Risk Higher in Younger Children for Tonsillectomy Complications

This article originally appeared here.
Share this content:
Risk Higher in Younger Children for Tonsillectomy Complications
Risk Higher in Younger Children for Tonsillectomy Complications

MONDAY, Feb. 29, 2016 (HealthDay News) -- Although many pediatric patients undergo tonsillectomy and adenoidectomy (T&A) in ambulatory settings, an inpatient setting may be safer for younger children who are at higher risk of complications, according to research published in online Feb. 25 in JAMA Otolaryngology-Head & Neck Surgery.

Misha Amoils, M.D., of Stanford University in California, and colleagues conducted a retrospective analysis of data for children undergoing T&A in hospitals (18,622 patients; mean age, 5.4 years) and ambulatory settings, including hospital-based facilities (HBFs) and free-standing facilities (FSFs) (96,592 patients; mean age, 7.6 years). Rates of airway, respiratory, and cardiovascular complications were measured.

The researchers found that pediatric inpatients undergoing T&A had more comorbidities (≤8) than those in HBFs (≤4) or FSFs (≤3). Complication rates were two to five times higher in pediatric inpatients (1 to 12 percent) than in patients in HBFs (0.2 to 5 percent), and more than 10 times higher than in patients in FSFs (0 to 0.38 percent). Higher rates of airway and respiratory complications were observed among inpatients aged 0 to 9 years, particularly for airway complications in children aged 0 to 11 months (odds ratio, 7.5; 95 percent confidence interval, 3.1 to 18.2).

"Large numbers of pediatric patients undergo T&A in ambulatory settings despite higher rates of complications in younger patients and patients with more comorbidities," the authors write. "Fortunately, a high percentage of these patients has been appropriately triaged to the inpatient setting."

Abstract
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease


More in Home

Dermatography Helps Lessen Appearance of Surgical Scars

Dermatography Helps Lessen Appearance of Surgical Scars

Pigments can restore more natural skin appearance that patients are happy with

Drug-Resistant Bacteria Live in America's Water Systems

Drug-Resistant Bacteria Live in America's Water Systems

Bacteria found in plumbing may sicken thousands each year

Deep Brain Stimulation May Improve TBI Symptoms

Deep Brain Stimulation May Improve TBI Symptoms

Deep brain stimulation appears to boost function and quality of life

is free, fast, and customized just for you!

Already a member?

Sign In Now »