Abstract
(1) Review the reasons, timing, and costs for children presenting to the emergency department (ED) after adenotonsillectomy (T&A). Case series with chart review. Tertiary care children's hospital. A standardized activity-based hospital accounting system was used to identify 437 children from an academic pediatric otolaryngology practice presenting to the ED after T&A from 2009 to 2012. The reason for presentation, timing after surgery, and facility costs were recorded. The study cohort represented 13.3% of the 3198 patients who underwent T&A during that time period. Overall, 133 (4.2%) presented for dehydration, 106 (3.3%) presented for post-tonsillectomy hemorrhage, 65 (2.0%) for poorly controlled pain, 42 (1.3%) for fever, 29 (1.0%) for vomiting/nausea/GI discomfort, 22 (0.7%) for respiratory complications, and 12 (0.4%) for miscellaneous reasons related to the operation; 28 (0.8%) were unrelated to the T&A and excluded. Mean postoperative day at the time of ED presentation was 4.4 (95% CI, 4.1-4.7). The mean cost per patient presenting to the ED was $1420 (95% CI, $1104-$1737), the most costly subgroups being those presenting with respiratory complications ($2855; 95% CI, $1434-$4277), hemorrhage ($1502; 95% CI, $1216-$1787)...Continue Reading
References
Sep 1, 1996·International Journal of Pediatric Otorhinolaryngology·D Myssiorek, A Alvi
Feb 5, 2005·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J P WindfuhrS Remmert
Dec 5, 2006·Pediatrics·Krow AmpofoRajendu Srivastava
Feb 6, 2008·Journal of Immigrant and Minority Health·K C BrouwerS A Strathdee
May 25, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Thomas Q GallagherCraig S Derkay
Nov 24, 2011·The Laryngoscope·Stephanie SarnyHeinz Stammberger
Oct 3, 2012·Archives of Pediatrics & Adolescent Medicine·Ron KerenUNKNOWN Pediatric Research in Inpatient Settings (PRIS) Network
Oct 25, 2012·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Dennis R Delisle
May 15, 2013·Paediatric Anaesthesia·Dana StankoBritta S von Ungern-Sternberg
Aug 28, 2013·Pediatrics·Naomi S BardachR Adams Dudley
Jan 22, 2014·Pediatrics·Sanjay MahantUNKNOWN Pediatric Research in Inpatient Settings (PRIS) Network
Feb 5, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Sanjay MahantUNKNOWN Pediatric Research in Inpatient Settings (PRIS) Network
Feb 15, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jeremy D MeierRajendu Srivastava
Mar 8, 2014·Auris, Nasus, Larynx·Ryo IkomaNobuhiko Oridate
Jun 19, 2014·The Laryngoscope·Sophie ShayNeil Bhattacharyya
Oct 11, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Neil Bhattacharyya, Nina L Shapiro
Nov 5, 2014·The Laryngoscope·Jeremy D MeierRajendu Srivastava
Citations
Aug 8, 2015·International Journal of Pediatric Otorhinolaryngology·Melanie DuvalJeremy Meier
Apr 28, 2016·The Laryngoscope·Murali MahadevanColin Barber
Nov 23, 2016·The Laryngoscope·Sonia N YuenEelam A Adil
Sep 30, 2015·PloS One·Sarah N BiggsRosemary S C Horne
Nov 3, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Justin C SowderJeremy D Meier
Feb 2, 2017·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jason E CohnDavid Zwillenberg
Feb 28, 2017·The Journal of Laryngology and Otology·E U SakaryaC Cingi
May 10, 2017·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·I-S ChangW-C Hsu
Mar 25, 2018·The Laryngoscope·Andrew J RedmannStacey L Ishman
Jan 18, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Reema PadiaJeremy D Meier
Jul 18, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Mohammad FaramarziSareh Roosta
Jun 16, 2018·Anesthesia and Analgesia·Helen H LeeWilliam C Van Cleve
Oct 6, 2018·The Journal of Laryngology and Otology·N H DavidossP L Santa Maria
Oct 14, 2017·Current Opinion in Otolaryngology & Head and Neck Surgery·Patrick CarpenterJeremy D Meier
Aug 1, 2018·Laryngoscope Investigative Otolaryngology·Allison G OrdemannScott P Stringer
Jul 3, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Walter T LeeKris Schulz
Jun 14, 2017·BMC Health Services Research·Sue L VisscherBijan J Borah
Apr 7, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jonathan A HarounianMichele M Carr
Mar 5, 2019·Laryngoscope Investigative Otolaryngology·Kathleen R BillingsKatherine Barsness
Nov 30, 2019·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Han XiaoWeiping Wen
Oct 7, 2020·The Laryngoscope·Yusuf M AgamawiJennifer V Brinkmeier
Nov 25, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Ariana G GreenwellKevin D Pereira
Dec 16, 2020·The Annals of Otology, Rhinology, and Laryngology·Xi DaiJonathan M Walsh
Sep 4, 2020·International Journal of Pediatric Otorhinolaryngology·Chandni JainDiane Reid
Sep 7, 2020·International Journal of Pediatric Otorhinolaryngology·Cyrus C RabbaniJohn P Dahl
Jan 5, 2021·JMIR Perioperative Medicine·Nathan FariasLori Wozney
Jan 21, 2021·Medicine·Young KangHahn Jin Jung