Provision of emergency maxillofacial service during the COVID-19 pandemic : a collaborative five centre UK study
Provision of emergency maxillofacial service during the COVID-19 pandemic : a collaborative five centre UK study
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DOI：
10.1016/j.bjoms.2020.05.020
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发表时间：
2020-07-01
影响因子：
1.8
通讯作者：
Singh, R. P.
中科院分区：
文献类型：
--
作者：
Blackhall, K. K.;Downie, I. P.;Singh, R. P.
冠状病毒病（COVID-19）的全球大流行是医疗保健系统面临的最大挑战之一，并迫使医疗专业迅速调整其患者护理方法。口腔颌面外科被认为特别有疾病传播的风险，这是由于手术干预期间产生的气溶胶、患者接近度和手术环境。在英国严格限制人口流动的第2天（2020年3月26日），我们开始了一项研究，以前瞻性地监测五家医院信托基金的颌面部急诊的表现和管理。通过智能手机应用程序将数据收集到在线实时数据库中。在为期六周的529名患者中，395名患者接受了面对面的咨询，134名患者通过电话或视频链接接受了远程咨询。创伤相关病例255例，感染221例，术后并发症48例。大多数创伤病例都是与在家滑倒、绊倒或跌倒有关的轻微软组织损伤。有44例面部骨折倾向于保守治疗。19起案件与家庭暴力或自我伤害有关。在216例与牙科有关的紧急情况中，68%可以在初级保健环境中得到管理。四分之一的急诊病人通过远程会诊得到了令人满意的管理。在疫情封锁期间，紧急颌面服务的提供发生重大变化。我们讨论了研究结果以及与规划可能的进一步COVID-19高峰和未来大流行相关的潜在影响。(C)2020由Elsevier Ltd代表英国口腔颌面外科医生协会发布。
The global pandemic of Coronavirus disease (COVID-19) represents one of the greatest challenges to healthcare systems, and has forced medical specialties to rapidly adapt their approaches to patient care. Oral and Maxillofacial Surgery is considered particularly at risk of disease transmission due to aerosol generation during surgical interventions, patient proximity and operating environment. On day 2 (26th March, 2020) of when severe restrictions in population movement were instigated in the United Kingdom, we began a study to prospectively monitor the presentation and management of maxillofacial emergencies at five hospital trusts. Data was collected onto an online live database fed through a smartphone application. Of the total 529 patients over six weeks, 395 attended for face-to-face consultations and 134 patients received remote consultations via telephone or video link. There were 255 trauma related cases, 221 infection and 48 cases of postoperative complications. Most trauma cases were minor soft tissue injury related to slip, trip or fall at home. There were 44 cases of facial fractures with a tendency for conservative treatment. 19 cases were related to domestic violence or self-harm. Of the 216 dental related emergencies, 68% could have been managed in the primary care setting. A quarter of all emergency patients were satisfactorily managed by remote consultations. There was a significant change in the provision of emergency maxillofacial service during the pandemic lockdown. We discuss the study findings as well as the potential implications in relation to planning for possible further COVID-19 spikes and future pandemics. (C) 2020 Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons.