Continuation of telemedicine in otolaryngology post-COVID-19: Applications by subspecialty.

Continuation of telemedicine in otolaryngology post-COVID-19: Applications by subspecialty.
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DOI:
10.1016/j.amjoto.2021.102928
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发表时间:
2021-05
影响因子:
2.5
通讯作者:
Brown SM
Brown SM
中科院分区:
医学3区
文献类型:
--
作者:
Samarrai R;Riccardi AC;Tessema B;Setzen M;Brown SM

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本文的目的是回顾文献,并汇编与后COVID-19时代相关的耳鼻喉科远程医疗的关键临床相关应用。系统性文献综述。Pubmed和Google Scholar。Pubmed和Google Scholar使用“远程医疗”、“新冠肺炎”和“耳鼻喉科”等组合关键词进行查询。有关搜寻已于二零二零年三月至八月完成。使用特定的子专业短语(如“耳病学”或“耳科”)进行额外查询,以最大限度地提高相关标题的产量。选择相关文章进行摘要审查。然后选择适用的摘要进行全文审查。初步检索共找到279个结果。对这些摘要进行了相关性筛选,并选择了100篇摘要进行审查。如果摘要不是英文的,与耳鼻喉科无关,或者全文无法访问,则将其排除。其中,选择了37篇文章对全文进行全面审查。2019冠状病毒病大流行期间,医疗机构突然关闭,导致远程医疗的使用急剧增加,尤其是在专科领域。由于鼻腔和咽部的病毒颗粒偏好,耳鼻喉科医生在头颈部检查和气溶胶生成程序中存在独特的感染风险。COVID-19大流行可能成为将远程医疗应用于临床实践的催化剂,然而,确定长期整合远程医疗的方法是后COVID-19时代可持续和可行实践的关键。尽管许多州现在发现自己处于感染率曲线的下坡侧,但许多其他州仍处于顶点。此外,不应忽视今后爆发这一大流行病或另一大流行病的风险。在这些情况下,利用远程医疗减轻感染风险的实践修改指南将是有用的。远程医疗可以通过限制不必要的面对面互动来帮助减少感染传播,并通过促进远程护理来帮助保护个人防护设备(PPE),并将护理扩展到广泛的地理区域,限制患者和家庭的成本,时间和旅行负担,并实现一致的随访。
The purpose of this paper is to review the literature and compile key clinically relevant applications of telemedicine for use in otolaryngology relevant to the post-COVID-19 era. Systematic Literature Review. Pubmed and Google Scholar. Pubmed and Google Scholar were queried using combined key words such as “telemedicine,” “covid” and “otolaryngology.” The searches were completed in March–August 2020. Additional queries were made with particular subspecialty phrases such as “rhinology” or “otology” to maximize yield of relevant titles. Relevant articles were selected for abstract review. Applicable abstracts were then selected for review of the full text. Initial search identified 279 results. These were screened for relevance and 100 abstracts were selected for review. Abstracts were excluded if they were not in English, not related to otolaryngology, or if the full text was unavailable for access. Of these, 37 articles were selected for complete review of the full text. The sudden healthcare closures during the COVID-19 pandemic resulted in a sharp increase in the use of telemedicine, particularly in subspecialty fields. Otolaryngologists are at a unique risk of infection resulting from the examination of the head and neck and aerosol-generating procedures due to the predilection of viral particles for the nasal cavities and pharynx. The COVID-19 pandemic may have served as a catalyst to implement telemedicine into clinical practice, however identifying ways to integrate telemedicine long term is key for a sustainable and viable practice in the post-COVID-19 era. Although many states are now finding themselves on the down-sloping side of their infection rate curve, many others remain at the apex. Additionally, the risk of future waves of this pandemic, or the onset of another pandemic, should not be overlooked. Practice modification guidelines that mitigate infection risk by utilizing telemedicine would be useful in these instances. Telemedicine can help to reduce infection spread by limiting unnecessary in-person interactions and help conserve personal protective equipment (PPE) by facilitating remote care with the added benefits of expanding care to broad geographic areas, limiting cost, time, and travel burden on patients and families, and enabling consistent follow up.
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