Factors contributing to cost in partial versus total tonsillectomy
作者： Emily Z. Stucken , Eli Grunstein , Joseph Haddad , Vikash K. Modi , Erik H. Waldman
DOI: 10.1002/LARY.24025
关键词: Pediatric intensive care unit 、 Tertiary care 、 Medicine 、 Operative time 、 Pacu 、 Surgery 、 Anesthesia 、 Emergency department 、 Obstructive sleep apnea 、 Perioperative 、 Tonsillectomy
摘要: Objectives/Hypothesis To examine differences between total tonsillectomy and partial intracapsular techniques that may lead to in overall cost resource utilization these procedures. Preoperative, perioperative, postoperative management outcome factors were examined. Study Design Retrospective review at two university-based tertiary care hospitals from January 2007 June 2010. Methods Pediatric patients with obstructive symptoms divided into those undergoing tonsillectomy. The records of 289 who underwent reviewed. Results The average age tonsillectomies was 5.0 years for both groups. Significant versus as follows: operative time (32.4 vs. 26.4 minutes, P < .0001), postanesthesia unit (PACU) (174 91.6 percent admitted postoperatively (21.5% 1.7%, number requiring pediatric intensive stay (3.5% 0.3%, P < .05), readmissions after discharge emergency room visits separate readmission (4.8% 0%, P < .05). Factors not found be significantly different included hemorrhage second operations tonsillar regrowth. Conclusions Previous studies have shown equivalent effectiveness procedures; our study suggests decreased through reduced PACU times admissions department visits. As all retrospective reviews, the findings are potentially confounded by unmeasured variables, including patient demographic factors. Level Evidence 4. Laryngoscope, 123:2868–2872, 2013
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