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 (2,275 Responses)
  1. 먹튀검증사이트

    Good post. I learn something new and challenging on blogs I stumbleupon everyday. It's always exciting to read through content from other writers and practice something from their web sites.

    https://peatix.com/user/8804475

    June 29, 2021 at 20:59 | Report abuse | Reply
  2. 먹튀검증커뮤니티

    Good post. I learn something new and challenging on blogs I stumbleupon everyday. It will always be helpful to read content from other authors and use something from their sites.

    https://elearnportal.science/wiki/How_To_Play_Tai_Sai

    June 29, 2021 at 21:05 | Report abuse | Reply
  3. 먹튀

    Spot on with this write-up, I honestly believe this site needs far more attention. Iíll probably be back again to see more, thanks for the info!

    https://wensha.ca/home.php?mod=space&uid=582869

    June 29, 2021 at 21:34 | Report abuse | Reply
  4. 포항출장

    Having read this I thought it was extremely enlightening. I appreciate you finding the time and energy to put this content together. I once again find myself personally spending a lot of time both reading and posting comments. But so what, it was still worth it!

    http://www.ixawiki.com/link.php?url=https://anma4beaucoqv222915.carrd.co/

    June 29, 2021 at 22:09 | Report abuse | Reply
  5. 포항출장안마

    I'm very pleased to discover this page. I want to to thank you for ones time due to this fantastic read!! I definitely loved every little bit of it and i also have you book-marked to see new stuff on your web site.

    https://canvas.instructure.com/eportfolios/129047/massage5nycoldhnxq/A__Success_Story_Youll_Never_Believe

    June 29, 2021 at 22:23 | Report abuse | Reply
  6. RV Repair Shop Near Me

    http://www.perpetuumsoft.com/Out.ashx?href=https://www.ocrvempire.com

    June 29, 2021 at 23:11 | Report abuse | Reply
  7. pharmacepticacom

    tadalafil brands https://pharmaceptica.com/

    June 29, 2021 at 23:30 | Report abuse | Reply
  8. Chevrolet High Top Van Repair Shop

    http://redirme.com/?to=https://sprintervanrepairnearme.com/

    June 30, 2021 at 00:08 | Report abuse | Reply
  9. 먹튀검증

    Oh my goodness! Incredible article dude! Thank you, However I am experiencing problems with your RSS. I donít understand why I cannot join it. Is there anyone else having identical RSS issues? Anyone that knows the answer will you kindly respond? Thanks!!

    http://xuekegu.com/home.php?mod=space&uid=559374

    June 30, 2021 at 00:24 | Report abuse | Reply
  10. 먹튀검증

    Hi, I do believe this is a great blog. I stumbledupon it 😉 I may revisit once again since I saved as a favorite it. Money and freedom is the greatest way to change, may you be rich and continue to guide other people.

    https://firsturl.de/09ckJwX

    June 30, 2021 at 00:30 | Report abuse | Reply
  11. 먹튀검증업체

    After looking at a number of the blog articles on your web page, I truly appreciate your technique of blogging. I book-marked it to my bookmark site list and will be checking back soon. Please visit my website as well and tell me your opinion.

    https://securityholes.science/wiki/Gambling_Loss_Recovery

    June 30, 2021 at 01:03 | Report abuse | Reply
  12. Camper Repairs Near Me

    Iím impressed, I have to admit. Rarely do I encounter a blog thatís both equally educative and amusing, and without a doubt, you have hit the nail on the head. The problem is something not enough folks are speaking intelligently about. I am very happy I came across this in my search for something concerning this.

    https://trends.gab.com/visit?url=https://www.ocrv.us

    June 30, 2021 at 04:35 | Report abuse | Reply
  13. 먹튀검증

    This website was... how do I say it? Relevant!! Finally I have found something that helped me. Appreciate it!

