Publication Name	World Journal of Methodology
Manuscript ID	86460
Country	Germany

Received	2023-06-26 07:09
Peer-Review Started	2023-06-26 07:12
To Make the First Decision
Return for Revision	2023-08-24 07:53
Revised	2023-08-30 19:15
Second Decision	2023-09-20 02:59
Accepted by Journal Editor-in-Chief	2023-09-20 04:05
Accepted by Company Editor-in-Chief	2023-09-28 05:59
Articles in Press	2023-09-28 05:59
Publication Fee Transferred
Edit the Manuscript by Language Editor	2023-09-15 02:38
Typeset the Manuscript	2023-12-13 07:45
Publish the Manuscript Online	2023-12-20 14:52

ISSN	2222-0682 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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Category	Otorhinolaryngology
Manuscript Type	Retrospective Study
Article Title	Impact of COVID-19 lockdown on hospital admissions for epistaxis in Germany
Manuscript Source	Unsolicited Manuscript
All Author List	Adrian Hoenle, Martin Wagner, Stephan Lorenz and Helmut Steinhart
Funding Agency and Grant Number
Corresponding Author	Adrian Hoenle, BSc, MD, Doctor, Surgeon, Department of Ear, Nose and Throat, Head and Neck Surgery, Marienhospital Stuttgart, Boeheimstrasse 37, 70199 Stuttgart, Stuttgart 70199, Germany. adrian.hoenle@gmx.net
Key Words	COVID-19; Epistaxis; Lockdown; Pandemic; Emergency medicine; Otolaryngology
Core Tip	The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on healthcare systems worldwide. In an effort to reduce the spread of the virus, many countries have implemented lockdown measures that restrict movement and social interaction. While these measures have been effective in reducing the transmission of COVID-19, they have also had unintended consequences on healthcare delivery and hospital admissions. Several studies have reported a decrease in hospital admissions during the COVID-19 lockdown period. We showed that the pandemic-induced lockdown resulted in a direct decrease in hospitalizations especially for young patients with epistaxis and an immediate increase in hospitalizations with its end. This might be caused by fear of exposure to COVID-19, unintended consequences of public health recommendations to minimize non-urgent healthcare, or stay at home orders. These findings match with results from previous studies. Conversely, these measures did not lead to any change in older patients, which suggests that at least in this age group, the symptoms of epistaxis should not be underestimated, even with regard to a possible exposure to the coronavirus.
Publish Date	2023-12-20 14:52
Citation	Hoenle A, Wagner M, Lorenz S, Steinhart H. Impact of COVID-19 lockdown on hospital admissions for epistaxis in Germany. World J Methodol 2023; 13(5): 446-455
URL	https://www.wjgnet.com/2222-0682/full/v13/i5/446.htm
DOI	https://dx.doi.org/10.5662/wjm.v13.i5.446

Full Article (PDF)	WJM-13-446-with-cover.pdf
Full Article (Word)	WJM-13-446.docx
Manuscript File	86460_Auto_Edited-LJH_WangTQ-JLW.docx
Answering Reviewers	86460-Answering reviewers.pdf
Audio Core Tip	86460-Audio core tip.aac
Biostatistics Review Certificate	86460-Biostatistics statement.pdf
Conflict-of-Interest Disclosure Form	86460-Conflict-of-interest statement.pdf
Copyright License Agreement	86460-Copyright license agreement.pdf
Signed Informed Consent Form(s) or Document(s)	86460-Informed consent statement.pdf
Institutional Review Board Approval Form or Document	86460-Institutional review board statement.pdf
Non-Native Speakers of English Editing Certificate	86460-Language certificate.pdf
Peer-review Report	86460-Peer-review(s).pdf
Journal Editor-in-Chief Review Report	86460-Journal editor-in-chief review report.pdf
Scientific Misconduct Check	86460-Bing-Liu JH-2.png
Scientific Misconduct Check	86460-CrossCheck.png
Scientific Editor Work List	86460-Scientific editor work list.pdf