ISSN: 2161-119X

Otolaryngology: Open Access
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
  • Research Article   
  • Otolaryngol (Sunnyvale); 2022, Vol 12(6): 469
  • DOI: 10.4172/2161-119X.1000469

Inpatient Admissions after Aden Tonsillectomies for Pediatric Sleep-Disordered Breathing: Age as a Risk Factor

Mitali Doshi, BS1* and Syed Kamil, MD1,2,3
1University of Massachusetts Chan Medical School, 55 North Lake Ave Worcester, MA 01655, US
2University of Massachusetts Memorial Health Care, US
3Department of Pediatric Otolaryngology, US
*Corresponding Author : Mitali Doshi, BS, University of Massachusetts Chan Medical School, 55 North Lake Ave Worcester, MA 01655, US, Email: Mitali.Doshi@umassmed.edu

Received Date: Jun 01, 2022 / Accepted Date: Jun 28, 2022 / Published Date: Jun 30, 2022

Abstract

Objectives: The aim of this study was to analyze the incidence of post-operative respiratory complications in children aged 0-18 who underwent tonsillectomy and required inpatient hospital admission to determine the necessity of inpatient management for children under 3 years of age as outlined in the AAO-HNS clinical guidelines.

Methods: This was a single center, retrospective chart review. Inclusion criteria were pediatric patients who underwent tonsillectomies over a 4-year time span that were ages 0-18 and required inpatient admission after surgery. Post-operative parameters collected included respiratory rate, heart rate, and oxygen saturations. Also examined were the complications of bleeding and dehydration. Chi-squared tests were performed to look for statistical significance with p<0.05 considered statistically significant.

Results: The study sample included 64 patients; and the mean age was 5.2 years old. The most common comorbidities included OSA, asthma, obesity, and anatomical abnormalities. Only five distinct patients had vital sign abnormalities such as tachycardia, tachypnea, and oxygen saturations <90%. Most of these patients had complex comorbidities which affected their post-operative course, including Trisomy 21, Noonan syndrome, macrocephaly, and laryngomalacia. The chi-squared test to determine the relationship between age group (age ≤3, age 4-11, age 12-18) and presence of complications revealed a p value of 0.90. This suggests that there is no statistically significant difference between the age groups in risk of having respiratory complications. There were no children under the age of 3 who were otherwise healthy with no comorbidities who had post-operative complications.

Conclusion: Children <3 years of age had no significant increase in risk of respiratory complications after tonsillectomy surgery. Comorbidities such as craniofacial malformations were more indicative of respiratory complications rather than age. Thus, decisions to admit a patient post-operatively should be made on a case-bycase basis depending on comorbidities rather than admitting all patients under 3 years, allowing better utilization of hospital resources without compromising patient safety.

Citation: Doshi M, Kamil S (2022) Inpatient Admissions after Aden Tonsillectomies for Pediatric Sleep-Disordered Breathing: Age as a Risk Factor. Otolaryngol (Sunnyvale) 12: 469. Doi: 10.4172/2161-119X.1000469

Copyright: © 2022 Doshi M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Top