- Out-Patient Tonsillectomy in Children
Out-Patient Tonsillectomy in Children
Bottom Line: Healthy children younger than 3 were more likely to have a complication after having their tonsils removed than older children.
Why The Research Is Interesting: Tonsillectomy is the second most common surgery performed for children in the United States, with more than 530,000 procedures performed each year.
Who and When: Medical record review for 1,817 children ages 3 to 6 who underwent tonsillectomy between 2005 and 2015.
What (Study Measures): Age and weight of the child at the time of tonsillectomy (exposure); complications including respiratory distress, dehydration requiring intravenous fluids and bleeding (outcomes).
How (Study Design): This was an observational study. Researchers were not intervening for purposes of the study and cannot control all the natural differences that could explain the study findings.
Authors: Claire M. Lawlor, M.D., Boston Children’s Hospital, Boston, and co-authors
Please see image here: https://8zdwfheqf626okso1umzsoo3-wpengine.netdna-ssl.com/wp-content/uploads/2018/03/03-15-OTO-tonsils-graph.png
Study Limitation: The researchers cannot account for missing data from patients with complications who did not present to the ambulatory clinics or emergency departments of the hospitals in the study.
Children younger than 3 years may benefit from 23-hour observation after tonsillectomy; clinician judgement is crucial in determining which patients are safe for outpatient tonsillectomy.
For more details and to read the full study, please visit the For The Media website.
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