 |
|
|
|
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 Marcelino Vonk
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.
 |
|
|
|
617603 476075You produced some decent points there. I looked online for your dilemma and located a lot of people will go together with with the internet site. 945466
989628 33382We are a group of volunteers and opening a new scheme in our community. Your internet web site given us with valuable details to function on. Youve done an impressive job and our entire community will likely be grateful to you. 40920
Best view i have ever seen !
https://www.google.pt/url?q=https://thuocladientu123.com
Hi, I do believe this is an excellent website. I stumbledupon it 😉 I'm going to return once again since I book-marked it. Money and freedom is the greatest way to change, may you be rich and continue to guide other people.
http://casino4fridgetrail33.jigsy.com/entries/general/How-to-Win-at-Blackjack–Increase-Your-Odds-by-Following-This-Simple-Strategy
You ought to take part in a contest for one of the most useful websites on the net. I will recommend this web site!
https://knightcalf50.bravejournal.net/post/2021/04/28/Massage-Your-Body-To-Get-Removing-Toxins-and-Clearing-the-Skin-Naturally-Of-Fatigue
https://www.mundijuegos.com/messages/redirect.php?url=http://ocrvcenter.com/rv-furniture-near-me
This is a topic which is close to my heart... Best wishes! Where are your contact details though?
https://forum.kixdesk.com/index.php?action=profile;area=forumprofile;u=44420
This is a topic that's close to my heart... Take care! Exactly where are your contact details though?
http://www.freeclassifiedlistings.biz/index.php?qa=user&qa_1=teethburst60
Greetings! Very helpful advice in this particular article! It is the little changes that produce the most important changes. Many thanks for sharing!
http://www.fuwaa.cn/bbs/space-uid-280788.html
This page definitely has all the information and facts I wanted about this subject and didnít know who to ask.
https://www.transtats.bts.gov/exit.asp?url=http://fluencyuniversity.com/members/gambling5talkviolin43/activity/599616/
Good post. I will be dealing with some of these issues as well..
https://www.empowher.com/users/headmeal61
Thẳng Bóng Đá Việt Nam Vs Lebanon. Coi Truc Tiep Bong Da. Futsal Việt Namplayok xiangqiNếu cứ đùa như cơ hội vừa đè bẹp Everton tới 3-1 trên sảnh khách hàng
https://chiefscreolecafe.com/detail/xem-k-pm-55118.html
An interesting discussion is definitely worth comment. I think that you need to publish more about this topic, it might not be a taboo matter but usually people don't talk about these issues. To the next! All the best!!
https://botdb.win/wiki/Poker_Strategy_Two_Tips_For_Improving_Your_Joker_Poker_Strategy
Saved as a favorite, I really like your blog!
http://bigapple.idv.tw/discuz/home.php?mod=space&uid=981288
Good information. Lucky me I ran across your website by chance (stumbleupon). I've bookmarked it for later!
http://appdev.163.ca/dz163/home.php?mod=space&uid=3394747
Your style is unique in comparison to other folks I've read stuff from. Thanks for posting when you have the opportunity, Guess I'll just book mark this blog.
https://www.nyticketdeals.com/members/baccarat7beeteditor16/activity/203787/
Nice post. I learn something new and challenging on websites I stumbleupon every day. It will always be useful to read content from other authors and use a little something from other websites.
http://v.wcj.dns4.cn/?c=scene&a=link&id=8833621&url=http://hootnholler.net/cgtn-china-gears-up-for-sci-tech-development-focusing-more-on-self-reliance-prnewswire/
Oh my goodness! Awesome article dude! Many thanks, However I am experiencing problems with your RSS. I donít know the reason why I can't join it. Is there anybody getting identical RSS issues? Anybody who knows the solution can you kindly respond? Thanx!!
https://fireflyvodka.com/__media__/js/netsoltrademark.php?d=http://www.ocrvcenter.com/rv-repair-shop-mission-hills-california/
Next time I read a blog, Hopefully it won't disappoint me just as much as this one. I mean, Yes, it was my choice to read through, however I genuinely thought you'd have something helpful to say. All I hear is a bunch of complaining about something you could fix if you were not too busy looking for attention.
https://asiawebdirect.com/customer/recommend/?url=https://ocrvcenter.com/rv-repair-shop-claremont-california/
Aw, this was a very good post. Finding the time and actual effort to make a great articleÖ but what can I sayÖ I put things off a lot and never seem to get anything done.
https://cults3d.com/fr/utilisateurs/coffeecrop50
There is definately a great deal to learn about this subject. I like all the points you made.
https://pbase.com/topics/bitoven24/shiatsu_massage_an_excelle
I've been surfing online greater than 3 hours these days, but I never found any attention-grabbing article like yours. It is pretty value sufficient for me. Personally, if all webmasters and bloggers made excellent content material as you probably did, the net will be a lot more helpful than ever before.
