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Impact of COVID-19 Pandemic on Otolaryngologic Surgeries in Iranian Pediatrics COVID-19 大流行对伊朗儿科耳鼻喉科手术的影响
Pub Date : 2024-03-01 DOI: 10.5812/iji-143826
Mahtab Rabbani Anari, Alireza Sharifi, Mohammad Hossein Salmani, Fatemeh Mirashrafi, Saeed Mohammadi
Background: There is no study about the evaluation of incidence rates of tonsillectomy, adenoidectomy, and ear surgeries before and during the coronavirus disease 2019 (COVID-19) pandemic and the impact of pandemic peaks on the incidence rates of these operations in the world, particularly in Iran. Objectives: This study aimed to evaluate the impact of the COVID-19 pandemic on the number of most common otolaryngologic operations in the Iranian pediatric population. Methods: This retrospective study was performed in a referral hospital. The data of target patients over the period of March 21, 2018, to November 22, 2021, were collected. The number of surgeries at the period of any peak plus before and during the COVID-19 pandemic was compared. Results: A total of 6 290 patients from the Health Information System of Amir A’lam hospital, Tehran, Iran, were enrolled. In this study, 52.9% and 46.5% of the patients were male and female, respectively. There were 3 main types of surgeries, such as adenoidectomy, tonsillectomy, and ear surgeries, with mean ± standard deviation (SD) age of 10.20 ± 9.4, 11.45 ± 10.8, and 44.19 ± 14.6 years, respectively. There was a significant difference in terms of the total number of operations between before (n = 5070) and during the COVID-19 pandemic (n = 1220) (P < 0.001). The amount of this difference was much greater in tonsillectomy (n = 3736 vs. n = 546) and adenoidectomy (n = 134 vs. n = 21) than in ear surgeries (n = 1200 vs. n = 653). Conclusions: The COVID-19 pandemic significantly reduced the number of most common otolaryngologic surgeries in the Iranian pediatric population. The reason is that the restrictions during the pandemic might have a potential effect on reducing the transmission of tonsil-adenoid gland infection.
背景:目前尚无研究评估 2019 年冠状病毒病(COVID-19)大流行之前和期间扁桃体切除术、腺样体切除术和耳部手术的发病率,以及大流行高峰对全球(尤其是伊朗)这些手术发病率的影响。研究目的本研究旨在评估 COVID-19 大流行对伊朗儿科最常见耳鼻喉手术数量的影响。研究方法这项回顾性研究在一家转诊医院进行。收集了 2018 年 3 月 21 日至 2021 年 11 月 22 日期间目标患者的数据。比较了任何高峰期以及 COVID-19 大流行之前和期间的手术数量。结果如下伊朗德黑兰 Amir A'lam 医院健康信息系统共登记了 6 290 名患者。在这项研究中,男性和女性患者分别占 52.9% 和 46.5%。手术类型主要有 3 种,如腺样体切除术、扁桃体切除术和耳部手术,平均年龄(标准差)分别为 10.20 ± 9.4 岁、11.45 ± 10.8 岁和 44.19 ± 14.6 岁。手术总数在 COVID-19 大流行前(5070 人)和 COVID-19 大流行期间(1220 人)之间存在明显差异(P < 0.001)。扁桃体切除术(n = 3736 vs. n = 546)和腺样体切除术(n = 134 vs. n = 21)的手术量远大于耳科手术(n = 1200 vs. n = 653)。结论COVID-19 大流行大大减少了伊朗儿童最常见的耳鼻喉科手术数量。原因是大流行期间的限制措施可能会对减少扁桃体-腺样体感染的传播产生潜在影响。
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International Journal of Infection
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