":"2020","journal-title":"Surg Res Pract"},{"key":"e_1_2_12_10_1","unstructured":"Hospital Admitted Patient Care Activity 2019\u201020[Internet]. [cited 2021 Jul 1]. Available from:https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/hospital\u2010admitted\u2010patient\u2010care\u2010activity\/2019\u201020"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121000530"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13716"},{"issue":"2","key":"e_1_2_12_13_1","first-page":"363","article-title":"Admission avoidance in tonsillitis and peritonsillar abscess: a prospective national audit during the initial peak of the COVID\u201019 pandemic","volume":"46","author":"Smith ME","year":"2020","journal-title":"Clin Otolaryngol"},{"key":"e_1_2_12_14_1","unstructured":"PhilpottsE.NHS England\u2019s 19 march update to GP practices on Covid\u201019 \u2010 pulse today[Internet]. 2020 [cited 2021 Jul 1]. Available from:https:\/\/www.pulsetoday.co.uk\/resource\/coronavirus\/nhs\u2010englands\u201019\u2010march\u2010update\u2010to\u2010gp\u2010practices\u2010on\u2010covid\u201019\/"},{"key":"e_1_2_12_15_1","unstructured":"Aerosol\u2010generating procedures in ENT[Internet]. ENT UK. [cited 2021 Nov 28]. Available from:https:\/\/www.entuk.org\/aerosol\u2010generating\u2010procedures\u2010ent"},{"key":"e_1_2_12_16_1","volume-title":"Emergency hospital admissions in England Which may be avoidable and how? [Internet]","author":"Steventon AEAL","year":"2018"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215119000860"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13178"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2021.100144"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13920","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/coa.13920","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13920","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T03:22:18Z","timestamp":1692847338000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.13920"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,4]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1111\/coa.13920"],"URL":"https:\/\/doi.org\/10.1111\/coa.13920","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,4]]},"assertion":[{"value":"2021-08-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}