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Associations between socioeconomic status and race with complications after tonsillectomy in children

Neil Bhattacharyya1, Nina L Shapiro2

  • 1Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, USA neiloy@massmed.org.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|October 11, 2014
PubMed

Insights

Socioeconomic factors significantly impact pediatric tonsillectomy outcomes. Lower income is linked to higher complication and revisit rates, highlighting disparities in pediatric surgical care.

Area of Science:

  • Pediatric Otolaryngology
  • Health Services Research
  • Health Disparities

Background:

  • Tonsillectomy is a common pediatric surgical procedure.
  • Understanding post-operative outcomes and potential disparities is crucial for improving patient care.

Purpose of the Study:

  • To investigate disparities in revisits and complications following pediatric tonsillectomy.
  • To identify demographic and socioeconomic factors associated with adverse outcomes.

Main Methods:

  • Cross-sectional analysis of multistate ambulatory surgery, emergency department, and inpatient databases (2010-2011).
  • Included pediatric tonsillectomy cases (N=79,520) from California, Iowa, Florida, and New York.
  • Analyzed revisit rates and diagnoses within 14 days, assessing associations with sex, race, and household income.

Main Results:

  • Overall revisit rate was 8.1%, with specific rates for bleeding (2.1%), pain (1.5%), and dehydration (2.2%).
  • Increasing household income quartile was significantly associated with decreased rates of all complications.
  • Black and Hispanic children showed increased risk for revisits and acute pain compared to white children.

Conclusions:

  • Significant disparities in pediatric tonsillectomy revisits and complications exist, particularly related to household income.
  • Female sex was linked to reduced post-tonsillectomy hemorrhage risk.
  • The disproportionate burden of complications warrants further investigation and targeted interventions.
Abstract

Keywords:
bleedingchildrencomplicationsdisparitieshousehold incomeracereadmissionrevisitstonsillectomy

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