PMID- 37970769 OWN - NLM STAT- MEDLINE DCOM- 20231117 LR - 20231117 IS - 0042-4668 (Print) IS - 0042-4668 (Linking) VI - 88 IP - 5 DP - 2023 TI - [Dynamic indicators of the use of puncture method for the treatment of acute maxillary sinusitis in healthcare institutions of the city of Moscow]. PG - 41-48 LID - 10.17116/otorino20238805141 [doi] AB - According to the statistical forms medical and preventive treatment centres (MPTC), the analysis of dynamic indicators of the treatment of patients with acute sinusitis (AS) in outpatient polyclinic centers (OPC) and ENT hospitals in Moscow for the period from 2017 to 2021 was carried out. The total number of visits to an otorhinolaryngologist in the OPC in Moscow for 2017-2021 amounted to 6 834 952 patients, including 245 172 patients with AS (3.6%).The total number of hospitalizations in the departments of otorhinolaryngology for the same period amounted to 184 735 patients, including 12 906 patients with AS (7%).The number of patients with AS who was consulted by an otorhinolaryngologist from 2017 to 2021 decreased by 18.2%, which can be explained by a change in the routing of patients with mild form of AS to general practitioners. An analysis of the dynamic indicators of maxillary sinus punctures carried out in the medical and preventive treatment centres (MPTC) in Moscow during the period from 2017 to 2021 showed that there was a redistribution of this manipulation from ENT hospitals to the OPC. At the same time, the proportion of patients requiring puncture treatment in the OPC for 2017-2019 was stable and amounted to 9.3%. However, since 2020, there has been an increase in this indicator by more than 2 times (21.7%), which probably indicates an increase in the treatment of patients with moderate forms of AS in the OPC. The frequency of maxillary sinus punctures that were performed in ENT hospitals in 2017-2019 amounted to 83.5%, in 2020-2021 decreased to 63.4%. The average number of maxillary sinus punctures per patient in ENT hospitals from 2017 to 2019 was 13.3. Since 2020, this value has decreased by about 2 times and has become equal to 8.5. The decrease in the number of maxillary sinus punctures that were performed in ENT hospitals is probably due to the fact that patients with severe and complicated forms of acute sinusitis hospitalized from 2020 to 2021 required more radical surgical treatment. FAU - Kryukov, A I AU - Kryukov AI AUID- ORCID: 0000-0002-0149-0676 AD - Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia. AD - Pirogov Russian National Research Medical University, Moscow, Russia. FAU - Tovmasyan, A S AU - Tovmasyan AS AUID- ORCID: 0000-0002-1214-4939 AD - Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia. FAU - Timofeeva, M G AU - Timofeeva MG AUID- ORCID: 0000-0003-0352-6385 AD - Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia. FAU - Artemyeva-Karelova, A V AU - Artemyeva-Karelova AV AUID- ORCID: 0000-0002-8264-7232 AD - Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia. FAU - Bolgar, A Ya AU - Bolgar AY AUID- ORCID: 0000-0003-2444-2973 AD - Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia. FAU - Kishinevskii, A E AU - Kishinevskii AE AUID- ORCID: 0000-0002-6700-3308 AD - Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia. LA - rus PT - English Abstract PT - Journal Article TT - Dinamicheskie pokazateli primeneniya punktsionnogo metoda lecheniya ostrogo verkhnechelyustnogo sinusita v uchrezhdeniyakh zdravookhraneniya goroda Moskvy. PL - Russia (Federation) TA - Vestn Otorinolaringol JT - Vestnik otorinolaringologii JID - 0416577 SB - IM MH - Humans MH - *Maxillary Sinusitis/diagnosis/epidemiology/therapy MH - Moscow/epidemiology MH - Maxillary Sinus/surgery MH - *Sinusitis/surgery MH - Punctures/adverse effects MH - Delivery of Health Care OTO - NOTNLM OT - acute sinusitis OT - maxillary sinus puncture EDAT- 2023/11/16 06:44 MHDA- 2023/11/17 15:32 CRDT- 2023/11/16 05:54 PHST- 2023/11/17 15:32 [medline] PHST- 2023/11/16 06:44 [pubmed] PHST- 2023/11/16 05:54 [entrez] AID - 10.17116/otorino20238805141 [doi] PST - ppublish SO - Vestn Otorinolaringol. 2023;88(5):41-48. doi: 10.17116/otorino20238805141.