Predicting complications after adenotonsillectomy in children 3 years old and younger

Gastroesophageal reflux as a predictor of complications after adenotonsillectomy in young children

“…In a recent retrospective review of 993 patients age 3 or younger who had undergone AT, we identified a number of independent variables predictive of early complications using multivariate analysis [11]. Consistent with previously published studies were the identification of prematurity and cardiovascular anomalies as predictors of early complications and also the identification of younger age (less than 3) as a predictor of airway complications.…”

“…Initially, 993 children were included in the primary analysis and their characteristics have been previously published [11]. Of this original cohort, eighty-one were found to have had a history of gastroesophageal reflux.…”

“…We recently identified gastroesophageal reflux (GER) as an independent risk factor for early complications in children 3 years old and younger [11]. GER was also significantly associated with an increased length of stay (2 days) in these children (p = 0.017).…”

“…Statistical comparison of children with GER and children without GER was performed and included in the original larger study [11], but the smaller size of the current study precluded statistical analysis at this time. Not all included children had undergone objective testing for the diagnosis of GER at our institution.…”

“…Our initial analysis using multivariate logistic regression models has previously been published [11]. Gastroesophageal reflux was identified as an independent predictor of both overall complications and prolonged length of stay (2 days).…”