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10.1002/lary.29838 http://scihub22266oqcxt.onion/10.1002/lary.29838 34403152!8441886!34403152     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\34403152.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Laryngoscope 2022 ; 132 (4): 831-837 Nephropedia Template TP {{tp|p=34403152|t=2022. Utility of Telemedicine for Diagnosis and Management of Laryngology-Related Complaints during COVID-19 |pdf=|usr=}}{{34403152}} gab.com Text Utility of Telemedicine for Diagnosis and Management of Laryngology-Related Complaints during COVID-19 JO: Laryngoscope http://www.kidney.de/pget.php?&tw=1&pmid=34403152 #FOAvip OBJECTIVES/HYPOTHESIS: To investigate the concordance in diagnosis and management between initial telemedicine visits and subsequent in-person visits with laryngoscopy for laryngology-related complaints during COVID-19. STUDY DESIGN: Retrospective cohort study. METHODS: Patients who presented to a tertiary care center with laryngology-related complaints (voice, swallowing, airway, general throat complaints and others) and completed initial telemedicine visits and subsequent in-person visits with laryngoscopy between March and October 2020 were included (n = 250). Preliminary diagnoses and managements provided during initial telemedicine visits were compared with the diagnoses and managements during subsequent in-person visits with laryngoscopy. Multivariable logistic regression analysis was performed to compare concordance rates in diagnosis and management by chief complaint categories after adjusting for relevant demographic and clinical factors. RESULTS: Overall concordance rates in diagnosis and management between the initial telemedicine visit and subsequent laryngoscopy exam were 86.1% and 93.7%, respectively. Mean (standard deviation) days until laryngoscopy from the initial visit were 21.2 (23.0). Concordance rates were not associated with patient's age, gender, preferred language, provider, telemedicine visit duration, or days until laryngoscopy. Management concordance rate was relatively lower among patients with general throat complaints in comparison with voice-related complaints (odds ratio: 0.27; 95% confidence interval: 0.08-0.90). Management changes after laryngoscopy included need for further imaging, procedures, voice therapy, and referral to other specialists. CONCLUSION: Concordance rates in diagnosis and management remained high between the initial telemedicine visit and subsequent in-person visit with laryngoscopy for new patients presenting with laryngology-related complaints during the COVID-19 pandemic. While laryngoscopy is still essential to confirm diagnosis and provide appropriate management, telemedicine may be a feasible alternative to provide suitable empiric therapy until laryngoscopy can be safely performed. LEVEL OF EVIDENCE: 4 Laryngoscope, 132:831-837, 2022. Twit Text FOAVip Utility of Telemedicine for Diagnosis and Management of Laryngology-Related Complaints during COVID-19 ????Laryngoscope http://www.kidney.de/pget.php?&tw=1&pmid=34403152 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34403152 #FOAvip English Wikipedia <ref>{{Cite pmid|34403152}}</ref> Utility of Telemedicine for Diagnosis and Management of Laryngology-Related Complaints during COVID-19 #MMPMID34403152 Choi JS; Yin V; Wu F; Bhatt NK; O'Dell K; Johns M 3rd Laryngoscope 2022[Apr]; 132 (4): 831-837 PMID34403152show ga OBJECTIVES/HYPOTHESIS: To investigate the concordance in diagnosis and management between initial telemedicine visits and subsequent in-person visits with laryngoscopy for laryngology-related complaints during COVID-19. STUDY DESIGN: Retrospective cohort study. METHODS: Patients who presented to a tertiary care center with laryngology-related complaints (voice, swallowing, airway, general throat complaints and others) and completed initial telemedicine visits and subsequent in-person visits with laryngoscopy between March and October 2020 were included (n = 250). Preliminary diagnoses and managements provided during initial telemedicine visits were compared with the diagnoses and managements during subsequent in-person visits with laryngoscopy. Multivariable logistic regression analysis was performed to compare concordance rates in diagnosis and management by chief complaint categories after adjusting for relevant demographic and clinical factors. RESULTS: Overall concordance rates in diagnosis and management between the initial telemedicine visit and subsequent laryngoscopy exam were 86.1% and 93.7%, respectively. Mean (standard deviation) days until laryngoscopy from the initial visit were 21.2 (23.0). Concordance rates were not associated with patient's age, gender, preferred language, provider, telemedicine visit duration, or days until laryngoscopy. Management concordance rate was relatively lower among patients with general throat complaints in comparison with voice-related complaints (odds ratio: 0.27; 95% confidence interval: 0.08-0.90). Management changes after laryngoscopy included need for further imaging, procedures, voice therapy, and referral to other specialists. CONCLUSION: Concordance rates in diagnosis and management remained high between the initial telemedicine visit and subsequent in-person visit with laryngoscopy for new patients presenting with laryngology-related complaints during the COVID-19 pandemic. While laryngoscopy is still essential to confirm diagnosis and provide appropriate management, telemedicine may be a feasible alternative to provide suitable empiric therapy until laryngoscopy can be safely performed. LEVEL OF EVIDENCE: 4 Laryngoscope, 132:831-837, 2022. |*COVID-19/diagnosis[MESH] |*Otolaryngology[MESH] |*Telemedicine[MESH] |Humans[MESH] |Pandemics[MESH] |Retrospective Studies[MESH]Utility of Telemedicine for Diagnosis and Management of Laryngology-Re(epmc).pdf DeepDyve Pubget Overpricing