Is day surgery tonsillectomy safe? A consecutive surgery case-series in an Australian setting.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-04-10 DOI:10.1017/S0022215125000441

Sophie Dunmall, Eng Hooi Ooi

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引用次数: 0

Abstract

Objectives: To assess the outcomes of a protocol-led, same-day discharge for elective tonsillectomy patients.

Design: A retrospective case-series of all tonsillectomies performed from January 2018 to May 2023 at a tertiary hospital in Adelaide, Australia. The primary outcome was rate of readmission within 24 hours for same-day surgery compared to hospital-stay tonsillectomy patients. Secondary outcomes included post-tonsillectomy haemorrhage.

Results: During the study period, 1658 elective tonsillectomies were performed, with 664 patients (40.0 per cent) discharged the same day following tonsillectomy. The readmission rate within 24 hours was comparable between the two groups: 0.60 per cent for day surgery and 0.64 per cent for those who stayed overnight in hospital (Χ²(1, N = 1600) = 0.009, p = 0.9244). The primary post-tonsillectomy haemorrhage rate for day-surgery patients was 0.3 per cent, with a relative risk of 0.5 (Χ²(1, N = 1658) = 0.751, p = 0.3862).

Conclusion: The low readmission and primary post-tonsillectomy haemorrhage rates indicate that a protocol-led, same-day tonsillectomy is safe and feasible to implement in carefully selected patients.

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日间扁桃体切除术安全吗？在澳大利亚设置的连续手术病例系列。

目的：评估择期扁桃体切除术患者当日出院的结果。设计：回顾性研究2018年1月至2023年5月在澳大利亚阿德莱德一家三级医院进行的所有扁桃体切除术病例系列。主要结局是24小时内接受当日手术的患者与住院扁桃体切除术患者的再入院率。次要结局包括扁桃体切除术后出血。结果：在研究期间，进行了1658例选择性扁桃体切除术，664例（40.0%）患者在扁桃体切除术后当天出院。两组患者24小时内的再入院率相当：日间手术为0.60%，住院过夜者为0.64% （Χ2(1, N = 1600) = 0.009, p = 0.9244）。当日手术患者扁桃体切除术后原发性出血率为0.3%，相对危险度为0.5 （Χ2(1, N = 1658) = 0.751, p = 0.3862）。结论：低再入院率和扁桃体切除术后原发性出血率表明，在精心挑选的患者中，以协议为主导的当日扁桃体切除术是安全可行的。

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

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.