Revisit Rates for Pediatric Tonsillectomy: An Analysis of Admit and Discharge Times.
Ann Otol Rhinol Laryngol
; 129(2): 110-114, 2020 Feb.
Article
em En
| MEDLINE
| ID: mdl-31526022
ABSTRACT
OBJECTIVE:
To determine the association between intraday timing of outpatient pediatric tonsillectomy and revisit outcomes and complications. STUDYDESIGN:
Cross-sectional analysis of New York databases.SETTING:
Ambulatory surgery, emergency department and inpatient hospital settings. SUBJECTS ANDMETHODS:
The State Ambulatory Surgery, State Emergency Department and State Inpatient Databases for 2010-2011 were analyzed for revisits. Outcomes assessed were revisits for any reason, bleeding, acute pain or fever, nausea, vomiting and dehydration. The relationships between the hour of admission for surgery, the hour of discharge and the revisit outcomes were analyzed.RESULTS:
The study included 33,611 children (mean age, 6.62 years; 45.7% female) and 62.0% were admitted in the early morning. Discharges were most common in the early afternoon (28.3%). Revisit rates were significantly higher for the early evening discharges (6.0%) versus late morning discharges (3.1%) (P < .001). Revisits for bleeding were 1.8% for discharge in the early evening versus 0.6% in the late morning (P < .001). Revisits for fever, nausea, vomiting or dehydration were 1.8% for discharge in the early evening versus 0.9% in the late morning (P = .002). Late afternoon admission was significantly associated with higher revisit rates (10.9%, P < .001). Bleeding revisits were highest for late afternoon admit hour (1.5%, P = .001). Revisits for acute pain were also highest for late afternoon admit hour (2.3%, P = .005).CONCLUSION:
Revisit are significantly higher when the patient is discharged late. Late afternoon surgery is also significantly associated with higher revisit rates. Surgeons may wish to consider these findings when a late tonsillectomy or late discharge is anticipated post-tonsillectomy.Palavras-chave
acute; admit; after hours; bleeding; complication; dehydration; discharge; fever; gender; hemorrhage; hour; nausea; operative; pain; pediatric; revisit; sex; surgery; time; timing; tonsillectomy; vomiting
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Alta do Paciente
/
Readmissão do Paciente
/
Complicações Pós-Operatórias
/
Tonsilectomia
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Ann Otol Rhinol Laryngol
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Estados Unidos