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Day case adenoidectomy: is it acceptable to parents?
S Browning1, J Blanshard, R Baskerville
1Department of Ear, Nose and Throat, St Michael's Hospital, Bristol, UK.
Insights
Day case adenoidectomy is as safe as inpatient care for children, with no difference in parental concern. Most parents preferred the day case option for adenoidectomy procedures.
Area of Science:
- Pediatric Surgery
- Otolaryngology
- Ambulatory Surgery
Background:
- Adenoidectomy is a common surgical procedure in children.
- Inpatient versus day case surgical models are increasingly compared for pediatric procedures.
Purpose of the Study:
- To compare parental concerns in children undergoing inpatient versus day case adenoidectomy.
- To evaluate parental satisfaction with day case versus inpatient adenoidectomy.
Main Methods:
- Prospective, randomized, and controlled study design.
- Inclusion of 64 children undergoing adenoidectomy.
- Measurement and comparison of pre- and post-operative parental concerns between inpatient and day case groups.
Main Results:
- No significant differences in parental concern levels were detected between the inpatient and day case adenoidectomy groups.
- All parents in the day case group approved of the day care model.
- A majority (57%) of parents in the inpatient group expressed a preference for the day case model.
Conclusions:
- Day case adenoidectomy is a viable and well-accepted alternative to inpatient care for pediatric patients.
- Parental satisfaction and concern levels are comparable between inpatient and day case adenoidectomy, with a preference for day care among many inpatient parents.
Abstract:
In this prospective, randomized and controlled study, 64 children were randomly allocated to in-patient or day case adenoidectomy. The pre- and post-operative concerns of the parents of both groups were measured and compared. No differences in the degree of concern was detected between the two groups. All of the parents from the day case group approved of day care, and 57% of the in-patient group would have preferred day case care.