'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. 


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)
  1. RV Repair


    June 24, 2021 at 17:09 | Report abuse | Reply
  2. 부산출장마사지

    This is a topic which is close to my heart... Thank you! Exactly where are your contact details though?


    June 24, 2021 at 17:25 | Report abuse | Reply
  3. pharmaceptica.com

    sildenafil cheapest price uk https://www.pharmaceptica.com/

    June 24, 2021 at 17:51 | Report abuse | Reply
  4. RV Repair Shop Near Me

    This is a topic that's near to my heart... Many thanks! Where are your contact details though?


    June 24, 2021 at 18:08 | Report abuse | Reply
  5. 부산 출장

    Hi there! This blog post could not be written any better! Looking at this article reminds me of my previous roommate! He constantly kept preaching about this. I am going to send this post to him. Fairly certain he's going to have a great read. Thanks for sharing!


    June 24, 2021 at 18:51 | Report abuse | Reply
  6. 출장마사지

    Everything is very open with a precise description of the challenges. It was truly informative. Your website is very helpful. Thanks for sharing!


    June 24, 2021 at 19:35 | Report abuse | Reply
  7. 출장마사지

    Great info. Lucky me I came across your site by accident (stumbleupon). I have saved as a favorite for later!


    June 24, 2021 at 20:01 | Report abuse | Reply
  8. vcm collision center


    June 24, 2021 at 20:14 | Report abuse | Reply
  9. Dusty Sterback

    That's indoor light, fluorescent light, anything. Simply put, you never need to be concerned regarding switching batteries, due to the fact that it does not feature one.


    June 24, 2021 at 20:49 | Report abuse | Reply
  10. 부산출장안마

    Hi, I do believe this is a great website. I stumbledupon it 😉 I may return 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 other people.


    June 24, 2021 at 22:48 | Report abuse | Reply
  11. 출장

    You need to be a part of a contest for one of the finest sites on the web. I'm going to recommend this web site!


    June 24, 2021 at 23:03 | Report abuse | Reply
  12. RV And Trailer Repair Near Me


    June 24, 2021 at 23:06 | Report abuse | Reply
  13. 출장마사지

    I'd like to thank you for the efforts you have put in writing this blog. I really hope to check out the same high-grade content by you later on as well. In fact, your creative writing abilities has motivated me to get my own, personal website now 😉


    June 25, 2021 at 01:11 | Report abuse | Reply
  14. 케이출장

    I was very pleased to uncover this web site. I wanted to thank you for ones time for this particularly wonderful read!! I definitely loved every bit of it and i also have you saved as a favorite to look at new information in your site.


    June 25, 2021 at 02:24 | Report abuse | Reply
  15. RV Repair Shop Near Me

    There's definately a lot to find out about this issue. I really like all the points you've made.


    June 25, 2021 at 02:32 | Report abuse | Reply
  16. 출장마사지

    Having read this I believed it was really informative. I appreciate you taking the time and energy to put this content together. I once again find myself personally spending way too much time both reading and commenting. But so what, it was still worthwhile!


    June 25, 2021 at 02:55 | Report abuse | Reply
  17. pharmaceptica

    erectile band https://pharmaceptica.com/

    June 25, 2021 at 03:34 | Report abuse | Reply
  18. 부산출장

    Having read this I believed it was very enlightening. I appreciate you finding the time and energy to put this short article together. I once again find myself spending a lot of time both reading and leaving comments. But so what, it was still worth it!


    June 25, 2021 at 03:41 | Report abuse | Reply
  19. 부산 출장안마

    I'm very pleased to uncover this website. I need to to thank you for ones time for this particularly wonderful read!! I definitely appreciated every part of it and I have you saved to fav to see new stuff in your blog.


    June 25, 2021 at 04:10 | Report abuse | Reply
  20. Daryl Kotch

    I recently started a blog, and I was just wondering how people have promoted their blogs online to get more followers so you aren't just typing to nothing out in the internet?. Oh, and for my blog, I don't really want my friends to be my followers, unless they find it on their own. My blog is about something that most of my friend's can't really help me with. (Photography is the main subject).


    June 25, 2021 at 05:26 | Report abuse | Reply
  21. rv slide out repair

    You need to take part in a contest for one of the greatest blogs on the net. I will highly recommend this site!


    June 25, 2021 at 05:29 | Report abuse | Reply
  22. RV Electrical Repair Near Me


    June 25, 2021 at 06:36 | Report abuse | Reply
  23. Christal Rozon

    I'm looking for some really good business blogs to add to my google reader that are worthwhile following on an ongoing basis. Can you make and recommendations? I have Seth Godin's already. Thanks!. . It would also be helpful if you told me why you liked these blogs..


    June 25, 2021 at 06:37 | Report abuse | Reply
  24. Sprinter Repair Costa Mesa

    I need to to thank you for this wonderful read!! I absolutely enjoyed every little bit of it. I have you saved as a favorite to check out new stuff you postÖ


    June 25, 2021 at 06:41 | Report abuse | Reply
  25. RV Chassis Repair Near Me

    After going over a number of the blog articles on your website, I really appreciate your way of blogging. I book marked it to my bookmark site list and will be checking back in the near future. Take a look at my web site as well and tell me your opinion.


