Paediatric Adenoidectomy: A Retrospective Cohort Study of Clinical Practice and Outcomes in NHS England (2008–2024)

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2026-06-03 Epub Date: 2026-02-12 DOI:10.1111/coa.70095

Angus Lawson, Paola Cognigni, Kim Keltie, Ben Talks, Andrew Sims, Steven Powell, Michael W. Mather, Jason Powell

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引用次数: 0

Abstract

Objectives

To examine trends and outcomes for paediatric adenoidectomies in NHS England between 2008 and 2024.

Design

Retrospective observational cohort study using Hospital Episode Statistics.

Setting

NHS trusts in England.

Participants

Children (≤ 16 years) undergoing adenoidectomy.

Main Outcome Measures

Adenoidectomies and concurrent procedures performed. In-hospital complications and readmissions within 28 days. All-cause mortality and revision procedures.

Results

Between 2008 and 2024, 351 540 adenoidectomies were performed; 305 922 alongside ventilation tube insertion and/or tonsillectomy and 45 618 without these concurrent procedures. In-hospital complications occurred in 4422 admissions (1.3%) and 21 398 patients (6.1%) were readmitted within 28 days. Across all cases, the rate of haemorrhage was 3.4%, while in adenoidectomies occurring in the absence of concurrent ventilation tube insertion and/or tonsillectomy, the overall rate of haemorrhage was 0.7%, and 0.16% cases required return to theatre for surgical arrest of haemorrhage from the adenoid. Over the study period, emergency readmission rates rose from 3.8% to 6.7% while the proportion of day-case procedures increased from 46.3% to 81.1%. For adenoidectomies without concurrent ventilation tube insertion and/or tonsillectomy the rate of emergency admission rose from 2.07% to 2.91%, while adenoidectomies occurring concurrently alongside these procedures rose from 4.61% to 7.52%. The estimated overall revision rate was 4.52% (95% CI 4.44%–4.61%).

Conclusions

This study describes key outcomes, providing the basis for accurate preoperative counselling in paediatric adenoidectomy. However, clinical coding does not capture surgical indication or technique, limiting procedure-specific assessment. Improved coding and prospective research are critically needed to examine technique-specific outcomes.

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查看原文本刊更多论文

儿科腺样体切除术：英国NHS临床实践和结果的回顾性队列研究（2008-2024）。

目的：研究2008年至2024年间英国国家医疗服务体系中儿童腺样体切除术的趋势和结果。设计：采用医院事件统计进行回顾性观察队列研究。背景：英格兰NHS信托。参与者：接受腺样体切除术的儿童（≤16岁）。主要观察指标：腺样体切除术及同期手术。住院并发症和28天内再入院。全因死亡率和修订程序。结果：2008年至2024年，共行355540例腺样体切除术；305922人同时进行通气管插入和/或扁桃体切除术，45618人不同时进行这些手术。院内并发症4422例（1.3%），28天内再入院21398例（6.1%）。在所有病例中，出血率为3.4%，而在没有同时插入通气管和/或扁桃体切除术的腺样体切除术中，总体出血率为0.7%，0.16%的病例需要返回手术室手术阻止腺样体出血。在研究期间，急诊再入院率从3.8%上升到6.7%，而日间手术的比例从46.3%上升到81.1%。对于腺样体切除术而不同时插入通气管和/或扁桃体切除术，急诊入院率从2.07%上升到2.91%，而与这些手术同时发生的腺样体切除术从4.61%上升到7.52%。估计总体修正率为4.52% （95% CI 4.44%-4.61%）。结论：本研究描述了关键结果，为儿科腺样体切除术的准确术前咨询提供了基础。然而，临床编码不能捕获手术指征或技术，限制了特定程序的评估。改进编码和前瞻性研究对于检查特定技术的结果至关重要。

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

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.