Skip to main content Skip to main navigation menu Skip to site footer
Highlight
Published: 17-01-2022

Evaluating Emergency ENT Admissions In Two Scottish Teaching Hospitals

Department of Otolaryngology-head and neck surgery, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, Scotland, UK
Department of Otolaryngology-head and neck surgery, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, Scotland, UK
Department of Otolaryngology-head and neck surgery, Ninewells hospital, Dundee
Department of Otolaryngology-head and neck surgery, Ninewells hospital, Dundee
Department of Otolaryngology-head and neck surgery, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, Scotland, UK
Department of Otolaryngology-head and neck surgery, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, Scotland, UK
ENT emergency Inpatient admission Management

Abstract

Introduction: Ear, Nose and Throat (ENT) emergencies are common in all communities, with significant regional variations in published literature. Early diagnosis and prompt management results in reduction in morbidity and mortality. The management of ENT emergencies requires significant financial resources for admissions and surgical interventions. An awareness of the pattern of admissions will facilitate strategic planning of a department’s activity. Objective: To evaluate the pattern of emergency ENT admissions to our department. Our objectives were to register the common admission diagnoses; record the equipment required in the ward treatment room and to identify training requirements for nursing and medical staff involved in their management. Methods: Retrospective analysis of a prospectively maintained departmental database. All emergency admissions to our department over 8 years were recorded. The data collected included patients’ demographics and admission diagnoses. Results: The total patients identified were 3878 with 56% (2185) male and 44% (1693) female. The majority of the patients admitted had a diagnosis in the head and neck sub group (58%). Over the study period on average 41 emergency admissions were recorded per month. The commonest emergency requiring admission was epistaxis, followed by acute sore throat. Conclusions: The most common adult ENT emergencies requiring admission to our unit are epistaxis, quinsy and post-tonsillectomy complications.

Metrics

Metrics Loading ...

References

  1. Research Briefings. Available in: http://researchbriefings.parliament.uk/ResearchBriefing/Summary/SN06964. Accessed in: 11/18/2021
  2. Kitcher E, Jangu A, Baidoo K. Emergency ear, nose and throat admissions at the korle-bu teaching hospital. Ghana Med J. 2007; 41(1):9-11.
  3. Creighton FX Jr, Poliashenko SM, Statham MM, Abramson P, Johns MM 3rd. The growing geriatric otolaryngology patient population: a study of 131,700 new patient encounters. Laryngoscope. 2013; 123:97-102.
  4. López MA, García AS, Herranz JG, López GB, Martínez JV. Appropriateness emergency hospital admissions at an ORL service of a third level hospital. Acta otorrinolaringologica espanola. 1993;44(1):31-4.
  5. https://www.sasm.scot.nhs.uk/Publications/SASM_Annual_Report_2010.pdf
  6. Cuchi BA. Urgencias en otorrinolaringologia: estudio etiologico. An Otorrinolaringol Ibero Am 1989; 16:484-504.
  7. Lobo FP, Marcio N, Lara RG (2011) Granjeiro Ronaldo Campos, Oliveira Taciana Sarmento de. Clinic-epidemiological analysis of an otorhinolaryngology emergency unit care in a tertiary hospital. Braz J Otorhinolaryngol (Impr) 77(4):426–431.
  8. Pino V, Trinidad G, González A, Pardo G, Pantoja C, Marcos M et al (2005) Consideraciones sobre las urgencias ORL. Análisis de 30.000 pacientes atendidos en 10 años. Acta Otorrinolaringol Esp 56:198–201.
  9. Perez Obon J, Rivares Esteban J, Leache Pueyo J, Fernadez Liesa R, Marin Garcia J, Servil Navarro J, Matco Blanco A. An outpatient study of (Otorhinolaryngology) emergencies at a general hospital. Acta Otori-nolaryngol Esp Jul-Aug 1995; 46(4): 298-304.
  10. Timsit CA, Bouchene K, Olfatpour B, Herman PH, Tran PB. Epidemiology and clinical findings in 20,563 patients attending the Lariboisiere Hospital ENT Adult Emergency Clinic. InAnnales d'oto-laryngologie et de chirurgie cervico faciale: bulletin de la Societe d'oto-laryngologie des hopitaux de Paris 2001 Sep (Vol. 118, No. 4, pp. 215-224).
  11. Saha S, Chandra S, Mondal PK, Das S, Mishra S, Rashid MA, Mondal AR. Emergency otorhinolaryngolocal cases in Medical College, Kolkata—a statistical analysis. Indian Journal of Otolaryngology and Head and Neck Surgery. 2005 Jul 1;57(3):219.
  12. NHS in Scotland 2019 by Audit Scotland. October 2019. https://www.audit-scotland.gov.uk/uploads/docs/report/2019/nr_191024_nhs_overview.pdf
  13. Public Health Scotland. Available in: https://www.isdscotland.org/Health-Topics/Finance/Costs/. Accessed in: 12/12/2021
  14. NHSBT. Blood and Transplant. Available in: https://www.nhsbt.nhs.uk/news/change-to-nhsbt-pricing-of-products-in-201718-and-introduction-of-universal-screening-for-hepatitis-e/. Accessed in: 12/15/2021
  15. E Keane, T Subramaniam, AH Khan, N Patil. Management of Epistaxis – A Single Centre Experience and Economic Considerations. Irish medical journal, 10 June 2016, Vol.109(6): 427.
  16. NHS Digital. Hospital admitted patient care activity, 2015-16. 2016b. http:// tinyurl.com/yc8spyaj.
  17. NHS Digital. Hospital admitted patient care activity, 2014-15. 2016a https:// tinyurl.com/y9z4cthe.
  18. Seshamani, M, Vogtmann, E, Gatwood, J, Gibson, T. B, Scanlon, D. Prevalence of Complications from Adult Tonsillectomy and Impact on Health Care Expenditures. Otolaryngology–Head and Neck Surgery, April 2014, Vol.150(4), pp.574-581
  19. Whiteford C, White S, Stephenson M. Effectiveness of nurse-led clinics on service delivery and clinical outcomes in adults with chronic ear, nose and throat complaints: a systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, 2013, Vol.11(8), pp.23-37.
  20. Registered Nursing. Available in: https://www.registerednursing.org/specialty/otorhinolaryngology-ent-nurse/. Accessed in: 12/11/2021.
  21. Vijendren A, Huggins M, Yung M. Can nurse practitioners provide a safe and effective ENT emergency service? Our Experience. Clinical Otolaryngology, April 2015, Vol.40(2), pp.148-153.

How to Cite

Gomati, A., Bashi, M. T. ., Keh, S., Majumdar, S., Ah-See, K., & Shakeel, M. (2022). Evaluating Emergency ENT Admissions In Two Scottish Teaching Hospitals. MedNEXT Journal of Medical and Health Sciences, 3(1). https://doi.org/10.54448/mdnt22101