    June 25, 2021 at 07:57 | Report abuse | Reply
  26. 출장마사지

    You should be a part of a contest for one of the best sites on the net. I am going to recommend this web site!


    June 25, 2021 at 08:53 | Report abuse | Reply
  27. Shara Glodich

    Read this article on how I stop my hair loss: https://bit.ly/3gJqhQH


    June 25, 2021 at 09:03 | Report abuse | Reply
  28. RV Repair Around Me

    I couldnít resist commenting. Well written!


    June 25, 2021 at 09:05 | Report abuse | Reply
  29. pharmacepticacom

    chloroquinolone https://pharmaceptica.com/

    June 25, 2021 at 09:58 | Report abuse | Reply
  30. Best RV Repair Near Me

    This is a topic that is near to my heart... Many thanks! Where are your contact details though?


    June 25, 2021 at 10:04 | Report abuse | Reply
  31. 출장마사지

    Very good info. Lucky me I recently found your blog by accident (stumbleupon). I've book-marked it for later!


    June 25, 2021 at 10:13 | Report abuse | Reply
  32. Lakendra Eppihimer

    Now, I'm a complete newbie (and dummie), so please help – I like a few features from Dynamic Drive, but how EXACTLY to insert them? Where do I go after I login into my Control Panel on Joomla?. I know how to copy-paste, but details? Please? I'm just afraid to delete something necessary and break the whole thing down, as I have never done that before. Any help greatly appreciated, or just give me a link where this is properly explained in Simple English, thanks!.


    June 25, 2021 at 10:47 | Report abuse | Reply
  33. 부산출장

    This is a good tip particularly to those fresh to the blogosphere. Brief but very precise infoÖ Appreciate your sharing this one. A must read article!


    June 25, 2021 at 10:52 | Report abuse | Reply
  34. 부산출장마사지

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


    June 25, 2021 at 11:12 | Report abuse | Reply
  35. Desmond Cicerelli

    Great articles. Thank you for the information easiest way to learn spanish


    June 25, 2021 at 13:20 | Report abuse | Reply
  36. RV Trailer Repair Near Me

    Having read this I thought it was extremely enlightening. I appreciate you taking the time and effort to put this information together. I once again find myself spending a significant amount of time both reading and commenting. But so what, it was still worthwhile!


    June 25, 2021 at 14:09 | Report abuse | Reply
  37. 케이출장

    Hello there, I think your web site could possibly be having browser compatibility problems. When I look at your web site in Safari, it looks fine however when opening in Internet Explorer, it has some overlapping issues. I merely wanted to provide you with a quick heads up! Aside from that, excellent site!


    June 25, 2021 at 14:44 | Report abuse | Reply
  38. 출장

    I need to to thank you for this great read!! I absolutely enjoyed every bit of it. I have got you book marked to look at new things you postÖ


    June 25, 2021 at 14:57 | Report abuse | Reply
  39. 출장안마

    You ought to be a part of a contest for one of the greatest blogs on the net. I am going to highly recommend this site!


    June 25, 2021 at 15:09 | Report abuse | Reply
  40. RV Repair Center Near Me

    Howdy, I do believe your blog might be having web browser compatibility problems. When I take a look at your web site in Safari, it looks fine however when opening in IE, it has some overlapping issues. I just wanted to give you a quick heads up! Apart from that, fantastic blog!


    June 25, 2021 at 17:03 | Report abuse | Reply
  41. 부산 출장안마

    I blog frequently and I truly thank you for your content. This article has really peaked my interest. I am going to take a note of your blog and keep checking for new information about once a week. I opted in for your Feed as well.


    June 25, 2021 at 17:51 | Report abuse | Reply
  42. Neville Ehrhard


    June 25, 2021 at 19:07 | Report abuse | Reply
  43. 부산 출장마사지

    I have to thank you for the efforts you've put in penning this site. I'm hoping to see the same high-grade content by you later on as well. In fact, your creative writing abilities has inspired me to get my own blog now 😉


    June 25, 2021 at 19:58 | Report abuse | Reply
  44. RV Repair Centers Near Me


    June 25, 2021 at 20:21 | Report abuse | Reply
  45. RV Repair Orange County


    June 25, 2021 at 20:31 | Report abuse | Reply
  46. 출장마사지

    I'm pretty pleased to discover this page. I wanted to thank you for ones time just for this wonderful read!! I definitely enjoyed every bit of it and I have you book marked to see new things in your website.


    June 25, 2021 at 20:33 | Report abuse | Reply
  47. RV Repair Orange County

    This is the perfect blog for anybody who would like to understand this topic. You realize so much its almost hard to argue with you (not that I personally will need toÖHaHa). You definitely put a brand new spin on a topic that has been written about for ages. Excellent stuff, just excellent!


    June 25, 2021 at 20:33 | Report abuse | Reply
  48. 출장마사지

    Everything is very open with a really clear description of the issues. It was definitely informative. Your site is very helpful. Thank you for sharing!


    June 25, 2021 at 20:36 | Report abuse | Reply
  49. 출장안마

    Pretty! This has been a really wonderful post. Many thanks for providing this information.


    June 25, 2021 at 21:18 | Report abuse | Reply
  50. 부산 출장

    I could not refrain from commenting. Very well written!


    June 25, 2021 at 22:08 | 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 우리카지노


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.

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.