دورية أكاديمية
Estimations of Inpatient and Ambulatory Pediatric Tonsillectomy in the United States: A Cross-sectional Analysis.
| العنوان: | Estimations of Inpatient and Ambulatory Pediatric Tonsillectomy in the United States: A Cross-sectional Analysis. |
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| المؤلفون: | Johnson RF; Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical Center at Dallas, Dallas, Texas, USA.; Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's Health, Dallas, Texas, USA., Zhang J; Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical Center at Dallas, Dallas, Texas, USA., Chorney SR; Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical Center at Dallas, Dallas, Texas, USA.; Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's Health, Dallas, Texas, USA., Kou YF; Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical Center at Dallas, Dallas, Texas, USA.; Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's Health, Dallas, Texas, USA., Lenes-Voit F; Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical Center at Dallas, Dallas, Texas, USA.; Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's Health, Dallas, Texas, USA., Ulualp S; Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical Center at Dallas, Dallas, Texas, USA.; Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's Health, Dallas, Texas, USA., Liu C; Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical Center at Dallas, Dallas, Texas, USA.; Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's Health, Dallas, Texas, USA., Mitchell RB; Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical Center at Dallas, Dallas, Texas, USA.; Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's Health, Dallas, Texas, USA. |
| المصدر: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2023 Aug; Vol. 169 (2), pp. 258-266. Date of Electronic Publication: 2023 Feb 05. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: England NLM ID: 8508176 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6817 (Electronic) Linking ISSN: 01945998 NLM ISO Abbreviation: Otolaryngol Head Neck Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2023- : [Oxford] : Wiley Original Publication: [Rochester, Minn.] : The Academy, [c1981- |
| مواضيع طبية MeSH: | Tonsillectomy*/adverse effects , Sleep Apnea, Obstructive*/epidemiology , Sleep Apnea, Obstructive*/surgery , Sleep Apnea, Obstructive*/etiology, Child ; Humans ; Male ; Female ; United States/epidemiology ; Inpatients ; Cross-Sectional Studies ; Postoperative Complications/epidemiology ; Patient Readmission ; Ambulatory Surgical Procedures ; Hypertrophy |
| مستخلص: | Objective: To estimate the incidence of inpatient and ambulatory pediatric tonsillectomies in the United States in 2019. Study Design: Cross-sectional analysis. Setting: Healthcare Cost and Utilization Project databases. Methods: We determined national incidences of hospital-based ambulatory procedures, inpatient admissions, and readmissions among pediatric tonsillectomy patients, ages 0 to 20 years, using the Kids Inpatient Database, Nationwide Ambulatory Surgery Sample, and Nationwide Readmission Database. We described the demographics, commonly associated conditions, complications, and predictors of readmission. Results: An estimated 559,900 ambulatory and 7100 inpatient tonsillectomies were performed in 2019. Among inpatients, the majority were male (59%) and the largest ethnic group was white (37%). Adenotonsillar hypertrophy (ATH), 79%, and obstructive sleep apnea (OSA), 74%, were the most frequent diagnosis and Medicaid (61%) was the most frequent primary payer. The majority of ambulatory tonsillectomy patients were female (52%) and white (65%); ATH, OSA, and Medicaid accounted for 62%, 29%, and 45% of cases, respectively, (all p < .001 when compared to inpatient cases). Common inpatient complications were bleeding (2%), pain/nausea/vomiting (5.6%), and postprocedural respiratory failure (1.7%). On the other hand, ambulatory complications occurred in less than 1% of patients. The readmission rate was 5.2%, with pain/nausea/vomiting and bleeding accounting for 35% and 23% of overall readmissions. All Patient Refined Diagnosis Related Groups severity of illness subclass predicted readmission (odds ratio = 2.18, 95% confidence interval = 1.73-2.73, p < .001). Conclusion: A total of 567,000 pediatric ambulatory and inpatient tonsillectomies were performed in 2019; the majority were performed in ambulatory settings. The index admission severity of illness was associated with readmission risk. (© 2023 American Academy of Otolaryngology-Head and Neck Surgery Foundation.) |
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| فهرسة مساهمة: | Keywords: Healthcare Cost and Utilization Project; cross-sectional analysis; incidence; pediatric tonsillectomy |
| تواريخ الأحداث: | Date Created: 20230320 Date Completed: 20230725 Latest Revision: 20230725 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1002/ohn.268 |
| PMID: | 36939461 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1097-6817 |
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| DOI: | 10.1002/ohn.268 |