Assessing the Quality of the Management of Tonsillitis among Australian Children: A Population-Based Sample Survey.
Otolaryngol Head Neck Surg
; 160(1): 137-144, 2019 01.
Article
em En
| MEDLINE
| ID: mdl-30149777
ABSTRACT
OBJECTIVE:
The aims of this study were twofold (1) to design and validate a set of clinical indicators of appropriate care for tonsillitis and (2) to measure the level of tonsillitis care that is in line with guideline recommendations in a sample of Australian children. STUDYDESIGN:
A set of tonsillitis care indicators was developed from available national and international guidelines and validated in 4 stages. This research used the same design as the CareTrack Kids study, which was described in detail elsewhere.SETTING:
Samples of patient records from general practices, emergency departments, and hospital admissions were assessed. SUBJECTS ANDMETHODS:
Patient records of children aged 0 to 15 years were assessed for the presence of, and adherence to, the indicators for care delivered in 2012 and 2013.RESULTS:
Eleven indicators were developed. The records of 821 children (mean age, 5.0 years; SD, 4.0) with tonsillitis were screened. The reviewers conducted 2354 eligible indicator assessments across 1127 visits. Adherence to 6 indicators could be assessed and ranged from 14.3% to 73.2% (interquartile range 31.5% to 72.2%).CONCLUSION:
Our main findings are consistent with the international literature the treatment of many children who present with confirmed or suspected tonsillitis is inconsistent with current guidelines. Future research should consider how the indicators could be applied in a structured and automated manner to increase the reliability and efficiency of record reviews and help raise clinicians' awareness of appropriate tonsillitis management.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tonsilite
/
Avaliação de Resultados em Cuidados de Saúde
/
Pesquisas sobre Atenção à Saúde
/
Fidelidade a Diretrizes
/
Indicadores de Qualidade em Assistência à Saúde
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Risk_factors_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Otolaryngol Head Neck Surg
Assunto da revista:
OTORRINOLARINGOLOGIA
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Austrália