Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-18T06:38:49.029Z Has data issue: false hasContentIssue false
  • English
  • Français

Admission and discharge policy for paediatric adenoidectomy and tonsillectomy – a rural perspective

Published online by Cambridge University Press:  29 June 2007

P. Murthy  and
M. R. Laing
P. Murthy*
Affiliation:
Department of Otolaryngology, Raigmore Hospital NHS Trust, Inverness, Scotland, UK
M. R. Laing
Affiliation:
Department of Otolaryngology, Raigmore Hospital NHS Trust, Inverness, Scotland, UK
*
Address for correspondence: Mr P. Murthy, F.R.C.S. (ORL), Department of Otolaryngology, Raigmore Hospital NHS Trust, Inverness IV2 3UJ
Get access Rights & Permissions [Opens in a new window]

Abstract

Adenoidectomy and tonsillectomy are amongst the most common surgical procedures carried out in children. We undertook a prospective audit in the Highlands of Scotland to document the views of general practitioners, parents, nursing staff and anaesthetists on admission and discharge policy. Of responses from 149 general practitioners, 119 (80 per cent) were in favour of change to same day admission and 22 (15 per cent) were not in favour. For change to same day discharge for adenoidectomy, 55 (37 per cent) were in favour and 81(54 per cent) were not in favour. For change to next day discharge for tonsillectomy, the figures were 51(34 per cent) and 89 (60 per cent) respectively. Responses from 14 trained paediatric nurses comprised 13 not in favour of same day admission, six in favour and seven not in favour of same day discharge for adenoidectomy and all 14 not in favour of same day discharge for tonsillectomy. All eight Consultant anesthaetists approached were happy with a change in policy to same day admission for children who were otherwise fit and well. Thirty-seven parents (70 per cent) preferred previous day admission and 14 (29 per cent) were happy with same day admission for their children. On the basis of these results, day-case adenoidectomy or tonsillectomy is not being considered in this area. Moves have been made, however, toward a policy of same day admission and next day discharge.

Keywords

AdenoidectomyTonsillectomyChildLength of stay
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 11 , November 1998 , pp. 1047 - 1051
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Audit Commission for Local Authorities and the National Health Service in England and Wales (1990) A short cut to better services. Day surgery in England and Wales. HMSO, London.Google Scholar
Carithers, J. S., Gebhart, D. E., Williams, J. A. (1987) Postoperative risks of paediatric tonsilloadenoidectomy. Laryngoscope 97: 422–429.CrossRefGoogle ScholarPubMed
Guida, R. A., Mattucci, K. F. (1990) Tonsillectomy and adenoidectomy: an in-patient or out-patient procedure? Laryngoscope 100: 491–493.CrossRefGoogle Scholar
Helmus, C., Grin, M., Westfall, R. (1990) Same-day-stay adenotonsillectomy. Laryngoscope 100: 593–596.CrossRefGoogle ScholarPubMed
Leighton, S. F. J., Rowe-Jones, J. M., Knight, J. R., Moore-Gillon, V. L. (1993) Day case adenoidectomy. Clinical Otolaryngology 18: 215–219.CrossRefGoogle ScholarPubMed
Maniglia, A., Kushner, H., Cozzi, C. (1985) Adenotonsillectomy – a safe out-patient department procedure. Archives of Otolaryngology – Head and Neck Surgery 115: 92–94.CrossRefGoogle Scholar
Pringle, M. B., Cosford, E., Beasley, P., Brightwell, A. P. (1996) Day-case tonsillectomy – is it appropriate? Clinical Otolaryngology 21: 504–511.CrossRefGoogle ScholarPubMed
Riding, K., Laird, B., O'Connor, G., Goodell, A. S., Bitts, B., Salkeld, L. (1991) Daycare tonsillectomy and/or adenoidectomy at the British Columbia Childrens' Hospital. Journal of Otolaryngology 20: 35–42.Google ScholarPubMed
Royal College of Surgeons of England (1992) Guidelines for Day Case Surgery. (Rev. edn). Royal College of Surgeons of England, London.Google Scholar
Schloss, M. D., Tan, A. K. W., Schloss, B., Tewk, T. L. (1994) Outpatient tonsillectomy and adenoidectomy: complications and recommendations. International Journal of Paediatric Otolaryngology 30: 115–122.CrossRefGoogle ScholarPubMed
Segal, C., Berger, G., Basker, M., Marshak, G. (1983) Adenotonsillectomies on a surgical day-clinic basis. Laryngoscope 93: 1205–1208.CrossRefGoogle ScholarPubMed
Shott, S. R., Myer, C. M., Cotton, R. T. (1987) Efficacy of tonsillectomy and adenoidectomy as an outpatient procedure: a preliminary report. International Journal of Pediatric Otolaryngology 13: 157–163.CrossRefGoogle ScholarPubMed
Tom, L. W. C., Dedio, R. M., Cohen, D. E., Wetmore, R. F., Kandler, S. D., Potsic, W. P. (1992) Is outpatient tonsillectomy appropriate for young children? Laryngoscope 102: 277–280.CrossRefGoogle ScholarPubMed
Yardley, M. P. J. (1992) Tonsillectomy, adenoidectomy and adenotonsillectomy: are they safe day case procedures? Journal of Laryngology and Otology 106: 299–300.CrossRefGoogle ScholarPubMed