{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:26:53Z","timestamp":1787570813679,"version":"build-2736575974"},"reference-count":13,"publisher":"FapUNIFESP (SciELO)","issue":"8","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: The objective of this study is to evaluate the demographic and clinical characteristics of cases consulted with the ear, nose, and throat department in a tertiary hospital, the consultation indications, and independent factors associated with the need for procedural intervention.  METHODS: This retrospective single-center study included patients undergoing ear, nose, and throat consultation. Demographics, consultation characteristics, indications, imaging, procedures, and hospitalization were recorded. Procedural intervention rates and independent factors associated with intervention requirements were also examined.  RESULTS: Consultations for 1,366 patients were analyzed. The great majority of consultations (76.5%) originated from the emergency department, and procedural interventions were performed in approximately half the cases (48.8%). The most common reasons for consultation were suspected foreign bodies (n=248, 18.2%), nasal fracture (n=231, 16.9%), and epistaxis (n=132, 9.7%). The highest procedural intervention requirements were in the soft tissue trauma group (n=118; 90.7%) and in the epistaxis (87.9%) and nasal fracture (78.3%) cases. Consultation indication was the strongest independent predictor. Epistaxis, trauma-related consultations, and suspected foreign bodies were significantly associated with the need for procedural intervention.  CONCLUSION: Consultation indication was the main determinant of intervention. Epistaxis, trauma-related conditions, and suspected foreign bodies were significantly independently associated with intervention requirements. Early identification of these high-risk indications may assist in the optimization of ear, nose, and throat emergency resource planning and consultation triage.<\/jats:p>","DOI":"10.1590\/1806-9282.20260459","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:09:35Z","timestamp":1787569775000},"source":"Crossref","is-referenced-by-count":0,"title":["Predictors of procedural intervention in otolaryngology consultations: a retrospective multivariable analysis of 1,366 cases"],"prefix":"10.1590","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9451-7438","authenticated-orcid":false,"given":"Serkan","family":"Alt\u0131parmak","sequence":"first","affiliation":[{"name":"Erzincan Binali Y\u0131ld\u0131r\u0131m University,  T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4580-315X","authenticated-orcid":false,"given":"Ayhan","family":"Kars","sequence":"additional","affiliation":[{"name":"Erzincan Binali Y\u0131ld\u0131r\u0131m University,  T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-073330","article-title":"Communication between consultants providing advice and referring physicians: a scoping review","volume":"13","author":"Muftah A","year":"2023","journal-title":"BMJ Open"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1002\/lary.26868","article-title":"Referral patterns from emergency department to otolaryngology clinic","volume":"128","author":"Garneau JC","year":"2018","journal-title":"Laryngoscope"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1177\/0003489418776670","article-title":"An evaluation of on-call otolaryngology consultations: assessing an increasing workload","volume":"127","author":"Smith KA","year":"2018","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1002\/lio2.422","article-title":"Trends in otolaryngology consult volume at an academic institution from 2014 to 2018","volume":"5","author":"Sher E","year":"2020","journal-title":"Laryngoscope Investig Otolaryngol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.1111\/acem.14520","article-title":"Interventions to improve consultations in the emergency department: a systematic review","volume":"29","author":"Voaklander B","year":"2022","journal-title":"Acad Emerg Med"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"2426","DOI":"10.3390\/healthcare12232426","article-title":"Emergency departments in contemporary healthcare: are they still for emergencies? An analysis of over 1 million attendances","volume":"12","author":"Zaboli A","year":"2024","journal-title":"Healthcare (Basel)"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1002\/lary.23834","article-title":"The otolaryngology hospitalist: a novel practice paradigm","volume":"123","author":"Russell MS","year":"2013","journal-title":"Laryngoscope"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1001\/jamaoto.2016.4056","article-title":"Trends in otolaryngology consultation patterns at an academic quaternary care center","volume":"143","author":"Choi KJ","year":"2017","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"ref9","first-page":"215","article-title":"Epidemiology and clinical findings in 20,563 patients attending the Lariboisi\u00e8re Hospital ENT adult emergency clinic","volume":"118","author":"Timsit CA","year":"2001","journal-title":"Ann Otolaryngol Chir Cervicofac"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"11596","DOI":"10.51894\/001c.11596","article-title":"Consultation intervention rates for the otolaryngology service: a large metropolitan hospital experience","volume":"4","author":"Mors M","year":"2020","journal-title":"Spartan Med Res J"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1177\/19458924231223348","article-title":"Treatment, management, and otolaryngology consultation for epistaxis in the emergency room: an institutional experience","volume":"38","author":"Jacobs D","year":"2024","journal-title":"Am J Rhinol Allergy"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1478","DOI":"10.18203\/issn.2454-5929.ijohns20213283","article-title":"Incidence, evaluation and management of nasal bone fracture: study of 60 cases","volume":"7","author":"Tota SM","year":"2021","journal-title":"Int J Otorhinolaryngol Head Neck Surg"},{"issue":"1","key":"ref13","doi-asserted-by":"crossref","first-page":"95","DOI":"10.5114\/fmpcr.2025.146975","article-title":"Analysis of foreign bodies of the ear, nose, and throat referred to the pediatric emergency unit: a 12-month retrospective study (December 2022\u2013November 2023)","volume":"27","author":"Wolniewicz M","year":"2025","journal-title":"Fam Med Prim Care Rev"}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-42302026000802208&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:09:37Z","timestamp":1787569777000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-42302026000802208&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":13,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026]]}},"alternative-id":["S0104-42302026000802208"],"URL":"https:\/\/doi.org\/10.1590\/1806-9282.20260459","relation":{},"ISSN":["1806-9282","0104-4230"],"issn-type":[{"value":"1806-9282","type":"electronic"},{"value":"0104-4230","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e20260459"}}