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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.
Clinical Otolaryngology and Allied Sciences
|April 12, 2001
Summary
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.