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- Title
Outpatient tonsillectomy in children: A systematic review
- Authors
Brigger, Matthew T.; Brietzke, Scott E.
- Abstract
Objective: To evaluate the level of evidence regarding the safety of outpatient pediatric tonsillectomy. Study design and setting: The medical literature addressing outpatient pediatric tonsillectomy was systematically reviewed. The level of evidence was assessed, and data were pooled. Results: Seventeen articles met inclusion criteria. Each article suggested that outpatient tonsillectomy was safe. The overall level of evidence was fair (grade B−). Pooled data analysis in the perioperative period showed a complication rate estimate of 8.8% (95% confidence interval [CI], 5.5%-12.1%; P ≤ 0.001) and an unplanned admission rate estimate of 8.0% (95% CI, 5.3%-10.7%; P ≤ 0.001). Subgroup analysis suggests that children under age 4 are at a higher risk of complications in the perioperative period with an odds ratio of 1.64 (95% CI, 1.16-2.31). Conclusion: The level of evidence supporting the safety of outpatient pediatric tonsillectomy is fair. The analyzed data show a higher rate of early complications and unplanned admissions in children under age 4. Significance: The current evidence supports the practice of outpatient tonsillectomy in properly selected children. EBM rating: A-1a
- Subjects
TONSILLECTOMY; MEDICAL literature; PEDIATRICS; MEDICAL bibliographies
- Publication
Otolaryngology-Head & Neck Surgery, 2006, Vol 135, Issue 1, p1
- ISSN
0194-5998
- Publication type
Article
- DOI
10.1016/j.otohns.2006.02.036