 |
|
|
|
January 20th, 2014
11:18 AM ET
'Routine' tonsillectomies not so routineWhen 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. 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 (2,279 Responses)« Previous 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 Next »Leave a Reply to Madonna Sandager
Next entry »Guns in home increase suicide, homicide risk
« Previous entry5 studies you may have missed
|
  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.
 |
|
|
|
https://shop.merchtable.com/users/authorize?return_url=https://ocrv.life/rv-repair-shop-poway-california
An outstanding share! I've just forwarded this onto a friend who had been doing a little research on this. And he actually bought me lunch because I stumbled upon it for him... lol. So let me reword this.... Thank YOU for the meal!! But yeah, thanks for spending time to talk about this subject here on your internet site.
https://www.threadless.com/@q2lhkpn763
Pretty! This has been a really wonderful article. Many thanks for supplying this info.
https://record.affiliatelounge.com/_WS-jvV39_rv4IdwksK4s0mNd7ZgqdRLk/7/?deeplink=https://ocrvfleetservices.com/camper-van-conversion-shop-near-me
Oh my goodness! Incredible article dude! Thanks, However I am encountering troubles with your RSS. I donít know why I cannot subscribe to it. Is there anybody getting identical RSS problems? Anybody who knows the solution will you kindly respond? Thanks!!
http://kyousyoku-navi.com/user/profile/22442
https://ref.webhostinghub.com/scripts/click.php?ref_id=nichol54&desturl=https://ocrv.org
http://www.ffatsearch.com/search/rank.cgi?mode=link&id=9636&url=https://ocrvmotorsports.co
I couldnít refrain from commenting. Perfectly written!
http://casino7cashgjaj312.lucialpiazzale.com/your-worst-nightmare-about-meogtwigeomjeung-come-to-life
An interesting discussion is worth comment. I believe that you need to write more on this subject matter, it might not be a taboo subject but usually people don't speak about such subjects. To the next! Kind regards!!
http://pixelscholars.org/engl202-022/members/gambling9israeleditor11/activity/711007/
http://zdorov.online/goto.php?l=ocrvmotorcoachsales.com
Woah! I'm really enjoying the template/theme of this site. It's simple, yet effective. A lot of times it's tough to get that "perfect balance" between superb usability and visual appeal. I must say you've done a awesome job with this. In addition, the blog loads very fast for me on Internet explorer. Exceptional Blog!|
https://paste.sh/SYbLz6Ep#fCc2w2CYTDLIIYlyR7J-l-Ga
http://as.inbox.com/AC.aspx?id_adr=262&link=http://meganleary.com
cyclomune eye drop cyclosporine medication
This is a topic that is near to my heart... Many thanks! Where are your contact details though?
https://home.guanzhuang.org/link.php?url=https://club-maserati.com
Having read this I thought it was very informative. I appreciate you finding the time and effort to put this informative article together. I once again find myself spending way too much time both reading and leaving comments. But so what, it was still worthwhile!
http://d-click.cesa.org.br/u/4762/1839/1078/11584_0/5d8f0/?url=https://club-maserati.com
cyclosporine lab tube buy cyclomune online
http://www.audio-iwasaki.com/ys4/rank.cgi?mode=link&id=1551&url=http://www.arizonasvision.com/
You are so awesome! I do not think I have read through anything like this before. So wonderful to discover someone with some genuine thoughts on this subject. Really.. many thanks for starting this up. This website is one thing that is needed on the internet, someone with a bit of originality!
https://blogfreely.net/baccarat9domaincoke52/betting-the-social-impact
I'd like to thank you for the efforts you've put in penning this blog. I'm hoping to see the same high-grade content from you in the future as well. In fact, your creative writing abilities has encouraged me to get my own, personal site now 😉
https://app.box.com/s/ijoom8rad4pj4c6eurp7n07mf8qzjbka
combigan eye drops generic brimonidine how it works
avanafil dose avana 100 mg
https://email.ratemyagent.com.au/Email/RedirectToURL?url=https://club-maserati.com
I could not refrain from commenting. Very well written!
http://he-web.com/rank.cgi?mode=link&id=6111&url=http://ocrv.pro/
Howdy, I do think your website could be having browser compatibility issues. Whenever I take a look at your blog in Safari, it looks fine however, if opening in I.E., it has some overlapping issues. I simply wanted to give you a quick heads up! Other than that, great website!
https://qingms.com/link.php?url=https://internetmarketingsupply.com
I’m amazed, I must say. Rarely do I come across a blog that’s equally educative and entertaining, and without a doubt, you've hit the nail on the head. The issue is an issue that not enough men and women are speaking intelligently about. Now i'm very happy that I found this during my hunt for something relating to this.
https://record.affiliatelounge.com/_WS-jvV39_rv4IdwksK4s0mNd7ZgqdRLk/7/?deeplink=https://postfallsbootcamp.com
https://www.aquarist-classifieds.co.uk/BANNER-MANAGEMENT/click.php?id=44&url=https://onlinebannerdisplayadvertisingservices.com
http://singhui.com/uchome/link.php?url=boosterpackforlife.com/
Wonderful article! We will be linking to this great content on our website. Keep up the great writing.
