Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-28T04:49:17.684Z Has data issue: false hasContentIssue false
  • English
  • Français

Incidence of previously undetected disease in routine paediatric otolaryngology admissions

Published online by Cambridge University Press:  29 June 2007

H. Zeitoun  and
P. Robinson
H. Zeitoun*
Affiliation:
Department of Otolaryngology, Manor Hospital, Walsall, UK.
P. Robinson
Affiliation:
Department of Otolaryngology, Manor Hospital, Walsall, UK.
*
Address for correspondence: Mr H. Zeitoun, F.R.C.S., 27 Leacroft Lane, Churchbridge, Cannock, WS11 3JX.
Get access Rights & Permissions [Opens in a new window]

Abstract

The process of clerking routine pre-operative admissions involves the house officer taking a full medical history and performing a full physical examination. The diagnostic yield is thought to be low, and the educational value to the house officer is also small. This study addresses the question as to whether routine physical examination is always indicated.

One hundred and nine children admitted for routine Otolaryngology procedures were prospectively studied to identify the importance of examination in the pre-operative assessment of patients.

The results showed that 51 per cent of the children admitted had risk factors. The medical history was sufficient to identify these risk factors in all patients with the exception of one cardiac condition.

This study concludes that a suitable alternative to the current process of clerking such as a standardized nurse history could be safely and efficiently undertaken. Eliminating the tiny percentage of previously unrecognized disease would be a prerequisite for such a change.

Keywords

OtolaryngologypaediatricAdmissionsEvaluation studies
Type
Audit
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 6 , June 1996 , pp. 557 - 558
Copyright
Copyright © JLO (1984) Limited 1996

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

Barnes, M. (1992) Clinics for healthy children. The Practitioner 236: 908–911.Google ScholarPubMed
Lackmann, G. M. (1992) Pre-surgical routine screening. Pediatrics 90: 780.CrossRefGoogle Scholar
Lilford, J. R., Kelly, M., Baines, A., Cameron, S., Cave, M., Guthrie, K., Thornton, J. (1992) Effect of using protocols on medical care: randomized trial of three methods of taking an antenatal history. British Medical Journal 305: 1181–1184.CrossRefGoogle ScholarPubMed
Lutner, R. E., Roizen, M. F., Stocking, C. B., Thisted, R. A., Kin, S., Duke, P. C., Pompei, P., Cassel, C. K. (1991) The automated interview versus the personal interview. Anaesthesiology 75: 395–100.CrossRefGoogle ScholarPubMed
Maxwell, L. G., Deshpande, J. K., Wetzel, R. C. (1994) Preoperative evaluation of children. Pediatric Clinics of North America 41: 93–109.CrossRefGoogle ScholarPubMed
O'Brien, P., Baron, Y. (1993) Cutting administration time. New Deal News 03: 6.Google Scholar
Zeitoun, H., Ahmed, I., Robinson, P. (1994) Validity of riskrelated patients administered medical questionnaire for routine Otolaryngology admissions. Clinical Otolaryngology 19: 410–414.CrossRefGoogle Scholar