The association between pediatric general emergency department visits and post operative adenotonsillectomy hospital return.

Autor: Bangiyev JN; Detroit Medical Center, Department of Otolaryngology, Head and Neck Surgery, United States; Children's Hospital of Michigan, Department of Otolaryngology, Head and Neck Surgery, United States. Electronic address: jbangiyev@gmail.com., Thottam PJ; Detroit Medical Center, Department of Otolaryngology, Head and Neck Surgery, United States; Children's Hospital of Michigan, Department of Otolaryngology, Head and Neck Surgery, United States., Christenson JR; Detroit Medical Center, Department of Otolaryngology, Head and Neck Surgery, United States; Children's Hospital of Michigan, Department of Otolaryngology, Head and Neck Surgery, United States., Metz CM; Michigan State University, College of Osteopathic Medicine, United States., Haupert MS; Detroit Medical Center, Department of Otolaryngology, Head and Neck Surgery, United States; Children's Hospital of Michigan, Department of Otolaryngology, Head and Neck Surgery, United States.
Jazyk: angličtina
Zdroj: International journal of pediatric otorhinolaryngology [Int J Pediatr Otorhinolaryngol] 2015 Feb; Vol. 79 (2), pp. 105-7. Date of Electronic Publication: 2014 Nov 27.
DOI: 10.1016/j.ijporl.2014.11.005
Abstrakt: Purpose: To define the association between pre-operative general emergency department visits, gender, and pre-operative diagnosis with post-operative emergency department return following adenotonsillectomy.
Methods: Retrospective chart review of 1468 pediatric patients who underwent adenotonsillectomy at a tertiary pediatric hospital between 2011 and 2013.
Results: There was a significant relationship between patients who visited the ED pre-operatively, 25% (N=96) returned to the ED post-procedure, compared to 10% who did not have a pre-operative ED visit. There was an overall significant relation between having a pre-operative visit (χ(2)=53.6, df=1, p<0.001), female gender (female=56.9%; male=43.1%; χ(2)=4.2, df=1, p=0.04), and having a preoperative diagnosis of recurrent strep tonsillitis (OSA and RST=18%; RST=17.5%; OSA=11.8%; χ(2)=12.8, p=0.002) and having a post-operative ED visit.
Conclusion: Generalized pre-operative visits along with gender and diagnosis of recurrent streptococcal tonsillitis were found to be positively associated with post-operative ED visits for common post-operative complaints.
(Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.)
Databáze: MEDLINE
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