https://aikareborn.com/members/brenomelossa.41855
Pretty! This was an extremely wonderful article. Thanks for supplying these details.
https://www.bookmark-url.win/how-to-explain-meogtwigeomjeungsaiteu-to-your-boss-6
You've made some good points there. I looked on the web for additional information about the issue and found most individuals will go along with your views on this website.
https://www.bravobookmarks.win/11-embarrassing-meogtwigeomjeung-faux-pas-you-better-not-make-15
Very good info. Lucky me I discovered your website by chance (stumbleupon). I've book marked it for later!
http://www.zenithtrans-oceanic.portabletubes.co.uk/gbook/go.php?url=http://affordableranking.com
https://kwangjang.info/__media__/js/netsoltrademark.php?d=affordableranking.com
Very good info. Lucky me I discovered your site by accident (stumbleupon). I've saved it for later!
https://www.partner.pccomponentes.com/servlet/effi.redir?id_compteur=13365084&url=https://aikareborn.com/forums/general-discussion.47
Saved as a favorite, I like your site!
http://www.vynckier.nl/save_acc.php?itemno=11797&url=http://affordableranking.com
It’s hard to come by experienced people for this subject, but you sound like you know what you’re talking about! Thanks
https://www.megavision.net/hitting.asp?id=1406&url=http://www.affordableranking.com
http://humaniplex.com/jscs.html?hj=y&ru=https://affordableranking.com
http://paper.li/SharonLaMothe/1411841847?read=https://cutandpastelab.com/theme-rivers-of-words-01/
Hi, I do believe this is an excellent site. I stumbledupon it 😉 I may revisit once again since i have book-marked it. Money and freedom is the greatest way to change, may you be rich and continue to guide others.
http://r2partage.fr/qa/index.php?qa=user&qa_1=z4fjqxh999
May I simply just say what a comfort to uncover a person that actually understands what they're talking about over the internet. You definitely know how to bring a problem to light and make it important. More and more people ought to read this and understand this side of the story. I can't believe you aren't more popular since you most certainly have the gift.
https://www.yunsom.com/redirect/commodity?url=https://fleetrepairshops.com/travel-van-repair-shop-near-me
I was excited to discover this page. I need to to thank you for ones time for this fantastic read!! I definitely savored every part of it and i also have you bookmarked to check out new stuff in your site.
http://au-e.com/site/http://maseratis.net
I seriously love your site.. Great colors & theme. Did you create this website yourself? Please reply back as I’m hoping to create my very own blog and would like to find out where you got this from or exactly what the theme is called. Kudos!
http://www.qingms.com/link.php?url=http://www.fleettruckrepairshop.com/enterprise-truck-repair-shop-near-me/
https://img.2chan.net/bin/jump.php?http://fleetvehiclerepairshop.com/luxury-van-shop-near-me/
Hi there! I could have sworn Iíve visited this site before but after looking at a few of the articles I realized itís new to me. Anyways, Iím definitely happy I discovered it and Iíll be book-marking it and checking back regularly!
https://www.pinterest.com/mendozapeters/
http://bbs.cfish.idv.tw/link.php?url=https://sprintervanrepairshop.com/truck-frame-repair-shop-near-me
I don't know about you people but I am obsessed with airplanes. I have a friend in highschool that loved airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2010/08/opinion-regional-airlines-versus-their-legacy-counterparts/
http://urlm.co/g/c/f/163872
https://lcu.hlcommission.org/lcu/pages/auth/forgotPassword.aspx?Returnurl=https://sprintervanrepairshop.com/sprinter-van-upholstery-shop-near-me/
https://track.affsrc.com/track/clicks/3171/c627c2b89e0522dbfe9cbd2e8d2b8914736245cb75e9f0ab416db1046005?t=https://fleetservicerepairshop.com/box-truck-wrap-shop-near-me
https://tokyo-logistic-koba.ecweb.jp/?wptouch_switch=mobile&redirect=http3A2F2Fmaseratis.net
This is a really good tip particularly to those new to the blogosphere. Simple but very accurate info… Thank you for sharing this one. A must read article!
http://www.creativa.su/away.php?url=http://maseratiforum.net
I used to be able to find good advice from your content.
http://www.php-api.engageya.com/oper/https_redirect.php?url=https://fleetservicesorangecounty.com/semi-truck-alignment-shop-near-me
The very next time I read a blog, Hopefully it won't fail me as much as this particular one. After all, Yes, it was my choice to read, but I really believed you would probably have something useful to say. All I hear is a bunch of complaining about something you can fix if you were not too busy looking for attention.
https://pixel.everesttech.net/1350/cq?ev_sid=10&ev_ltx=&ev_lx=44182692471&ev_crx=8174361329&ev_mt=b&ev_dvc=c&url=https://boxtruckrepairshop.com/semi-truck-collision-repair-shop-near-me/