Evaluating a Questionnaire in Telephone Balance Consultations during the Coronavirus Disease 2019 Pandemic.

IF 1.6 4区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Audiology and Neuro-Otology Pub Date : 2023-01-01 Epub Date: 2023-05-10 DOI:10.1159/000529137

Anna I Kaleva, Laura Leach, Fahmy Fahmy, Lucy A Truman, Marcos Martinez Del Pero

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Abstract

Introduction: During the coronavirus disease 2019, pandemic clinical practice had to change, and this study trialled a diagnostic questionnaire to assess patients with dizziness over the telephone.

Methods: All 115 patients awaiting otorhinolaryngological assessment for balance were randomised to receive a dizziness questionnaire in the post prior to their telephone consultation or not. Consultation outcomes were recorded by the clinicians conducting the consultation. Follow-up data were collected in June 2022 for final outcomes.

Results: 82/115 patients had consultations with complete data collection: 35 in the questionnaire group (QG) and 47 in the no questionnaire group (NQG), with a 70% response rate in the QG. Clinicians made a diagnosis in 27/35 QG consultations versus 27/47 NQG consultations. Nine out of 35 QG patients required additional investigations compared to 34/47 in the NQG (p < 0.05). Only 6/35 QG patients needed additional telephone follow-up, compared to 20/47 NQG patients (p < 0.05).

Conclusion: Using a diagnostic questionnaire increased clinicians' ability to come to a diagnosis in telephone consultations.

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2019冠状病毒病大流行期间电话平衡咨询问卷评估。

引言：在2019冠状病毒病期间，大流行的临床实践不得不改变，这项研究通过电话试验了一份诊断问卷，以评估头晕患者。方法：将所有115名等待耳鼻喉科平衡评估的患者随机分组，在电话咨询前或不咨询前接受头晕问卷调查。会诊结果由进行会诊的临床医生记录。2022年6月收集了最终结果的后续数据。结果：82/115名患者进行了完整数据收集的会诊：问卷组（QG）35名，无问卷组（NQG）47名，QG的应答率为70%。临床医生在27/35次QG会诊中作出诊断，而在27/47次NQG会诊中则作出诊断。35名QG患者中有9名需要额外调查，而NQG患者中为34/47名（p<；0.05）。与20/47名NQG患者相比，只有6/35名QQ患者需要额外的电话随访（p<）。结论：使用诊断问卷提高了临床医生在电话咨询中得出诊断的能力。

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

Audiology and Neuro-Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： ''Audiology and Neurotology'' provides a forum for the publication of the most-advanced and rigorous scientific research related to the basic science and clinical aspects of the auditory and vestibular system and diseases of the ear. This journal seeks submission of cutting edge research opening up new and innovative fields of study that may improve our understanding and treatment of patients with disorders of the auditory and vestibular systems, their central connections and their perception in the central nervous system. In addition to original papers the journal also offers invited review articles on current topics written by leading experts in the field. The journal is of primary importance for all scientists and practitioners interested in audiology, otology and neurotology, auditory neurosciences and related disciplines.