The starship children's hospital tonsillectomy: A further 10 years of experience
2016; Wiley; Volume: 126; Issue: 12 Linguagem: Inglês
10.1002/lary.26041
ISSN1531-4995
AutoresMurali Mahadevan, Graeme van der Meer, Maayan Gruber, Peter Reed, Conor Jackson, Colin Brown, Nikki Mills, Lesley Salkeld, Michel Neeff, Jan Evans, Brian J. Anderson, Colin Barber,
Tópico(s)Dysphagia Assessment and Management
ResumoObjectives/Hypothesis Tonsillectomy as a day‐stay procedure remains controversial, although it is an established procedure in New Zealand. We reviewed our last 10 years' experience. Methods A prospective audit was used to determine unplanned conversion from day‐stay to overnight hospital admission rates and the incidence of postoperative complications. Results There were 5,400 tonsillectomies performed over the 10‐year study period (January 2004–January 2015); 71% as outpatients. The unplanned conversion rate to overnight stay was 0.4%. The median age of day‐stay patients was 6.5 years (range 13 months–15 years) compared with those admitted for overnight stay (5 years; range 8 months–15 years). The primary postoperative bleed rate was 0.5% (confidence interval [CI] 0.3%–0.7%), and the combined primary and secondary posttonsillectomy bleed rate was 4.3% (CI 3.8%–5.0%). The rate of patients returning with postoperative complications within 1 month of surgery was 6.3% (CI 5.6%–7.0%). Conclusion Day‐stay tonsillectomy in the pediatric population is safe when performed using the described guidelines in a facility with appropriate resources. Level of Evidence 4. Laryngoscope , 126:E416–E420, 2016
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