Adenoidectomy as day surgery: feasibility and outcomes.

IF 2.1 4区医学 Q2 OTORHINOLARYNGOLOGY

Acta Otorhinolaryngologica Italica Pub Date : 2025-04-01 DOI:10.14639/0392-100X-N2940

Giuseppe Musella, Andrea Luigi Ambrosoli, Alessia Palluotto, Silvia Agrati, Elena Bernardini, Paolo Battaglia, Maurizio Bignami, Francesca De Bernardi

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引用次数: 0

Abstract

Objectives: Adenoidectomy performed as day surgery is a safe and cost-effective procedure, but patients may be occasionally admitted overnight due to the need for extended care. This study investigates the unplanned admission rate following day surgery adenoidectomy in children.

Methods: Data from 3,396 children who underwent adenoidectomy from 2010 to 2023 were retrospectively collected in a tertiary centre. Inclusion criteria were age > 2 years and ASA score I-II. The study focused on evaluating factors such as age, gender, duration of surgery, surgeon's experience, adverse events and multiple surgeries. Univariate and multivariate analysis were performed, and ROC curves were built for continuous variables.

Results: The unplanned admission rate was 2.3%, with postoperative nausea/vomiting being the most common complication. Respiratory complications were notably low. Factors associated with unplanned admission at multivariate analysis included the end time of surgery (p < 0.001), surgical duration (p = 0.001) and surgeon's experience (p < 0.001).

Conclusions: This study confirms the safety and feasibility of adenoidectomy as day surgery in a tertiary centre, with a low unplanned admission rate and infrequent serious complications. Further studies are needed to generalise these findings to different settings and populations.

查看原文本刊更多论文

腺样体切除术作为日间手术：可行性和结果。

目的：腺样体切除术作为日间手术进行是一种安全且成本效益高的手术，但由于需要长期护理，患者可能偶尔会住院过夜。本研究探讨儿童腺样体切除术后的意外住院率。方法：回顾性收集2010年至2023年在三级中心接受腺样体切除术的3396名儿童的资料。纳入标准为年龄0 ~ 2岁，ASA评分1 ~ 2分。该研究侧重于评估年龄、性别、手术时间、外科医生经验、不良事件和多次手术等因素。进行单因素和多因素分析，对连续变量建立ROC曲线。结果：意外住院率为2.3%，术后恶心/呕吐是最常见的并发症。呼吸道并发症明显较低。在多变量分析中，与意外入院相关的因素包括手术结束时间（p < 0.001）、手术持续时间（p = 0.001）和外科医生经验（p < 0.001）。结论：本研究证实了腺样体切除术作为三级中心日间手术的安全性和可行性，具有低的非计划住院率和罕见的严重并发症。需要进一步的研究将这些发现推广到不同的环境和人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Otorhinolaryngologica Italica OTORHINOLARYNGOLOGY-

CiteScore

3.40

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Otorhinolaryngologica Italica first appeared as “Annali di Laringologia Otologia e Faringologia” and was founded in 1901 by Giulio Masini. It is the official publication of the Italian Hospital Otology Association (A.O.O.I.) and, since 1976, also of the Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale (S.I.O.Ch.C.-F.). The journal publishes original articles (clinical trials, cohort studies, case-control studies, cross-sectional surveys, and diagnostic test assessments) of interest in the field of otorhinolaryngology as well as clinical techniques and technology (a short report of unique or original methods for surgical techniques, medical management or new devices or technology), editorials (including editorial guests – special contribution) and letters to the Editor-in-Chief. Articles concerning science investigations and well prepared systematic reviews (including meta-analyses) on themes related to basic science, clinical otorhinolaryngology and head and neck surgery have high priority.