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.
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.
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.
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.
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.
Specifically the sort of material that improves the web. Many thanks!
Precisely the sort of material that improves the net. Many thanks!
Your site is great as in the event it have been written by simply a writer. Let me pay a visit to your blog frequently. Many thanks always.
I'm gone to say to my little brother, that he should also pay a
visit this web site on regular basis to get updated from latest reports.
Just bookmarked this post as I have actually found it rather helpful.
Incredible. If you're so good the fact that you're so good at this point. Your help woke myself up. Thank you really much.
Amazing. Wizard. You're a new guru. Give thanks you.
At this specific charge, you can premiere as a writer. Now i am so touched. Now i am delighted to meet you. Appreciate you.
Filler Metals – MIG, TIG && amp; Stick Welding Wires, Rods, Electrodes, Brazing Alloys
Locate welding cord on IndustryNet. Sight a complimentary list of welding cord vendors.
This is a topic that is near to my heart... Many thanks! Where are your contact details though?
Everything is very open with a really clear explanation of the issues. It was really informative. Your site is very helpful. Many thanks for sharing!
A wide variety of information on Technology is to be discovered by browsing on the Internet, along with making use of the search engines. Taking your preliminary steps – this is what the expertise we have actually offered is fixated. So what you need to do now is take your primary steps, recognize that you won't achieve everything overnight, however that you are making use of the steps required to obtain where you plan to go. It's all about writing down your goals, advising yourself daily of what you wish to complete, as well as getting there using persistence along with willpower. Numerous guidelines and also methods can be acquired at Our Technology Site, specifically in regard to helping you to complete your objectives. Any individual that goes to this internet site can conveniently find out something from it, as well as despite having the large volume of information, it will assist you in the end.
Technology is an extensive subject, you'll find many different things to find out about it. You should, however, guarantee you do not forget the basic issues which are necessary if you want to reach your targets. What we've pointed out here is a very good area to get started and if you desire to proceed, you should see what else you can find at Our Technology Site. There are, nevertheless, numerous different techniques that you can take as well as there are great deals of various web sites that take place to be worth considering– among them is Our Technology Site.
is a leading producers of Welding Electrodes and also Mig/Tig as well as Saw Filler Wire with worldwide criteria under the brand name PRIMA.
Kudos to you, I figured out something new. Give thanks to an individual so much. I actually appear forward to working with you.
Ador Welding Limited (formerly known as Advani– Oerlikon Limited) is an biggest maker of welding devices, Welding and Cutting, consumables, as well as automation equipment, welding automation options in addition to reducing machines as well as systems.
The majority of the very best details concerning Technology can be found via discovering on the web, plus it is used at numerous other areas. The beginning, however, is typically the hardest part of essentially any type of activity as you certainly can not rely on to obtain anything if you don't take the preliminary action. There are extensive ideas that you can follow at Our Technology Site that you require to heed, and also relate to stay on the best track each day. All you have to achieve is take advantage of the huge parts of facts at this resource, and also you will certainly understand your objectives.
Cheers to you, My partner and i realized something new. Appreciate an individual so much. I actually seem forward to working with you.
If you're keen on making Technology something that is worthwhile for you, the methods we've offered will definitely help. It typically is preferable to see fast outcomes, but to do so, you need to have perseverance if they do not appear right away. Anytime you require additional assistance, you'll wish to head over to Our Technology Site – bookmark this link so you have it for future recommendation.
In case points stop working to wind up just as you intended when dealing with Technology, you must not get mad at yourself – it is tough to understand this when you at first begin. Completing anything in life starts with beginning in the right instructions, and also realizing our assumption as well as desires. When you have a target to understand or a issue to fix, you have to manage it a action each time. Beginning is usually the complicated part – you can do that currently utilizing the points we've just given you. More than likely, you will want to find out much more on this subject issue. If that holds true, mosting likely to Our Technology Site will certainly provide you a whole lot extra info.
I love your blog page. I'm experienced. Thank an individual.
Wow. Most likely so good that you're so good at this time. Your help woke me up. Thank you really much.
Find Lincoln Electric market leading Stick (SMAW), MIG (GMAW), TIG (GTAW), Flux-Cored (FCAW-G as well as FCAW-S) as well as Submerged Arc (SAW) welding wire.
top saw welding cord qualities
The very next time I read a blog, I hope that it won't disappoint me just as much as this particular one. After all, I know it was my choice to read, nonetheless I actually believed you'd have something helpful to say. All I hear is a bunch of complaining about something that you could fix if you weren't too busy searching for attention.
You have actually covered this subject professionally.
The only thing I lament is not having found your blog earlier.
You need to be a part of a contest for one of the finest websites on the net. I most certainly will recommend this website!
676998 44905Great post, I feel internet site owners really should acquire a whole lot from this web website its extremely user pleasant. 114788
What an incredible manner of considering points.
Just bookmarked this article as I have found it fairly valuable.
Hi, I do think this is a great website. I stumbledupon it 😉 I am going to come back yet again since i have book-marked it. Money and freedom is the best way to change, may you be rich and continue to guide others.
An fascinating discussion is worth comment. I feel that you should write a lot more on this topic, it might not be a taboo subject but generally folks aren’t sufficient to speak on such topics. To the next. Cheers
if you like diamond earrings, you can look on the internet for other designs that would suit you”
tadalafil gel https://elitadalafill.com/ tadalafil max dose
It is truly a great and helpful piece of info. I am satisfied that you just shared this useful info with us. Please stay us informed like this. Thank you for sharing.
generic sildenafil nz https://eunicesildenafilcitrate.com/ best price for sildenafil 50 mg
Wow, the articles are so sexy. How can My partner and i write like an individual? My partner and i want the identical writing skills as you may.