Follow-up care after grommet insertion in children: Review article
| Autor: | Vijay Thirunavukarasu, Adnan Darr, Mudit Jindal, Zahir Mughal |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
MEDLINE Aftercare Audiologist Audit 03 medical and health sciences 0302 clinical medicine medicine Humans 030223 otorhinolaryngology Grommet Intensive care medicine Child Disadvantage business.industry Otitis Media with Effusion Workload General Medicine medicine.disease Middle Ear Ventilation Review article Otorhinolaryngology 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Medical emergency business |
| Zdroj: | International journal of pediatric otorhinolaryngology. 88 |
| ISSN: | 1872-8464 |
| Popis: | Background Grommet insertion is a common procedure in children. A lengthy otolaryngology follow-up can have an adverse impact on clinic waiting times, new patient appointment availability, and pecuniary disadvantage for the hospital. Objective of review To consolidate research and opinion concerning follow-up care following grommet insertion in a pediatric population. Search strategy The literature between January 1990 and September 2015 was searched on MEDLINE (Ovid), Google Scholar, PubMed and Web of Science databases. Results Guidelines and consensus of opinion from the United States advocate that an initial post-operative review should take place within 4 weeks, and subsequent appointments every 6 months until grommet extrusion. Recent audit reports from the United Kingdom have shown that some groups arrange their first post-operative review at 3 months, and subsequent appointments vary considerably from no further follow-up to up to 24 months. Up to 75% of follow-up appointments were scheduled despite normal audiometry and clinical findings after grommet insertion, suggesting a large cohort of patients may undergo unnecessary specialist clinic reviews. General practioners (GP), audiologists or specialist nurses are potential alternative providers of regular reviews to ensure normal hearing thresholds and an adequate tympanic membrane healing course. Conclusion Follow-up schedules are largely driven by consensus of opinion. A significant number of follow-up appointments in otolaryngology clinic appear to be redundant. Recently attention has been drawn to earlier discharge from otolaryngology clinic with subsequent follow-up in less resource and cost intensive clinics coordinated by GPs, audiologist or nurses, which may help alleviate some outpatient workload on acute hospital trusts. |
| Databáze: | OpenAIRE |
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