Incidencija hitnih operativnih zahvata u otorinolaringološkom području za vrijeme COVID-19 pandemije

master's thesis

• Title (english): Incidence of urgent ENT surgical procedures during the COVID-19 pandemic
• Author: Marko Skender
• Mentor: Mihael Ries (mentor)
• Committee member: Tomislav Baudoin (predsjednik povjerenstva)
• Committee member: Marko Velimir Grgić (član povjerenstva)
• Committee member: Mihael Ries (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Othorhinolaryngology and Head and Neck Surgery); Zagreb
• Defense date and country: 2021-07-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Otorhinolaryngology

Abstract

Pandemija virusne bolesti COVID-19 drastično je utjecala na živote ljudi čitavog svijeta. Zatvaranje i druge mjere uvedene su kako bi se suzbilo širenje virusa, međutim, imale su utjecaj i na širenje drugih bolesti. Iskustva otorinolaringologa pokazuju da se broj hitnih ORL operacija upalnih stanja smanjio u odnosu na razdoblje prije pandemije. Cilj ovog rada je ustvrditi je li došlo do sličnog pada broja hitnih operacija na razini KBC Sestre milosrdnice i pokušati odgovoriti na pitanje: je li za eventualni pad broja hitnih operacija zaslužno smanjeno širenje zaraznih bolesti u populaciji. Podaci su izvađeni iz operacijskih protokola Klinike za otorinolaringologiju i kirurgiju glave i vrata iz razdoblja 1.1.2019.-25.3.2021. i analizirani metodama deskriptivne statistike. Operacije su podijeljene u 4 kategorije, uključujući i bronhoskopije zbog aspiracije stranog tijela kao kontrolna skupina. Ukupno je u rad uključeno 147 operacija od kojih je 123 pobliže analizirano u usporedbi pandemijske i pretpandemijske godine. Broj operacija pao je za 51,2% u pandemijskoj godini. Po kategorijama pad je iznosio 85,7% za OMA-u, 33,3% za OMC, 41,7% za apscese glave i vrata i 27,8% za bronhoskopije. Dinamika kretanja broja operacija pokazala je da bi jedan od uzroka smanjenja broja operacija za kategoriju OMA-e moglo biti smanjeno širenje virusa i bakterija u populaciji, a za kategoriju apscesa glave i vrata strah pacijenata i liječnika od zaraze virusnom bolešću COVID-19. Dinamika broja bronhoskopija značajno se razlikuje od prethodnih kategorija. Konačno, smanjenje broja operacija i regionalna preraspodjela bolničkog sustava impliciraju da je došlo do smanjenja incidencije hitnih otorinolaringoloških operacija upalne prirode na razini KBC Sestre Milosrdnice.

Abstract (english)

The COVID-19 pandemic has drastically affected lives of people around the world. The lockdown and other measures were imposed to suppress the spread of the virus. However, they affected the spread of other diseases as well. Experiences of other ENT clinicians mostly showed that the number of urgent ENT procedures has reduced for diseases that have an inflammatory etiology, compared to the period before the pandemic. The goal of this paper is to determine whether there has been a similar reduction in the number of urgent ENT procedures at the University Hospital Centre Sestre milosrdnice, and to try to answer the following question: is the reduced spread of infectious diseases responsible for the eventual drop in the number of procedures. The data was extracted from the operational protocols of the Clinic of ENT head and neck surgery, from the January 1, 2019 to March 25, 2021. The data was analyzed by descriptive statistical methods. Procedures were divided in 4 categories, including foreign body bronchoscopy as a control group. 147 procedures were included in the paper, 123 of which were more closely analyzed in comparison to the pandemic and the pre-pandemic year. The observed drop in the number of urgent procedures was 51.2% in the pandemic year. Between the categories the drop was 85.7% for acute otitis media, 33.3% for chronic otitis media, 41.7% for head and neck abscesses and 27.8% for bronchoscopies. The dynamics of the number of procedures showed that the reduced spread of infectious diseases could partially account for the drop in the number of acute otitis media procedures; also, the fear of COVID-19 infection in both patients and doctors could to some extent account for the drop in the number of head and neck abscesses. The dynamics of bronchoscopy numbers differs significantly from other categories which is probably related to a different etiology compared to other conditions. Finally, the decrease in the number of procedures and the regional hospital system rearrangement imply that there has been a reduction in the incidence of urgent inflammatory ENT procedures at University Hospital Centre Sestre Milosrdnice.

• Keywords: pandemija; hitne ORL operacije; dinamika broja operacija
• Keywords (english): pandemic impact; urgent ENT surgery; dynamics of procedure numbers
• Language: croatian
• URN:NBN: urn:nbn:hr:105:425943
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-05-11 08:24:28