home
RSS
'Routine' tonsillectomies not so routine
January 20th, 2014
11:18 AM ET

'Routine' tonsillectomies not so routine

When Jahi McMath suffered severe complications following a tonsillectomy, and doctors declared her brain dead, many parents were shocked.

More than 500,000 tonsillectomies are performed each year on children in the United States; it's the second most common pediatric surgery. But how routine are these procedures really?

Not so much, a new study published Monday in the scientific journal Pediatrics suggests. Researchers found the quality of care before, during and after a tonsillectomy varies greatly depending on the hospital.

When routine surgeries go wrong

"We were surprised at the degree of variation between hospitals in the use of medications ... and revisits to hospitals after the surgery for complications," said lead study author Dr. Sanjay Mahant.

The study

Researchers analyzed data from the Pediatric Health Information System, looking specifically at 139,155 low-risk children who underwent tonsillectomies between 2004 and 2010 at 36 children's hospitals across the United States.

Guidelines from the American Academy of Otolaryngology-Head and Neck Surgery recommend doctors administer dexamethasone on the day of a tonsillectomy.  Dexamethasone is used to reduce nausea and pain after surgery. The guidelines do not recommend administering antibiotics because previous studies have shown that antibiotics do not help in preventing bleeding, pain or infection after a tonsillectomy.

In addition to looking at whether hospital staff followed these guidelines, Mahant and his team also calculated the number of patients who returned to the hospital in the 30 days after surgery for bleeding, vomiting/dehydration, pain, infection and/or respiratory problems.

The results

Close to 70% of patients received dexamethansone on the day of their surgery. Nearly a third received antibiotics.

A total of 10,868 children - about 7.8% - returned to the hospital after being discharged, most for bleeding and vomiting/dehydration. Those who came in with vomiting tended to return one to two days after being discharged. Those who returned with bleeding were most likely to come in six to seven days after.

Older children were more likely to suffer from bleeding problems while younger kids were more likely to experience nausea. 

Trends

The researchers also looked at dexamethasone and antibiotic use over time, as well as the revisit rate during the study period. Dexamethasone use did not change between 2004 and 2010, but the use of antibiotics dropped significantly. The hospital revisit rate remained fairly stagnant.

Mahant and his team have held webinars with hospital administrators to educate them about the study results.

"There is definitely more work that needs to be done to understand how to reduce revisits to hospital for complications," Mahant told CNN. "One way to investigate this is by studying and learning from high-performing hospitals."

Keeping your kid safe

Parents and doctors should discuss the risks and benefits of any surgery, Mahant said.

For some children, a tonsillectomy is the necessary, or sensible option. However, he said, there are many unanswered questions regarding the the benefits of tonsillectomies for treating certain issues, such as sleep apnea.

"Parents should educate themselves about their child’s condition and treatment options, and ask questions so they feel comfortable about their decisions," he said.


soundoff (2,019 Responses)
  1. 케이출장

    Way cool! Some very valid points! I appreciate you penning this write-up plus the rest of the website is very good.

    http://massage7melvinhfki.bearsfanteamshop.com/enough-already-15-things-about-chuljang-we-re-tired-of-hearing

    June 22, 2021 at 07:50 | Report abuse | Reply
  2. www.pharmaceptica.com

    sildenafil citrate online https://www.pharmaceptica.com/

    June 22, 2021 at 08:23 | Report abuse | Reply
  3. 출장

    Excellent blog you have got here.. Itís hard to find good quality writing like yours nowadays. I truly appreciate individuals like you! Take care!!

    https://ask.vrysa.com/ask-discuss-a/index.php?qa=user&qa_1=casino1g8cltbs525

    June 22, 2021 at 09:25 | Report abuse | Reply
  4. www.pharmaceptica.com

    side effects for tadalafil https://pharmaceptica.com/

    June 22, 2021 at 10:26 | Report abuse | Reply
  5. 메이저사이트

    I was able to find good advice from your articles.

    http://www.garrisonexcelsior.com/redirect.php?url=https://penzu.com/p/d44356f0

    June 22, 2021 at 10:29 | Report abuse | Reply
  6. 먹튀검증업체

    When I initially commented I appear to have clicked on the -Notify me when new comments are added- checkbox and from now on each time a comment is added I recieve 4 emails with the same comment. Is there a way you can remove me from that service? Cheers!

