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Geriatric otorhinolaryngology: reasons for outpatient referrals from generalists to ENT specialists

2022Journal article Open access
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dc.contributor.authorAlves, Clara Serdoura
dc.contributor.authorSantos, Mariline
dc.contributor.authorCastro, Afonso
dc.contributor.authorLino, João
dc.contributor.authorFreitas, Susana Vaz
dc.contributor.authorAlmeida e Sousa, Cecília
dc.contributor.authorda Silva, Álvaro Moreira
dc.date.accessioned2024-07-04T14:01:30Z
dc.date.available2024-07-04T14:01:30Z
dc.date.issued2022
dc.description.abstractPurpose: To determine the main symptoms leading to referral of geriatric patients from primary care to otorhinolaryngology. Methods: Retrospective, observational study performed on patients aged 65 and older, referred from Primary Care to the Otorhinolaryngology and Head and Neck Surgery department of a tertiary centre during 2019 and 2020. Symptoms leading to otorhinolaryngological referral were categorized as "Oto-neurological symptoms", "Nasal symptoms", "Pharyngolaryngeal symptoms", "Other Head and Neck symptoms" and "Other Reasons". Data regarding age, gender and whether patients maintain follow-up or have been discharged was also collected. Results: The study population included a total of 1304 patients (697 female; 607 male). Oto-neurological symptoms were found to be the most prevalent symptoms, with 65% of patients reporting oto-neurological symptoms as at least one of the reasons for referral. Hearing loss was the most commonly reported symptom, with an association found between this symptom and age (p < 0.001). Results also showed an association between the female gender and vertigo/dizziness (p < 0.001) and tinnitus (p = 0.007). An association between the male gender and nasal symptoms was also found (p = 0.018), particularly nasal obstruction (p = 0.003) and epistaxis (p = 0.028). No statistically significant associations were found among the pharyngolaryngeal group. Conclusions: This retrospective observational study allowed for a better understanding of the type of otorhinolaryngological symptoms affecting elderly patients and driving otorhinolaryngology evaluation, cementing hearing loss as one of the major complaints among older adults and allowing for a better preparation by otorhinolaryngologists for the changing needs of this subset of the population.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAlves CS, Santos M, Castro A, et al. Geriatric otorhinolaryngology: reasons for outpatient referrals from generalists to ENT specialists. Eur Arch Otorhinolaryngol. 2023;280(1):461-467. doi:10.1007/s00405-022-07641-ypt_PT
dc.identifier.doi10.1007/s00405-022-07641-ypt_PT
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.urihttp://hdl.handle.net/10400.16/3001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Internationalpt_PT
dc.relation.publisherversionhttps://doi.org/10.1007/s00405-022-07641-ypt_PT
dc.subjectAgingpt_PT
dc.subjectElderlypt_PT
dc.subjectGeriatric otorhinolaryngologypt_PT
dc.subjectHearing losspt_PT
dc.titleGeriatric otorhinolaryngology: reasons for outpatient referrals from generalists to ENT specialistspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceGermanypt_PT
oaire.citation.endPage467pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage461pt_PT
oaire.citation.titleEuropean Archives of Oto-Rhino-Laryngologypt_PT
oaire.citation.volume280pt_PT
person.familyNameSerdoura Alves
person.familyNameSantos
person.familyNameVaz Freitas
person.givenNameClara
person.givenNameMariline
person.givenNameSusana
person.identifierhttps://scholar.google.pt/citations?hl=pt-PT&user=pPPCqbAAAAAJ&view_op=list_works&gmla=AJsN-F4130_aPo2sx_xsSQ0Wyj-bCTKlHUWgisamo31ZYQPrQh54wY78YcB38QSlzer8sog0ORw81DPiKvDd-Rk6Fvp1s0bCBg
person.identifier.ciencia-id1E10-59C7-8086
person.identifier.orcid0000-0002-0012-0817
person.identifier.orcid0000-0001-7041-0994
person.identifier.orcid0000-0002-0667-7632
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication3e3194e6-1f06-46d2-9847-4ba8d5911823
relation.isAuthorOfPublicationef75372b-6b4a-40e6-a7bb-2b5073aebbeb
relation.isAuthorOfPublicatione868f804-eeba-4471-b1c6-00d7585b664a
relation.isAuthorOfPublication.latestForDiscoveryef75372b-6b4a-40e6-a7bb-2b5073aebbeb

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