    http://ezproxy.cityu.edu.hk/login?url=https://casino5dollaropen6.over-blog.com/2021/06/resistance-contrary-to-their-state-trent-et-quarante.html

    June 30, 2021 at 05:27 | Report abuse | Reply
  14. 먹튀사이트

    Hello there, I think your website could be having internet browser compatibility problems. When I take a look at your website in Safari, it looks fine however, if opening in IE, it's got some overlapping issues. I merely wanted to provide you with a quick heads up! Besides that, excellent site!

    https://community.umidigi.com/home.php?mod=space&uid=475658

    June 30, 2021 at 07:46 | Report abuse | Reply
  15. 경주출장마사지

    The next time I read a blog, I hope that it won't fail me just as much as this particular one. I mean, I know it was my choice to read through, however I really believed you'd have something helpful to talk about. All I hear is a bunch of whining about something you could fix if you weren't too busy looking for attention.

    https://india77.com/user/profile/518202

    June 30, 2021 at 08:05 | Report abuse | Reply
  16. Van Paint Shop

    http://start.midnitemusic.ch/index.php?url=https://fleetservicerepairshop.com/

    June 30, 2021 at 09:14 | Report abuse | Reply
  17. Sprinter Van Upholstery

    Itís nearly impossible to find knowledgeable people for this topic, but you seem like you know what youíre talking about! Thanks

    https://www.runreg.com/Services/RedirectEmail.aspx?despa=fleettruckrepairshop.com&emid=7693&edid=2352980&secc=2345271

    June 30, 2021 at 10:07 | Report abuse | Reply
  18. 구미출장안마

    Iím amazed, I have to admit. Rarely do I encounter a blog thatís both equally educative and interesting, and without a doubt, you've hit the nail on the head. The problem is something not enough people are speaking intelligently about. I am very happy I found this during my search for something relating to this.

    https://writeablog.net/ballstop9/care-therapy-using-acupressure-for-stress-relief

    June 30, 2021 at 10:13 | Report abuse | Reply
  19. Nearby RV Repairs

    http://searchingmagnified.com/__media__/js/netsoltrademark.php?d=ocrv.pro/

    June 30, 2021 at 10:48 | Report abuse | Reply
  20. 먹튀

    Great info. Lucky me I ran across your site by chance (stumbleupon). I have saved it for later!

    https://edukite.org/members/casino4circlerod93/activity/1325542/

    June 30, 2021 at 11:02 | Report abuse | Reply
  21. Gail Tariq

    Citizen has an comprehensive collection of watches, mainly focusing on sports and pilot watches. They are separated into five categories (Diving, Pilot, Efficiency, Ladies, Exec) which we'll take a closer check out below. One of Citizen's most current designs is the Nighthawk, which is limited to only 300 items. The development of this watch complies with the success of the previous year's Citizen Nighthawk bronze version, which sold out swiftly.

    https://hub.docker.com/u/tonyroynoris

    June 30, 2021 at 11:37 | Report abuse | Reply
  22. Handicap Van Ramp Repair

    http://www.lecake.com/stat/goto.php?url=http://ocrvfleetservices.com

    June 30, 2021 at 12:00 | Report abuse | Reply
  23. 먹튀검증

    Nice post. I learn something totally new and challenging on blogs I stumbleupon on a daily basis. It's always useful to read articles from other writers and use something from other web sites.

    https://gambling6nestcactus8.bravejournal.net/post/2021/06/20/Casino-Games-Why-Are-They-the-Same

    June 30, 2021 at 13:00 | Report abuse | Reply
  24. Pete Bendolph

    This blog is definitely rather handy since I'm at the moment creating an internet floral website – although I am only starting out therefore it's really fairly small, nothing like this site. Can link to a few of the posts here as they are quite. Thanks much. Zoey Olsen

    https://speakerdeck.com/chathu45

    August 14, 2021 at 22:00 | 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 42 43 44 45 46

Leave a Reply to maggie


 

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.