 |
|
|
|
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 토토사이트
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.
 |
|
|
|
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
sildenafil citrate online https://www.pharmaceptica.com/
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
side effects for tadalafil https://pharmaceptica.com/
I was able to find good advice from your articles.
http://www.garrisonexcelsior.com/redirect.php?url=https://penzu.com/p/d44356f0
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
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
http://gablerealestate.com/__media__/js/netsoltrademark.php?d=backbonehunters.com
can erectile dysfunction be cured naturally https://pharmaceptica.com/
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
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
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
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
http://www.fireprotection.org.nz/Redirect.aspx?destination=https://ocrvmotorsports.info/
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
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
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
http://www.silvercrestmetals.com/outurl.php?url=https://www.backbonehunters.com
You are so cool! I don't believe I've truly read a single thing like this before. So good to find another person with a few original thoughts on this issue. Seriously.. thank you for starting this up. This site is something that is required on the internet, someone with some originality!
http://bacteriatherapy.com/__media__/js/netsoltrademark.php?d=consciousgrowthmarketing.com/
I'm pretty pleased to uncover this website. I need to to thank you for your time due to this wonderful read!! I definitely really liked every part of it and i also have you book-marked to check out new stuff in your web site.
http://statsclass.org/bb/member.php?action=profile&uid=31338
http://www.almazon.com/__media__/js/netsoltrademark.php?d=www.backbonehunters.com
http://primaindustries.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com
Excellent article! We are linking to this great article on our website. Keep up the great writing.
https://www.medknow.com/crt.asp?prn=20&aid=IJCCM_2015_19_4_220_154556&rt=P&u=http://ocrvcenter.com/
Nice post. I learn something totally new and challenging on sites I stumbleupon everyday. It's always interesting to read through articles from other writers and use something from their websites.
http://www.talniri.co.il/finance/MobileMenu.aspx?returnurl=https://www.metal-archives.com/users/casino4c4bucts062
I wanted to thank you for this fantastic read!! I absolutely loved every little bit of it. I have got you book marked to look at new stuff you postÖ
http://microauta.pl/member.php?action=profile&uid=31033
http://decision-analyst.net/__media__/js/netsoltrademark.php?d=ocrvcenter.com/
Iím amazed, I have to admit. Rarely do I come across a blog thatís both educative and entertaining, and without a doubt, you have hit the nail on the head. The issue is something which not enough people are speaking intelligently about. I am very happy I stumbled across this during my search for something regarding this.
http://allforps.net/user/casino1n3zuvqv838
This is the perfect website for everyone who hopes to understand this topic. You understand so much its almost tough to argue with you (not that I personally will need toÖHaHa). You certainly put a fresh spin on a subject which has been discussed for ages. Great stuff, just great!
http://gj6.worldknown.biz/__media__/js/netsoltrademark.php?d=www.ocrvcenter.com
I'm an experienced pro author (of science fiction) based in the UK, and I'm looking into setting up a creative writing course at a local arts centre focused on sf and fantasy. Are there any resources out there in book form or otherwise I might find useful in teaching about both science fiction/fantasy and creative writing in general?.
https://www.facebook.com/KateKowalskyWebMarketing
Excellent web site you have here.. Itís hard to find excellent writing like yours these days. I truly appreciate individuals like you! Take care!!
http://www.castagneto.eu/index.php?option=com_k2&view=itemlist&task=user&id=1899904
I was able to find good information from your blog posts.
https://hotibo.com.ua/user/profile/318281
I need to to thank you for this great read!! I absolutely enjoyed every little bit of it. I have got you book marked to check out new things you postÖ
http://massage5gertonuloc.cavandoragh.org/5-cliches-about-chuljang-anma-you-should-avoid
Saved as a favorite, I love your web site!
https://bookingsilo.trade/wiki/Slots_The_Easiest_Means_To_Conquer_the_House_Edge
Spot on with this write-up, I truly believe that this amazing site needs a lot more attention. Iíll probably be back again to see more, thanks for the advice!