    https://cryptosell.eu/user/profile/332052

    June 22, 2021 at 11:22 | Report abuse | Reply
  7. 먹튀검증

    After going over a handful of the articles on your web page, I honestly appreciate your technique of writing a blog. I saved as a favorite it to my bookmark webpage list and will be checking back in the near future. Take a look at my web site too and tell me how you feel.

    https://www.coast-bookmarks.win/5-laws-that-ll-help-the-meogtwigeomjeung-industry-16

    June 22, 2021 at 11:41 | Report abuse | Reply
  8. 6 minute podcast

    http://gablerealestate.com/__media__/js/netsoltrademark.php?d=backbonehunters.com

    June 22, 2021 at 16:08 | Report abuse | Reply
  9. pharmacepticacom

    can erectile dysfunction be cured naturally https://pharmaceptica.com/

    June 22, 2021 at 16:32 | Report abuse | Reply
  10. RV Awning Repair Near Me

    Hello! I just wish to offer you a big thumbs up for your excellent information you have got here on this post. I will be coming back to your website for more soon.

    http://www.algeriasurf.net/__media__/js/netsoltrademark.php?d=ocrvcenter.com

    June 22, 2021 at 16:46 | Report abuse | Reply
  11. 출장

    Hello there! This post couldnít be written much better! Reading through this article reminds me of my previous roommate! He always kept preaching about this. I will forward this post to him. Pretty sure he will have a good read. Thank you for sharing!

    https://www.kisskissbankbank.com/en/users/sanjuana-rees-2

    June 22, 2021 at 17:13 | Report abuse | Reply
  12. 토토사이트

    Your style is really unique compared to other people I've read stuff from. I appreciate you for posting when you have the opportunity, Guess I will just bookmark this web site.

    http://member.8090.com/exit.php?url=http://mylesyaqd913.huicopper.com/4-dirty-little-secrets-about-the-meijeosaiteu-industry

    June 22, 2021 at 17:26 | Report abuse | Reply
  13. 케이출장

    An impressive share! I have just forwarded this onto a coworker who was doing a little homework on this. And he actually bought me dinner because I discovered it for him... lol. So allow me to reword this.... Thank YOU for the meal!! But yeah, thanx for spending time to talk about this subject here on your web site.

    https://poigrala.ru/user/casino0y5ugxkn895

    June 22, 2021 at 17:29 | Report abuse | Reply
  14. RV Roof Repair Near Me

    http://www.fireprotection.org.nz/Redirect.aspx?destination=https://ocrvmotorsports.info/

    June 22, 2021 at 17:44 | Report abuse | Reply
  15. 출장마사지

    I needed to thank you for this very good read!! I certainly loved every bit of it. I've got you book marked to look at new stuff you postÖ

    http://Gfpa.Org.ge/user/casino1g8pbghq332

    June 22, 2021 at 18:08 | Report abuse | Reply
  16. 출장안마

    When I initially commented I appear to have clicked the -Notify me when new comments are added- checkbox and from now on whenever a comment is added I receive four emails with the exact same comment. Is there a way you can remove me from that service? Cheers!

    http://wx.lt/redirect.php?url=http://massage9travensxwe.timeforchangecounselling.com/what-sports-can-teach-us-about-chuljang

    June 22, 2021 at 19:00 | Report abuse | Reply
  17. 출장마사지

    An impressive share! I have just forwarded this onto a friend who had been doing a little research on this. And he in fact bought me lunch because I discovered it for him... lol. So allow me to reword this.... Thanks for the meal!! But yeah, thanks for spending some time to discuss this matter here on your web page.

    http://www.video-bookmark.com/user/casino6i0hgbpy050

    June 22, 2021 at 19:43 | Report abuse | Reply
  18. bagman podcast

    http://www.silvercrestmetals.com/outurl.php?url=https://www.backbonehunters.com

    June 22, 2021 at 20:33 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41

Leave a Reply to volvo semi truck repair near me


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.