Reflux as a Risk Factor for Morbidity after Pediatric Tonsillectomy: A National Cohort of Inpatients

Chorney, Stephen R.; Zur, Karen B.; Buzi, Adva

doi:10.1002/lary.28895

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…A recent cross-sectional study of the KID also cited prolonged admission length after tonsillectomy in children with a diagnosis of GERD. 43 A relationship between GERD and reactive airway disease has been historically postulated, but current evidence suggests an unclear correlation. 44,45 For patients undergoing tracheostomy, future work will be needed to determine how outcomes are affected by reflux of gastric contents.…”

Section: Discussionmentioning

confidence: 99%

“…GERD had an OR of 1.5 for developing complications in multivariable analysis, pointing to a strong association between events and this diagnosis. A recent cross‐sectional study of the KID also cited prolonged admission length after tonsillectomy in children with a diagnosis of GERD 43 . A relationship between GERD and reactive airway disease has been historically postulated, but current evidence suggests an unclear correlation 44,45 .…”

Section: Discussionmentioning

confidence: 99%

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Pediatric Tracheostomy‐Related Complications: A Cross‐sectional Analysis

Newton

Johnson

Wynings

et al. 2021

Otolaryngol.--head neck surg.

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Objective To determine the rate of tracheostomy-related complications in pediatric patients from nationally representative databases. Study Design Cross-sectional analysis. Setting 2016 Kids’ Inpatient Database and 2016 Nationwide Readmission Database. Methods All pediatric tracheostomy procedures were included. Complication type, admission outcomes, and readmission rates were recorded with a logistic regression analysis to determine patient characteristics associated with complications. Results An estimated 5309 tracheostomies were performed among pediatric patients in 2016, 8% (n = 432) of whom developed tracheostomy-related complications. This group was younger (4.7 vs 8.7 years, P < .001) and required longer hospital admissions (68.7 vs 33.2 days, P < .001) than children without tracheostomy-related complications. Mean costs ($459,324 vs $397,937, P < .001) and mean total charges ($1,573,964 vs $1,099,347, P < .001) were increased if a tracheostomy-related complication occurred. These events occurred more often in those with bronchopulmonary dysplasia (24% vs 12%, P < .001), heart disease (24% vs 12%, P = .001), gastroesophageal reflux disease (31% vs 19%, P < .001), short gestational age (24% vs 14%, P < .001), and subglottic stenosis (9.9% vs 5.4%, P = .001). The estimated 30-day readmission rate was 24% (SE, 1.7%) but did not increase after tracheostomy complications (27% vs 15%, P = .04). Tracheostomy-related complications were predicted by gastroesophageal reflux disease (odds ratio [OR], 1.50; 95% CI, 1.14-1.97; P = .004), younger age (OR, 1.12; 95% CI, 1.04-1.22; P = .002), and lengthier hospitalization (OR, 1.00; 95% CI, 1.00-1.01; P < .001) on multiple logistic regression analysis. Conclusion Tracheostomy-related complications occur in approximately 8% of pediatric patients and are higher in younger children or those with longer admission lengths. These data have implications for benchmarking standards of posttracheostomy complications across institutions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pediatric Tracheostomy‐Related Complications: A Cross‐sectional Analysis

Newton

Johnson

Wynings

et al. 2021

Otolaryngol.--head neck surg.

Self Cite

View full text Add to dashboard Cite

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Supplemental oxygen requirement after tonsillectomy in children >3 years of age

Martin,

Frank,

Nguyen

et al. 2024

International Journal of Pediatric Otorhinolaryngology

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Нарушение Вкусовой Чувствительности После Тонзиллэктомии. Обзор Литературы

