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Day case tonsil and adenoid surgery: how many are eligible?
M P Yardley1, J W Fairley, L H Durham
1Department of Otolaryngology, Royal Hallamshire Hospital, Sheffield, UK.
Journal of the Royal College of Surgeons of Edinburgh
|June 1, 1994
Summary
A prospective study found 59% of children undergoing tonsil and adenoid surgery are eligible for day case procedures. Social and medical factors influenced suitability, highlighting potential for increased outpatient care in pediatric otolaryngology.
Area of Science:
- Pediatric Surgery
- Otolaryngology
- Health Services Research
Background:
- Tonsil and adenoid surgery is common in children.
- Day case surgery offers potential benefits like reduced costs and faster recovery.
- Patient selection is crucial for successful day case procedures.
Purpose of the Study:
- To determine the percentage of pediatric patients suitable for day case tonsil and adenoid surgery.
- To identify medical and social factors affecting suitability for day case surgery.
Main Methods:
- Prospective study of 100 consecutive children undergoing tonsil and adenoid surgery.
- Data collection included medical history, social history, and parental attitudes.
- Strict eligibility criteria were applied to assess day case suitability.
Main Results:
- 59% of the studied children met the criteria for day case surgery.
- Social factors were the primary reason for ineligibility (26%).
- Medical factors (6%) and combined social/medical factors (9%) also contributed to ineligibility.
Conclusions:
- A significant proportion of children undergoing tonsil and adenoid surgery could be managed as day cases.
- Social and medical assessments are vital for optimizing day case patient selection.
- Implementing day case protocols could enhance efficiency in pediatric otolaryngology services.