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Patient eligibility for day case paediatric adenotonsillectomy
A Kishore1, A M Haider-Ali, N K Geddes
1Department of Paediatric Otolaryngology, Royal Hospital for Sick Children, Glasgow, UK.
Insights
Many centers perform adenoidectomy and tonsillectomy as day surgery. However, a study found only 27% of patients were eligible, highlighting regional variations in day surgery suitability.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Health Services Research
Background:
- Increasing pressure for day case surgery in health services.
- Adenoidectomy and tonsillectomy are frequently performed as day procedures.
- Literature suggests safety is dependent on favorable patient characteristics.
Purpose of the Study:
- To assess the eligibility of pediatric patients for day surgery.
- To evaluate patient and parental preferences for day case adenotonsillectomy.
- To identify regional variations in suitability for day surgery.
Main Methods:
- Prospective study of 100 consecutive patients undergoing adenoidectomy or adenotonsillectomy.
- Assessment of medical and social history based on established guidelines.
- Evaluation of patient eligibility and parental preference for day surgery.
Main Results:
- Only 27% of the studied patient cohort met eligibility criteria for day surgery.
- A minority of parents (17%) preferred the day case option for their children.
- Significant differences were observed compared to previously reported patient populations.
Conclusions:
- Patient population characteristics in this region differ from those in prior studies.
- Regional variations impact the safe expansion of day surgical procedures.
- Further research is needed to understand and address these discrepancies.
Abstract:
There is a growing trend towards day case surgery and departments are constantly under pressure from Health Trusts to perform more day case procedures. Adenoidectomy and tonsillectomy are being performed as day case procedures in many centres and literature has suggested that it is safe to do so, provided the population characteristics are favourable. A prospective study of 100 consecutive patients presenting to our department for tonsillectomy or adenotonsillectomy was undertaken to assess the eligibility of our patient group for day surgery. Medical and social history was obtained as per recommended guidelines. Only 27% of our patients were eligible for day surgery and only 17% of parents preferred the option of day case adenotonsillectomy. There is a marked difference between our group and those previously reported in the literature. This regional variation has implications in the safe expansion of day surgical procedures.