Most Common Otological Emergencies?
In a nationwide retrospective review from the Healthcare Cost and Utilization Project, sponsored by Agency for Healthcare Research and Quality, Mamaker (2015) reports that there were more than 388 million Emergency Department (ED) visits between 2009 and 2011. Of those, approximately 8.5 million (2.2 percent) ED visits were attributed to a primary otological issue. Of the patients seen for a primary otological complaint, roughly two-thirds were 17 years old or younger, and the majority of patients with an otological complaint were treated and released. However, older adults with Medicare were more likely to be admitted than younger people without insurance, and the mean charge for the visit was approximately $800.
The most common primary otological diagnoses (across all ages) was unspecified otitis media (OM), infected otitis external, and otalgia. The most common pediatric diagnoses were suppurative or unspecified otitis media, external ear disorders, and other ear disorders. The most common adult diagnoses were suppurative or unspecified otitis media, external ear disorders, vertiginous syndromes, and other ear disorders, and they report that for adults, the most diagnoses resulting in admission included benign paroxysmal vertigo, labyrinthitis, otitis media NOS, and vestibular neuronitis.
For More Information, References, and Recommendations
Mamaker A. (2015) Most ED Visits for Otological Complaints are Non-Emergencies. ENT Today Online. August 11.
Kozin ED, Sethi RKV, Remenschneider AK, Kaplan AB, del Portal DA, Gray, ST, Shrime MG, Lee DJ. (2015) Epidemiology of otologic diagnoses in United States emergency departments. Laryngoscope.125:1926-1933.