Day-case tonsillectomy: practical solution or practical impossibility.
Ambulatory Surgical Procedures
MetadataShow full item record
CitationDay-case tonsillectomy: practical solution or practical impossibility. 2015, 108 (1):11-3 Ir Med J
PublisherIrish Medical Journal
JournalIrish medical journal
AbstractThe use of day case surgery is on the rise. In order to improve efficiency and reduce cost, it has been proposed that tonsillectomy could be undertaken as a day-case procedure in Ireland. A retrospective, chart-based study was carried out. The medical and social criteria of all patients who underwent tonsillectomy during a twelve-month period were evaluated. Individual, local and national factors were identified and international comparisons were made. Of 161 patients included, 43 (27%) were considered suitable for day case tonsillectomy (DCT). The distance/time criteria from hospital excluded 64% of patients. The diagnosis of obstructive sleep apnoea was the single most common medical reason for exclusion. Support structures were deficient. Local factors must be considered before any policy or targets are developed for DCT. Patient safety is the fundamental tenet. Currently, the infrastructure and the support required for a patient-focused, safe efficient DCT are deficient, and need investment.
- [Tonsillectomy--day surgery or hospitalization?].
- Authors: Søreide AK, Olofsson J
- Issue date: 1999 Apr 20
- Paediatric day-case tonsillectomy: a three-year prospective audit spiral in a district hospital.
- Authors: Bajaj Y, Atkinson H, Sagoo R, Bhatti I, Newbegin C
- Issue date: 2012 Feb
- Outcomes of reduced postoperative stay following outpatient pediatric tonsillectomy.
- Authors: Kalantar N, Takehana CS, Shapiro NL
- Issue date: 2006 Dec
- Is day stay adenotonsillectomy safe in children with mild to moderate obstructive sleep apnoea? A retrospective review of 100 patients.
- Authors: Baguley KE, Cheng AT, Castro C, Wainbergas N, Waters KA
- Issue date: 2014 Jan
- Is day surgery safe? A Danish multicentre study of morbidity after 57,709 day surgery procedures.
- Authors: Majholm B, Engbæk J, Bartholdy J, Oerding H, Ahlburg P, Ulrik AM, Bill L, Langfrits CS, Møller AM
- Issue date: 2012 Mar