https://scholars.lib.ntu.edu.tw/handle/123456789/510183
標題: | Revisits after adenotonsillectomy in children with sleep-disordered breathing: A retrospective single-institution study | 作者: | Chang I.-S. Kang K.-T. Tseng C.-C. WEN-CHIN WENG Hsiao T.-Y. PEI-LIN LEE WEI-CHUNG HSU |
公開日期: | 2018 | 出版社: | Blackwell Publishing Ltd | 卷: | 43 | 期: | 1 | 起(迄)頁: | 39-46 | 來源出版物: | Clinical Otolaryngology | 摘要: | Objective: To investigate emergency room (ER) revisits and hospital readmissions following adenotonsillectomy (T&A) in children with sleep-disordered breathing (SDB), and correlations between SDB severity and ER revisits. Design: Retrospective chart review study. Setting: Tertiary referral centre. Participant: 610 consecutive children underwent T&A for treating SDB. Main outcome measures: Sleep-disordered breathing severity was defined according to the apnoea–hypopnoea index (AHI) (primary snoring = AHI < 1; mild = AHI 1-5; moderate = AHI 5-10; and severe = AHI > 10). Revisit and readmission patterns within 30?days of the surgery were extracted and analysed. Results: Of these children (mean age = 7.2?years; males = 72%), 49 (8.0%) had first ER revisit, nine (1.5%) had second ER revisits, and one (0.2%) had third ER revisits. Reasons for ER revisits were bleeding related (46%) or non-bleeding related (54%). The timing for revisits was 6.9±1.9 postoperative days for bleeding-related revisits and 9.3±10.0?days for non-bleeding-related revisits. Treatment strategies during these revisits were treat and release in 44 children (74.6%), admission for observation in eight children (13.5%), and admission for surgery in seven children (11.9%). The incidence of ER revisit and hospital readmission was similar among children with all levels of SDB severity. Multivariable logistic regression analysis showed that young children (<3?years) experienced an increased risk of non-bleeding-related revisits (odds ratio [OR] = 4.1). Conclusions: Children with severe SDB do not experience increased risks of revisit or readmission; however, young children are at increased risk of non-bleeding-related revisits. ? 2017 John Wiley & Sons Ltd |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019771420&doi=10.1111%2fcoa.12899&partnerID=40&md5=01c2f0e7c6cfd796a5506c78b4928486 https://scholars.lib.ntu.edu.tw/handle/123456789/510183 |
ISSN: | 1749-4478 | DOI: | 10.1111/coa.12899 | SDG/關鍵字: | adenotonsillectomy; adolescent; adult; apnea hypopnea index; Article; child; correlational study; demography; disease severity; emergency ward; female; hospital readmission; human; incidence; major clinical study; male; operative blood loss; postoperative complication; priority journal; risk factor; sleep disordered breathing; snoring; tertiary care center; adenoidectomy; follow up; hospital emergency service; infant; polysomnography; postoperative complication; preschool child; procedures; retrospective study; severity of illness index; sleep disordered breathing; statistics and numerical data; Taiwan; tonsillectomy; trends; Adenoidectomy; Adolescent; Child; Child, Preschool; Emergency Service, Hospital; Female; Follow-Up Studies; Humans; Incidence; Infant; Male; Patient Readmission; Polysomnography; Postoperative Complications; Retrospective Studies; Severity of Illness Index; Sleep Apnea Syndromes; Taiwan; Tonsillectomy |
顯示於: | 醫學系 |
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