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Urban MJ, Patel TR, Raad R, LoSavio P, Stenson K, Al-Khudari S, Nielsen T, Husain I, Smith R, Revenaugh PC, Wiet RM, Papagiannopoulos P, Batra PS, Tajudeen BA. Implementation of Preoperative Screening Protocols in Otolaryngology During the COVID-19 Pandemic. Otolaryngol Head Neck Surg 2020; 163:265-270. [PMID: 32452746 DOI: 10.1177/0194599820931041] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVE To highlight emerging preoperative screening protocols and document workflow challenges and successes during the early weeks of the COVID-19 pandemic. METHODS This retrospective cohort study was conducted at a large urban tertiary care medical center. Thirty-two patients undergoing operative procedures during the COVID-19 pandemic were placed into 2 preoperative screening protocols. Early in the pandemic a "high-risk case protocol" was utilized to maximize available resources. As information and technology evolved, a "universal point-of-care protocol" was implemented. RESULTS Of 32 patients, 25 were screened prior to surgery. Three (12%) tested positive for COVID-19. In all 3 cases, the procedure was delayed, and patients were admitted for treatment or discharged under home quarantine. During this period, 86% of operative procedures were indicated for treatment of oncologic disease. There was no significant delay in arrival to the operating room for patients undergoing point-of-care screening immediately prior to their procedure (P = .92). DISCUSSION Currently, few studies address preoperative screening for COVID-19. A substantial proportion of individuals in this cohort tested positive, and both protocols identified positive cases. The major strengths of the point-of-care protocol are ease of administration, avoiding subsequent exposures after testing, and relieving strain on "COVID-19 clinics" or other community testing facilities. IMPLICATIONS FOR PRACTICE Preoperative screening is a critical aspect of safe surgical practice in the midst of the widespread pandemic. Rapid implementation of universal point-of-care screening is possible without major workflow adjustments or operative delays.
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Affiliation(s)
- Matthew J Urban
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Tirth R Patel
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Richard Raad
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Phillip LoSavio
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Kerstin Stenson
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Samer Al-Khudari
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Thomas Nielsen
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Inna Husain
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Ryan Smith
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Peter C Revenaugh
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - R Mark Wiet
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Peter Papagiannopoulos
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Pete S Batra
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Bobby A Tajudeen
- Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, USA
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Abstract
AbstractThere has been widespread coverage of cosmetic procedures, particularly facial fillers, as minimally invasive options for facial rejuvenation. The authors' objective was to characterize news media's coverage of facial fillers and its role in shaping public perception of these products over the past decade. Public view plays a significant role in policymaking, assisting patient communication, and addressing preconceived notions. Google News was searched for online news coverage related to “facial fillers” from 2008 to 2017. News articles from various sources were reviewed and analyzed with multiple objectives including complications listed, advantages, disadvantages, physician specialties, overall theme of the articles as positive, negative, or neutral and other parametrics. A chi-square test was used for statistical analysis. Of 426 articles meeting inclusion criteria, international news (20.4%), tabloids (18.8%), online health sites (18.3%), and national news (16.9%) were represented. Of articles containing adequate information, coverage was 44.7% positive, 29.9% neutral, and 26.1% negative with no significant change from 2008 to 2017. In addition, 46.0% of papers discussed complications including vascular injury and blindness associated with fillers, with significant increase by 2017 (p < 0.05). Facial fillers media coverage was overall positive, with broad coverage at both national and international levels. Complications were discussed often, and although vascular injury and vision damage are rare complications of fillers, they were frequently cited, potentially leading the public to believe they occur frequently. There were also significant concerns in the news media about greater regulation of products used as facial fillers, and practitioners administrating them. Altogether, these findings provide a comprehensive overview of patient perception and expectations of an increasingly popular and expanding cosmetic procedure.
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Affiliation(s)
- Houmehr Hojjat
- Department of Otolaryngology – Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan
| | - Richard Raad
- Department of Otolaryngology – Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan
| | - Jordyn Lucas
- Department of Otolaryngology – Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan
| | - Mohammad Mir
- Department of Otolaryngology – Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan
| | - Brendan Smith
- Department of Otolaryngology – Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey
| | - Michael Carron
- Department of Otolaryngology – Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan
- Division of Facial Plastic and Reconstructive Surgery, Wayne State University School of Medicine, Detroit, Michigan
| | - Giancarlo Zuliani
- Department of Otolaryngology – Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan
- Zuliani Facial Aesthetics, Bloomfield Hills, Michigan
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Yamout B, Herlopian A, Issa Z, Habib RH, Fawaz A, Salame J, Wadih A, Awdeh H, Muallem N, Raad R, Al-Kutoubi A. Authors' reply to 'Report of extracranial venous stenosis in relapsing-remitting multiple sclerosis patients'. Mult Scler 2011; 17:643-644. [PMID: 28071243 DOI: 10.1177/1352458511400478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- B Yamout
- 1 Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - A Herlopian
- 1 Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - Z Issa
- 1 Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - R H Habib
- 2 Division of Outcomes Research and Biostatistics, American University of Beirut Medical Center, Beirut, Lebanon
| | - A Fawaz
- 1 Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - J Salame
- 3 Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon
| | - A Wadih
- 4 Department of Radiology, American University of Beirut Medical Center, Beirut, Lebanon
| | - H Awdeh
- 4 Department of Radiology, American University of Beirut Medical Center, Beirut, Lebanon
| | - N Muallem
- 4 Department of Radiology, American University of Beirut Medical Center, Beirut, Lebanon
| | - R Raad
- 4 Department of Radiology, American University of Beirut Medical Center, Beirut, Lebanon
| | - A Al-Kutoubi
- 4 Department of Radiology, American University of Beirut Medical Center, Beirut, Lebanon
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