Surgical emergencies in ENT: Observational Descriptive Study of the Experience of a Tertiary Hospital

• Autor(a) principal: Gomes, Pedro
• Data de Publicação: 2022
• Outros Autores: Barreto, Joana, Azevedo, Paula, Duarte, Delfim
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.34631/sporl.1058
• topic: Urgências cirúrgicas; Otorrinolaringologia; Emergency treatment/surgery; Otolaryngology

Objective: To characterize the ENT (Ear, Nose and Throat) surgical emergencies in the Emergency Department of Hospital Pedro Hispano, between 2010 and 2020. Material and methods: Data was provided by the Statistics Service of the Hospital Pedro Hispano. Patients who underwent surgery during the emergency period were included. The variables evaluated included age, sex, origin, reason for surgical admission and surgical procedure. Results: There were 423 surgical emergencies, with a predominance of males (64.3%). Most patients (71.2%) were treated in the context of an emergency episode. The most frequent admission diagnosis were abscesses (21.7%), oncologic complications (18.9%) and postoperative hemorrhages (15.6%). The most performed surgical procedures were tracheostomy (38.6%), abscess drainage (18.1%) and bleeding control after surgery/biopsy (14.8%). Conclusion: The ENT emergency department at Pedro Hispano Hospital has an important surgical component, with surgical tracheostomy and drainage of abscesses being the most frequent procedures. The importance of revealing the data of other services is highlighted, as well as the development of coding systems more suitable for the clinical activity.