Varying ENT practices in adult post-intubation laryngotracheal stenosis after the COVID epidemic in France: A CHERRIES analysis

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-05-01 DOI:10.1016/j.anorl.2024.02.008

A. Tendron, S. Atallah, I. Wagner, B. Baujat, E. Dauzier, Expert panel

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Abstract

Aim

The SARS-CoV-2 pandemic may increase the incidence of iatrogenic laryngotracheal stenosis (LTS), whereas management is not well defined. The aim of this study was to survey a panel of French otorhinolaryngologists about their practices and to evaluate their needs.

Method

A national-level survey of the management of iatrogenic LTS was conducted using a 41-item questionnaire, in 4 sections, sent to a panel of French otorhinolaryngologists between July and December 2022. The main endpoint was heterogeneity in responses between 55 proposals on LTS management.

Results

The response rate was 20% (52/263). The response heterogeneity rate was 69% (38/55). Heterogeneity concerned general questions on diagnosis (7/12, 58%) and management (7/10, 70%), LTS case management (22/27, 81%), and otorhinolaryngologists’ expectations (33%, 2/6). Quality of training was considered good or excellent by only 21% of respondents. More than 80% were strongly in favor of creating national guidelines, expert centers and a national database.

Discussion

This study demonstrated the heterogeneity of adult post-intubation LTS management between otorhinolaryngologists in France. Training quality was deemed poor or mediocre by a majority of respondents. They were in favor of creating national guidelines and expert centers in LTS.

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法国 COVID 流行后，耳鼻喉科在成人插管后喉气管狭窄方面的不同做法：CHERRIES分析。

目的：SARS-CoV-2大流行可能会增加先天性喉气管狭窄（LTS）的发病率，但其治疗方法尚未明确。本研究的目的是调查法国耳鼻喉科医生的临床实践，并评估他们的需求：方法：2022 年 7 月至 12 月期间，我们向法国耳鼻喉科医生小组发送了一份包含 4 个部分共 41 个项目的调查问卷，在全国范围内对先天性 LTS 的管理进行了调查。主要终点是55份关于LTS管理的建议书之间答复的异质性：结果：回复率为 20%（52/263）。回复异质性率为 69%（38/55）。异质性涉及诊断（7/12，58%）和管理（7/10，70%）、LTS 病例管理（22/27，81%）以及耳鼻喉科医生的期望（33%，2/6）等一般性问题。只有 21% 的受访者认为培训质量良好或优秀。80%以上的受访者强烈支持制定国家指导方针、建立专家中心和国家数据库：讨论：这项研究表明，法国耳鼻喉科医生对成人插管后 LTS 的管理存在差异。大多数受访者认为培训质量较差或一般。他们赞成制定国家指南并建立 LTS 专家中心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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