2014
DOI: 10.1177/0194599814541627a225
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Causes and Costs for ED Visits after Pediatric Adenotonsillectomy

Abstract: Objectives: (1) Describe the clinical presentation, management, and complications associated with button battery impaction in the aerodigestive tract in children.(2) Evaluate the long-term morbidity associated with button battery impaction.Methods: This study is a retrospective medical record review involving 23 consecutive patients who presented to a tertiary care childrens hospital between January 1, 2000, and July 31, 2013, with button batteries impacted in the nasal cavity (n = 7), esophagus (n = 9), and s… Show more

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Cited by 16 publications
(31 citation statements)
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“…The revisit rate for PONV was 0.5%, which is less than reported in other ambulatory surgical centers (2.2% and 1%). We acknowledge, however, that our rate of PONV may be an underestimate if patients presented to their general practitioners with nausea and vomiting instead of returning to the tertiary hospital.…”
Section: Discussioncontrasting
confidence: 59%
See 1 more Smart Citation
“…The revisit rate for PONV was 0.5%, which is less than reported in other ambulatory surgical centers (2.2% and 1%). We acknowledge, however, that our rate of PONV may be an underestimate if patients presented to their general practitioners with nausea and vomiting instead of returning to the tertiary hospital.…”
Section: Discussioncontrasting
confidence: 59%
“…A French pediatric outpatient tonsillectomy series reported a primary bleed rate of 1.4% . American data report a combined bleed rate of 3.3% . In day‐stay patients 14 of 18 primary bleeds, both minor and major, occurred outside the standard 4‐hour observation window (0.4% of all day‐stay patients).…”
Section: Discussionmentioning
confidence: 99%
“…However, these benefits must be weighed against the risks of combining surgical procedures. Revisit rates following tonsillectomy are already known to be relatively high and range from 5% to 15% in the literature . Following pediatric T&A, pain and resultant dehydration can be a significant issue for patients and caregivers.…”
Section: Discussionmentioning
confidence: 99%
“…Since the genesis of the tonsillectomy procedure in the first millennia BC, there have been significant advances in surgical technique, but in the last 50 years postoperative care has remained relatively unchanged, with a primary emphasis on avoiding post‐tonsillectomy hemorrhage and controlling pain . The rate of primary hemorrhage in pediatric tonsillectomy patients has been reported to be between 1.1% and 3.4%, whereas hemorrhage that required treatment in the operating room is reported to be between 0.5% and 2.1%, and emergency department (ED) visits for either pain or dehydration have been reported to be between 7.6% and 13.3% . The costs of patient visits to the ED in these cases range from $1,104 to $1,737, and when averaged over all children undergoing adenotonsillectomy (including those who did visit the ED) adds, on average, $189 to each patient's care .…”
Section: Introductionmentioning
confidence: 99%
“…The rate of primary hemorrhage in pediatric tonsillectomy patients has been reported to be between 1.1% and 3.4%, whereas hemorrhage that required treatment in the operating room is reported to be between 0.5% and 2.1%, and emergency department (ED) visits for either pain or dehydration have been reported to be between 7.6% and 13.3% . The costs of patient visits to the ED in these cases range from $1,104 to $1,737, and when averaged over all children undergoing adenotonsillectomy (including those who did visit the ED) adds, on average, $189 to each patient's care . In light of this, there is a significant opportunity to optimize outcomes after tonsillectomy and reduce complications by maximizing safe pain control in a way that limits readmission or the need for clarifying phone calls to the physicians office after surgery.…”
Section: Introductionmentioning
confidence: 99%