Failures in outpatient tonsillectomy policy in children: a retrospective study in 311 children

Truy, Éric; Merad, Fadhila; Robin, P. E.; Fantino, Bruno; Morgon, A

doi:10.1016/0165-5876(94)90106-6

Cited by 24 publications

(14 citation statements)

References 11 publications

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“…[18][19][20][21][22][23] Internationally, individual unit studies from the US, France and New Zealand have reported patient eligibility rates of 80 per cent, 86 per cent and 93 per cent respectively. [24][25][26] When examining how many children are eligible for day-case tonsillectomy, it is important to determine the grounds on which they might fail to be eligible. Overall ineligibility on social grounds appears to be more common in the UK, with rates ranging between 24 and 82 per cent, compared with ineligibility on medical grounds, which ranges between 8 and 40 per cent.…”

Section: Discussionmentioning

confidence: 99%

Day-case tonsillectomy for children in Glasgow: the impact of changing indications and deprivation

Clement

2013

J. Laryngol. Otol.

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Eligibility for tonsillectomy with same day discharge has increased. This appears to be related to an increase in the number of children who are able to fulfil the social criteria for same day discharge. The results indicate an association between deprivation and tonsillectomy, particularly surgery carried out for the symptoms of sleep-related breathing disorders or obstructive sleep apnoea hypopnoea syndrome. There has been a significant increase in the percentage of children undergoing tonsillectomy for the indication of sleep-related breathing disorders or obstructive sleep apnoea hypopnoea syndrome.

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Section: Discussionmentioning

confidence: 99%

Day-case tonsillectomy for children in Glasgow: the impact of changing indications and deprivation

Clement

2013

J. Laryngol. Otol.

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“…Other complications as well as primary haemorrhage also occur such as postoperative emesis, pain, poor oral intake, pyrexia and drowsiness. Some papers quote as many as 30% requiring overnight stay for these problems 5 although in larger studies the figure is 15% or lower 6,7 …”

Section: Discussionmentioning

confidence: 99%

Meta‐analysis of the timing of haemorrhage after tonsillectomy: an important factor in determining the safety of performing tonsillectomy as a day case procedure

Bennett

Clark

Bath

et al. 2005

Clinical Otolaryngology

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“…In addition, there have many advantages of day care tonsillectomy been described in the literature. Like it is convenient to the family, cost effective and being used increasingly to improve healthcare effi ciency [1,8,24,27]. It is also well accepted by the patients, surgeons and other health care providers [20].…”

Section: Discussionmentioning

confidence: 99%

“…Their decision is based on the fact that the time of bleeding in majority of the cases was either within 6 hours [4-7, 11, 14, 18, 23-24, 26-29] or after 12 hours after surgery [1-2, 4, 7, 11, 27]. In addition, day care tonsillectomy is convenient to the family; it's cost effective and being used increasingly to improve healthcare effi ciency [1,8,24,27]. It is well accepted by the patients, surgeons and other health care providers [20].…”

Section: Introductionmentioning

confidence: 99%

Adult tonsillectomy and day care surgery

Verma

Nabhani

Al-Khabori

2007

Indian J Otolaryngol Head Neck S

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Objective To evaluate the safety of adult tonsillectomy as a day care surgery Methods Records of 664 patients above the age of 12 years, who underwent tonsillectomy were analysed. These patients were operated in our department within January 1999 and September 2002. Only 13 patients (1.95%) had post operative bleeding and were readmitted after discharge. The data of these patients were collected from medical records as well from the morbidity meeting proceedings and was reviewed retrospectively. Statistical analysis was done by using 'one sample t-test'.Results Overall incidence of post operative bleeding was 1.95%. None of our pateients bled with 12 hours of Surgery, 0.3 % had bleeding between 12 to 24 hours after tonsillectomy and 1.65% encountered bleeding between 24 hours to the 6th post operative day. Bleeding was not major in majority of patients as only 0.45% of the patients required second anesthesia to control the bleeding and only 0.35% of patients required blood transfusion to replace the lost blood volume. In addition, higher incidence of bleeding was seen in males, in the older age group of 31-40 years, patients with obstructive sleep aponea and in patients where tonsillectomy was done by electrocautry dissection. ConclusionBased on these observations, we conclude that Adult tonsillectomy can be safely preformed in our setup. Keyword Post operative bleedings One sample ttest Blood transfusion Tonsillectomy

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Failures in outpatient tonsillectomy policy in children: a retrospective study in 311 children

Cited by 24 publications

References 11 publications

Day-case tonsillectomy for children in Glasgow: the impact of changing indications and deprivation

Day-case tonsillectomy for children in Glasgow: the impact of changing indications and deprivation

Meta‐analysis of the timing of haemorrhage after tonsillectomy: an important factor in determining the safety of performing tonsillectomy as a day case procedure

Adult tonsillectomy and day care surgery

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