https://philadelphiaweekly.com/10-best-cbd-lubes-to-buy-in-2021/
https://osmedia.com/__media__/js/netsoltrademark.php?d=https://ocrvcenter.com/
http://www.cellaccessories.com/__media__/js/netsoltrademark.php?d=www.ocrvcenter.com
I must thank you for the efforts you have put in writing this website. I'm hoping to see the same high-grade content from you later on as well. In truth, your creative writing abilities has motivated me to get my own website now 😉
http://ezproxy.cityu.edu.hk/login?url=https://diigo.com/0keutg
Very good article! We will be linking to this great article on our site. Keep up the good writing.
http://kahangallery.com/__media__/js/netsoltrademark.php?d=http://ocrvcenter.com
Pretty! This has been a really wonderful article. Thanks for providing these details.
http://saskatoon.cs.rit.edu:10001/luteroom08
Greetings! Very helpful advice in this particular article! It is the little changes that produce the biggest changes. Thanks a lot for sharing!
https://squaresun84.edublogs.org/2021/04/23/shiatsu-massage-an-excellent-option-for-chronic-infection-or-fixing-are-as/
The very next time I read a blog, I hope that it won't fail me just as much as this particular one. After all, Yes, it was my choice to read through, nonetheless I actually believed you would have something interesting to say. All I hear is a bunch of whining about something you could possibly fix if you were not too busy seeking attention.
https://hoccattochanoi.com/forum/User-centmeal99.html
This is a topic that's close to my heart... Cheers! Where are your contact details though?
https://transferdirect.com/__media__/js/netsoltrademark.php?d=https://ocrvcenter.com
https://www.paros.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com
Good blog you have got here.. Itís difficult to find high-quality writing like yours these days. I really appreciate people like you! Take care!!
https://pastebin.fun/Sj7MqxdhKg
http://www.custody.net/__media__/js/netsoltrademark.php?d=https://ocrvcenter.com/
Good information. Lucky me I recently found your website by chance (stumbleupon). I've bookmarked it for later!
http://www.bbrk3.com/__media__/js/netsoltrademark.php?d=https://ocrvcenter.com
Aw, this was a very good post. Spending some time and actual effort to create a very good articleÖ but what can I sayÖ I hesitate a whole lot and never manage to get anything done.
http://ikeynote.cn/home.php?mod=space&uid=2655049
Spot on with this write-up, I honestly think this site needs much more attention. Iíll probably be back again to read more, thanks for the info!
https://firsturl.de/HP16tEZ
https://www.radar.techcabal.com/clicks/track?url=http://www.ocrvcenter.com/rv-repair-shop-inland-empire-california/
http://www.12inchclassic.net/__media__/js/netsoltrademark.php?d=https://ocrvcenter.com
Very good article! We will be linking to this particularly great article on our website. Keep up the great writing.
https://blogfreely.net/sweetsside78/why-is-swedish-massage-so-good-for-you
Spot on with this write-up, I honestly feel this website needs much more attention. Iíll probably be back again to read more, thanks for the info!
http://www.eridan.websrvcs.com/System/Login.asp?id=48747&Referer=ocrvcenter.com/rv-repair-shop-san-diego-californiacity-temp-wireframe
Right here is the right webpage for anyone who hopes to understand this topic. You know so much its almost tough to argue with you (not that I personally will need toÖHaHa). You definitely put a new spin on a topic which has been written about for many years. Great stuff, just excellent!
https://anotepad.com/notes/3phhj2sa
I blog quite often and I genuinely thank you for your content. The article has really peaked my interest. I am going to bookmark your blog and keep checking for new information about once per week. I opted in for your Feed too.
https://freecenter.com/db/review.cgi?category=pda&url=https://www.ocrvcenter.com/rv-repair-shop-south-pasadena-california
Howdy! This blog post couldnít be written any better! Looking at this article reminds me of my previous roommate! He continually kept talking about this. I am going to send this post to him. Fairly certain he will have a good read. I appreciate you for sharing!
https://www.instapaper.com/p/radiomole95
You're so awesome! I do not think I have read through anything like that before. So wonderful to find another person with a few genuine thoughts on this subject matter. Seriously.. thank you for starting this up. This web site is something that is required on the web, someone with a little originality!
https://articlescad.com/know-the-rules-of-a-casino-1298368.html
Nice post. I learn something new and challenging on blogs I stumbleupon every day. It's always useful to read content from other writers and practice a little something from their websites.
https://imle.gen.tv.tr/Siteler/whats-a-slots-book-3/
I absolutely love your site.. Great colors & theme. Did you develop this site yourself? Please reply back as Iím trying to create my own blog and want to know where you got this from or just what the theme is called. Appreciate it!
https://images.google.co.nz/url?q=https://slack-redir.net
http://www.triathlon.org/?URL=https://www.ocrvcenter.com/rv-repair-shop-la-quinta-california
This is a topic which is close to my heart... Thank you! Exactly where are your contact details though?
http://team3556.com/HQ/index.php?action=profile;area=forumprofile;u=144628
I am sure this paragraph has touched all the internet people, its really really good article on building up new website.|
https://philadelphiaweekly.com/10-best-cbd-lubes-to-buy-in-2021/
This website was... how do I say it? Relevant!! Finally I've found something which helped me. Appreciate it!
http://historisches-festmahl.de/go.php?url=ocrvcenter.com/rv-repair-shop-commerce-california/