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Observational Study
. 2023 Jan;280(1):461-467.
doi: 10.1007/s00405-022-07641-y. Epub 2022 Sep 12.

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

Clara Serdoura Alves  1 , Mariline Santos  2 , Afonso Castro  2 , João Lino  2 , Susana Vaz Freitas  2   3   4 , Cecília Almeida E Sousa  2 , Álvaro Moreira da Silva  2
Affiliations
Observational Study

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

Clara Serdoura Alves et al. Eur Arch Otorhinolaryngol. 2023 Jan.

Abstract

Purpose: 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.

Keywords: Aging; Elderly; Geriatric otorhinolaryngology; Hearing loss.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

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