Макарина-Кибак¹,

Агиевец²

2021

Оториноларингология. Восточная Европа

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Статья представляет собой литературный обзор по проблеме нарушения вкусовой чувствительности у пациентов после тонзиллэктомии. Нарушение вкуса – осложнение тонзиллэктомии, которое мало исследовано в научной литературе. Вкусовая чувствительность важна для пациентов с точки зрения качества их жизни и социальной функции. По результатам исследований доказано, что наибольшая распространенность нарушений вкуса (32%), о которых сообщали пациенты, наблюдалась через две недели после операции и 8% через 6 месяцев наблюдения. Чаще всего сообщалось о металлической и горькой парагевзии. Средние оценки вкусовых функций были значительно ниже через 2 недели после операции (P<0,001) и достигли дооперационных значений через 6 месяцев после операции. Почти 30% пациентов сообщили о послеоперационном кровотечении, 10% – длительной послеоперационной боли и 20% – ощущении инородного тела.Вкусовые функции исследовали путем проведения анкетирования, электрогустометрии и пространственного вкусового тестирования. Результаты исследований показывают, что тонзиллэктомия влечет за собой временное снижение вкусовой функции. Варианты лечения и знания о механизмах и факторах, способствующих развитию посттонзиллэктомической дисгевзии, ограничены. Нарушения вкусовой чувствительности могут возникнуть в результате прямого или косвенного интраоперационного повреждения языкоглоточного нерва, сдавления языка при наложении языкового ретрактора, что влечет за собой непреднамеренное удлинение язычного нерва, а также в результате воспалительных процессов или побочных эффектов местных анестетиков. Некоторые авторы также утверждают, что дефицит цинка в пище играет роль в развитии посттонзиллэктомической дисгевзии. Помимо этого, с использованием лабораторной базы данных были проведены международные исследования на предмет взаимосвязи между факторами риска, связанными со вкусом, и ожирением. Повышенное центральное ожирение объяснялось непосредственно наличием в анамнезе факторов риска (тонзиллэктомия, множественные ушные инфекции) и непосредственно снижением вкусовых функций (изменение вкусовой функции кончика языка, более низкая плотность сосочков). В ряде публикаций доказано, что нарушения вкуса после тонзиллэктомии встречаются достаточно редко, однако пациенты должны быть проинформированы о данном возможном осложнении. The article is a literature review on the problem of disorders of taste sensitivity in patients after tonsillectomy. Taste disorder is a complication of tonsillectomy. There are very few reports about it in literature. Taste sensitivity is important for patients in terms of their quality of life and social function. The results of researches demonstrate that the highest prevalence of self-reported taste disorders occurred in two weeks after surgery (32%) and in 6-month follow-up (8%). Metallic and bitter parageusia were most frequently reported. The average ratings of taste function were significantly lower in 2 weeks after surgery (P<0.001) and reached preoperative values in 6 months after surgery. Almost 30% of patients reported postoperative bleeding, 10% – long-lasting postoperative pain, and 20% – foreign body sensation.The taste function was studied by conducting a questionnaire, electrogustometry, and spatial taste testing. The results indicate that tonsillectomy entails a temporary reduction of taste function. The treatment options and knowledge about the mechanisms and factors that contribute to post- tonsillectomy dysgeusia are limited. Post-tonsillectomy dysgeusia may result from direct surgical injury, tongue compression, inflammatory processes, or side effects of local anesthetics. Some authors also claim that dietary zinc deficiency plays a role in the development of post-tonsillectomy dysgeusia. In addition, international researches were conducted using the laboratory database to study the relationship between the risk factors related to taste and obesity. Increased central adiposity was explained directly by the history of risk factors (tonsillectomy, multiple ear infections) and lower taste functioning (lower tongue-tip taste function, lower papillae density). Numerous publications demonstrated that post-tonsillectomy taste disorders are uncommon. However, patients should be informed of this possibility.

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Reflux as a Risk Factor for Morbidity after Pediatric Tonsillectomy: A National Cohort of Inpatients

Cited by 3 publications

References 22 publications

Pediatric Tracheostomy‐Related Complications: A Cross‐sectional Analysis

Pediatric Tracheostomy‐Related Complications: A Cross‐sectional Analysis

Supplemental oxygen requirement after tonsillectomy in children >3 years of age

Нарушение Вкусовой Чувствительности После Тонзиллэктомии. Обзор Литературы

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