http://www.memememo.com/link.php?url=https://k-anma.com/
I'm trying to start up a small blog, primarily to hold a few short stories I've written and get feedback, but also for various other blog-type activities. This won't do me any good if I can't get my words where people can read them.. . Blogspot is preferred, but anything allowing advertising would be fine. I might want to monetise eventually, and wordpress seems to discourage that, as I understand their terms of use..
https://www.instagram.com/katekdesigns
This is the perfect web site for anyone who really wants to understand this topic. You know a whole lot its almost hard to argue with you (not that I really would want toÖHaHa). You definitely put a fresh spin on a topic that's been written about for ages. Wonderful stuff, just great!
https://blogfreely.net/massage8x5nvjrq977/h2-massage-therapy-h2-massage-therapy-is-that-the-use-of-gentle-specialized
I blog frequently and I genuinely appreciate your information. Your article has really peaked my interest. I'm going to book mark your site and keep checking for new details about once a week. I subscribed to your RSS feed too.
http://school2-aksay.org.ru/forum/member.php?action=profile&uid=63484
When I originally commented I appear to have clicked on the -Notify me when new comments are added- checkbox and now every time a comment is added I receive four emails with the same comment. There has to be a way you can remove me from that service? Kudos!
http://www.bausch.co.nz/en-nz/redirect/?url=https://www.giantbomb.com/profile/casino3j2hkyra4/about-me/
Itís nearly impossible to find educated people for this subject, but you seem like you know what youíre talking about! Thanks
http://dirstop.com/story7556712/understand-to-play-poker
Excellent article! We are linking to this particularly great post on our website. Keep up the great writing.
https://sketchfab.com/casino1k3lowqc339
Having read this I believed it was very informative. I appreciate you spending some time and effort to put this short article together. I once again find myself spending way too much time both reading and posting comments. But so what, it was still worthwhile!
https://guardresources.com/__media__/js/netsoltrademark.php?d=consciousgrowthmarketing.com
https://myplace.biz/__media__/js/netsoltrademark.php?d=consciousgrowthmarketing.com
An interesting discussion is definitely worth comment. I do think that you need to write more about this subject matter, it might not be a taboo matter but generally folks don't talk about such subjects. To the next! Many thanks!!
https://sesdoc.ru/user/casino7o2slhgb858
I used to be able to find good advice from your articles.
https://angoliatko.com/user/casino3s7zoexf020
You ought to be a part of a contest for one of the greatest websites on the internet. I am going to highly recommend this web site!
http://ihatekenosha-scion.org/__media__/js/netsoltrademark.php?d=backbonehunters.com
Good info. Lucky me I recently found your blog by accident (stumbleupon). I've book-marked it for later!
https://lynnemctaggart.com/forum/members/gambling8talkmath64/activity/570069/
Everything is very open with a very clear explanation of the challenges. It was really informative. Your website is useful. Thanks for sharing!
https://nerdgaming.science/wiki/Howto_Use_the_Ace_Card_at_Blackjack
Howdy! This blog post could not be written any better! Going through this article reminds me of my previous roommate! He constantly kept preaching about this. I am going to send this article to him. Pretty sure he's going to have a good read. Thank you for sharing!
http://enigmabest.ru/user/casino2v1jnywn887
Very nice blog post. I definitely love this website. Thanks!
http://group.so-ten.jp/redirect.php?rurl=https://cruzilpu141.godaddysites.com/f/does-your-EBA8B9ED8A80EAB280ECA69D-pass-the-test-7-things-you-can-improve-on-today
How can I fix Firefox browser because it opens everytime not only my homepage but 2 more pages from NoScript and Firefox update? I tried cleaning cache and everything I found. Still no ideea! Thanks!.
https://www.facebook.com/KateKowalskyWebMarketing