Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-24T04:22:58.702Z Has data issue: false hasContentIssue false
  • English
  • Français

Tonsillectomy: assessment of quality by consultation rate after discharge

Published online by Cambridge University Press:  29 June 2007

Jeanne A. Rungby ,
Frans Rømeling  and
Peter Borum
Jeanne A. Rungby*
Affiliation:
Department of Otorhinolaryngology, County Hospital, Roskilde, Denmark.
Frans Rømeling
Affiliation:
Department of Otorhinolaryngology, County Hospital, Roskilde, Denmark.
Peter Borum
Affiliation:
Department of Otorhinolaryngology, County Hospital, Roskilde, Denmark.
*
Address for correspondence: Jeanne A. Rungby, Skovbovænget 100, Hareskovby, DK-3500 Værløse, Denmark. Fax: +45 4444 0772 e-mail: [email protected].
Get access Rights & Permissions [Opens in a new window]

Abstract

The aim of this prospective study was to establish a measure of short-term quality of treatment after tonsillectomy/adenotonsillectomy. One hundred and thirty-four questionnaires, returned after 14 days, from 41 children and 93 adults were analysed. Forty-seven per cent had one or more consultations with health-care professionals. Eighty-three consultations by telephone and 33 consultations in person were made. Two recent studies reported higher consultation rates in person to doctors compared to this study. The predominant reason for consulting health-care professionals was pain. Maximum pain scores were significantly higher among those with consultations vs. no consultations (p = 0.0001). Additionally, the intensity as well as the duration of maximal pain increased with the number of contacts per patient (p = 0.0001, p = 0.0045). Sixty-four per cent felt relieved after consultation by telephone and 83 per cent felt relieved after consultation in person. The present study suggests consultation rate as a parameter of quality of treatment and quality of information.

Keywords

TonsillectomyQuality control
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 2 , February 1999 , pp. 135 - 139
Copyright
Copyright © JLO (1984) Limited 1999

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

Benson-Mitchell, R., Kenyon, G. S., Quinn, S. J. (1996) Daystay tonsillectomy: is hospital stay reduced at the expenseof increased community care? Annals of the Royal College of Surgeons of England 78: 440–443.Google Scholar
Carithers, J. S., Gebhart, D. E., Williams, B. A. (1987) Postoperative risks of pediatric tonsilloadenoidectomy. Laryngoscope 97: 422–429.CrossRefGoogle ScholarPubMed
Chowdhury, K., Tewfik, T. L., Schloss, M. D. (1988) Posttonsillectomy and adenoidectomy haemorrhage. Journal of Otolaryngology 17: 46–49.Google Scholar
Colclasure, J. B., Graham, S. S. (1990) Complications of outpatient tonsillectomy and adenoidectomy: a review of 3 340 cases. Ear, Nose and Throat Journal 69: 155–160.Google Scholar
Fenton, J. E., O'Dwyer, T. P. (1994). Adult day case tonsillectomy: a safe and viable option. Clinical Otolaryngology 19: 470–472.CrossRefGoogle ScholarPubMed
Guida, R. A., Mattucci, K. F. (1990) Tonsillectomy and adenoidectomy: An inpatient or outpatient procedure? Laryngoscope 100: 491–493.Google Scholar
Helmus, C., Grin, M., Westfall, R. (1990) Same-day-stay adenotonsillectomy. Laryngoscope 100: 593–596.CrossRefGoogle ScholarPubMed
Herdman, R. D. C., Bates, G. J. (1986) Childhood tonsillectomy and discharge after 24 hours. Journal of Laryngology and Otology 100: 1053–1054.CrossRefGoogle ScholarPubMed
Hollander, M., Wolfe, D. A. (1973)Nonparametric Statistical Methods. John Wiley and Sons, New York.Google Scholar
Lee, W. C., Sharp, J. F. (1996)Complications of paediatric tonsillectomy post-discharge. Journal of Laryngology and Otology 110: 136–140.Google Scholar
Pringle, M. B., Cosford, E., Beasley, E., Brightwell, A. P. (1996) Day-case tonsillectomy - is it appropriate? Clinical Otolaryngology 21: 504–511.Google Scholar
Reiner, S. A., Sawyer, W. P., Clark, K. F., Wood, M. W. (1990) Safety of outpatient tonsillectomy and adenoidectomy. Otolaryngology – Head and Neck Surgery 102: 161–168.CrossRefGoogle ScholarPubMed
Schloss, M. D., Tan, A. K. W., Schloss, B., Tewfik, T. L. (1994) Outpatient tonsillectomy and adenoidectomy: complications and recommendations. International Journal of Pediatric Otorhinolaryngology 30: 115–122.Google Scholar
Segal, C., Berger, G., Basker, M., Marshak, G. (1983) Adenotonsillectomies on a surgical day-clinic basis. Laryngoscope 93: 1205–1208.Google Scholar
Siodlak, M. Z., Gleeson, M. J., Wengraf, C. L. (1985) Posttonsillectomy secondary haemorrhage. Annals of the Royal College of Surgeons of England 67: 167–168.Google Scholar
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