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Revisits after adenotonsillectomy in children with sleep-disordered breathing: A retrospective single-institution

I-S Chang1, K-T Kang1,2, C-C Tseng1

  • 1Department of Otolaryngology, National Taiwan University, College of Medicine and National Taiwan University Hospital, Taipei, Taiwan.

Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
|May 10, 2017
PubMed

Insights

Children undergoing adenotonsillectomy for sleep-disordered breathing (SDB) have low revisit rates, regardless of SDB severity. However, younger children (<3 years) face a higher risk of non-bleeding-related emergency room revisits after surgery.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Sleep Medicine

Background:

  • Sleep-disordered breathing (SDB) affects children, often treated with adenotonsillectomy (T&A).
  • Understanding post-operative outcomes like emergency room (ER) revisits and hospital readmissions is crucial for patient care and resource allocation.

Purpose of the Study:

  • To evaluate the incidence of ER revisits and hospital readmissions after T&A in children with SDB.
  • To explore the relationship between SDB severity and the likelihood of ER revisits.

Main Methods:

  • Retrospective chart review of 610 children who underwent T&A for SDB.
  • Analysis of ER revisit and readmission patterns within 30 days post-surgery.
  • Classification of SDB severity using the apnea-hypopnea index (AHI).

Main Results:

  • Overall ER revisit rate was 8.0%, with 1.5% experiencing a second revisit.
  • Bleeding-related causes accounted for 46% of ER revisits.
  • No significant difference in revisit or readmission rates was observed across SDB severity levels.
  • Children younger than 3 years had a significantly increased risk of non-bleeding-related revisits (OR = 4.1).

Conclusions:

  • Adenotonsillectomy for SDB in children is associated with a low incidence of revisits and readmissions.
  • SDB severity does not appear to be a risk factor for post-T&A ER revisits or readmissions.
  • Younger children (<3 years) represent a specific subgroup at higher risk for non-bleeding-related ER revisits following T&A.
Abstract

Keywords:
adenoidectomychildpolysomnographypostoperative complicationspostoperative haemorrhagerevisitsleep apnoea syndromestonsillectomy

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