COVID-19 survivorship: How otolaryngologist-head and neck surgeons can restore quality of life after critical illness

Vinciya Pandian; Martin B. Brodsky; Emily P. Brigham; Ann M. Parker; Alexander T. Hillel; Joshua M. Levy; Christopher H. Rassekh; Anil K. Lalwani; Dale M. Needham; Michael J. Brenner

doi:10.1016/j.amjoto.2021.102917

COVID-19 survivorship: How otolaryngologist-head and neck surgeons can restore quality of life after critical illness

Vinciya Pandian, Martin B. Brodsky, Emily P. Brigham, Ann M. Parker, Alexander T. Hillel, Joshua M. Levy, Christopher H. Rassekh, Anil K. Lalwani, Dale M. Needham, Michael J. Brenner

Research output: Contribution to journal › Article › peer-review

Abstract

Mortality from COVID-19 has obscured a subtler crisis – the swelling ranks of COVID-19 survivors. After critical illness, patients often suffer post-intensive care syndrome (PICS), which encompasses physical, cognitive, and/or mental health impairments that are often long-lasting barriers to resuming a meaningful life. Some deficits after COVID-19 critical illness will require otolaryngologic expertise for years after hospital discharge. There are roles for all subspecialties in preventing, diagnosing, or treating sequelae of COVID-19. Otolaryngologist leadership in multidisciplinary efforts ensures coordinated care. Timely tracheostomy, when indicated, may shorten the course of intensive care unit stay and thereby potentially reduce the impairments associated with PICS. Otolaryngologists can provide expertise in olfactory disorders; thrombotic sequelae of hearing loss and vertigo; and laryngotracheal injuries that impair speech, voice, swallowing, communication, and breathing. In the aftermath of severe COVID-19, otolaryngologists are poised to lead efforts in early identification and intervention for impairments affecting patients' quality of life.

Original language	English (US)
Article number	102917
Journal	American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume	42
Issue number	3
DOIs	https://doi.org/10.1016/j.amjoto.2021.102917
State	Published - May 1 2021

Keywords

COVID-19
Critical care
Dizziness
Gustatory
Head and neck cancer
Hearing loss
Iatrogenic injury
Intensive care unit
Laryngotracheal injury, Subglottic stenosis, Tracheal stenosis
Olfactory
Pandemic
Patient safety and quality improvement
Quality of life
SARS-CoV-2, coronavirus
Smell
Speech
Swallowing
Taste
Tracheocutaneous fistula
Tracheostomy
Tracheotomy
Ventilator

ASJC Scopus subject areas

Otorhinolaryngology

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10.1016/j.amjoto.2021.102917

Cite this

Pandian, V., Brodsky, M. B., Brigham, E. P., Parker, A. M., Hillel, A. T., Levy, J. M., Rassekh, C. H., Lalwani, A. K., Needham, D. M., & Brenner, M. J. (2021). COVID-19 survivorship: How otolaryngologist-head and neck surgeons can restore quality of life after critical illness. American Journal of Otolaryngology - Head and Neck Medicine and Surgery, 42(3), Article 102917. https://doi.org/10.1016/j.amjoto.2021.102917

Pandian, V, Brodsky, MB, Brigham, EP, Parker, AM , Hillel, AT, Levy, JM, Rassekh, CH, Lalwani, AK, Needham, DM & Brenner, MJ 2021, 'COVID-19 survivorship: How otolaryngologist-head and neck surgeons can restore quality of life after critical illness', American Journal of Otolaryngology - Head and Neck Medicine and Surgery, vol. 42, no. 3, 102917. https://doi.org/10.1016/j.amjoto.2021.102917

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abstract = "Mortality from COVID-19 has obscured a subtler crisis – the swelling ranks of COVID-19 survivors. After critical illness, patients often suffer post-intensive care syndrome (PICS), which encompasses physical, cognitive, and/or mental health impairments that are often long-lasting barriers to resuming a meaningful life. Some deficits after COVID-19 critical illness will require otolaryngologic expertise for years after hospital discharge. There are roles for all subspecialties in preventing, diagnosing, or treating sequelae of COVID-19. Otolaryngologist leadership in multidisciplinary efforts ensures coordinated care. Timely tracheostomy, when indicated, may shorten the course of intensive care unit stay and thereby potentially reduce the impairments associated with PICS. Otolaryngologists can provide expertise in olfactory disorders; thrombotic sequelae of hearing loss and vertigo; and laryngotracheal injuries that impair speech, voice, swallowing, communication, and breathing. In the aftermath of severe COVID-19, otolaryngologists are poised to lead efforts in early identification and intervention for impairments affecting patients' quality of life.",

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AU - Levy, Joshua M.

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COVID-19 survivorship: How otolaryngologist-head and neck surgeons can restore quality of life after critical illness

Abstract

Keywords

ASJC Scopus subject areas

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