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Efficacy of Telephone Follow-Up in Children Tonsillectomy with Day Surgery
Yan Xin1, Xin Li2, JinDong Du1
1Department of ENT, Affiliated Renhe Hospital of China, Three Gorges University, Second Clinical Medical College of China, No. 410 Yiling Road, Yi Chang, Hubei, China.
Insights
Telephone follow-up care for pediatric tonsillectomy patients reduces early pain and healthcare visits. This safe and effective method aids post-discharge recovery, offering benefits over traditional clinic visits.
Area of Science:
- Pediatric Surgery
- Healthcare Management
- Patient Recovery
Background:
- Day surgery for tonsillectomy is increasingly common in China.
- Parents often struggle with managing post-tonsillectomy pain and side effects in children.
Purpose of the Study:
- To evaluate the effectiveness of telephone follow-up for children recovering from tonsillectomy after discharge.
Main Methods:
- A prospective study involving 863 children randomly assigned to clinic visits or telephone follow-up (1-14 days post-discharge).
- Assessment of pain intensity, postoperative complications, and healthcare system contact.
- Research nurses or parents monitored children's status and provided care during follow-up.
Main Results:
- Telephone follow-up group reported less early post-operative pain and improved food/drink intake.
- No significant differences in hemorrhage, nausea, vomiting, fever, or dizziness between groups.
- Telephone follow-up led to a reduction in unplanned healthcare services.
Conclusions:
- Telephone follow-up is a safe and cost-effective approach for pediatric tonsillectomy post-operative management.
- This method can improve patient recovery and reduce healthcare system burden.
Objective:
Day surgery for tonsillectomy has become more and more popular in China. However, many parents face difficulties to cope up with the pain and side effects after surgery. The present study was aimed to examine the efficacy of telephone follow-up on children's post-discharge recovery after tonsillectomy.
Methods:
In this prospective study, the sample consisted of 863 children randomly assigned to receive clinic visit after discharge or 1 to 14 d' telephone follow-up after discharge. During the follow-up, the research nurse or parents assessed each child's status, identified problems, and provided needed follow-up care. Key outcomes were pain intensity, postoperative complication, and unanticipated contact with the health care system.
Results:
Compared with clinical visit, children in telephone follow-up group presented with less pain in early stage after surgery and better food and drink intake. The prevalence of hemorrhage, nausea, vomiting, fever and dizziness had no difference between the groups. Telephone follow-up also reduced unanticipated healthcare services.
Conclusions:
The present study suggested that a follow-up telephone call is a safe and cost-effective method of postoperative management for pediatric patients who have undergone tonsillectomy.
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