1. Post-tonsillectomy complications in children less than three years of age: a case-control study.
- Author
-
Belyea J, Chang Y, Rigby MH, Corsten G, and Hong P
- Subjects
- Ambulatory Surgical Procedures adverse effects, Ambulatory Surgical Procedures methods, Case-Control Studies, Child, Preschool, Dehydration diagnosis, Female, Follow-Up Studies, Humans, Incidence, Infant, Male, Nova Scotia, Postoperative Complications diagnosis, Postoperative Complications epidemiology, Postoperative Hemorrhage diagnosis, Postoperative Hemorrhage therapy, Reference Values, Respiratory Tract Infections diagnosis, Retrospective Studies, Time Factors, Tonsillectomy methods, Treatment Outcome, Dehydration epidemiology, Postoperative Hemorrhage epidemiology, Respiratory Tract Infections epidemiology, Tonsillectomy adverse effects
- Abstract
Objectives: To assess the need for post-tonsillectomy admission in children under the age of three years., Design: A retrospective case-control study., Method: Medical records of 127 children under the age of three years who underwent tonsillectomy with or without adenoidectomy were reviewed for complications and compared to 127 gender-matched controls between three to four years of age., Results: Overall complication rate in the study group was 9.4% (12 of 127). Early complications (3.1%) were respiratory related, while late complications (6.3%) were due to dehydration and hemorrhage. Comparable complication rate was observed in the control group (8.7%, P>0.05); early complication rate of 3.1% and late complication rate of 5.5% was ascertained. Similar types of complications occurred in the control group., Conclusions: Post-tonsillectomy complication rates were low and no significant difference was observed between the study and control groups. This suggests that postoperative admission for children younger than three years of age may not be necessary in all cases., (Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF