The starship children's hospital tonsillectomy: A further 10 years of experience

Murali Mahadevan, Graeme van der Meer, Maayan Gruber, Peter Reed, Conor Jackson, Colin Brown, Nikki Mills, Lesley J. Salkeld, Michel Neeff, Jan Evans, Brian Anderson, Colin Barber

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Objectives/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.

Original languageEnglish
Pages (from-to)E416-E420
JournalLaryngoscope
Volume126
Issue number12
DOIs
StatePublished - 1 Dec 2016
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2016 The American Laryngological, Rhinological and Otological Society, Inc.

Keywords

  • Tonsillectomy
  • day stay surgery
  • hemorrhage

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