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Admission and discharge policy for paediatric adenoidectomy and tonsillectomy – a rural perspective

Published online by Cambridge University Press:  29 June 2007

P. Murthy  and
M. R. Laing
P. Murthy*
Affiliation:
Department of Otolaryngology, Raigmore Hospital NHS Trust, Inverness, Scotland, UK
M. R. Laing
Affiliation:
Department of Otolaryngology, Raigmore Hospital NHS Trust, Inverness, Scotland, UK
*
Address for correspondence: Mr P. Murthy, F.R.C.S. (ORL), Department of Otolaryngology, Raigmore Hospital NHS Trust, Inverness IV2 3UJ
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Abstract

Adenoidectomy and tonsillectomy are amongst the most common surgical procedures carried out in children. We undertook a prospective audit in the Highlands of Scotland to document the views of general practitioners, parents, nursing staff and anaesthetists on admission and discharge policy. Of responses from 149 general practitioners, 119 (80 per cent) were in favour of change to same day admission and 22 (15 per cent) were not in favour. For change to same day discharge for adenoidectomy, 55 (37 per cent) were in favour and 81(54 per cent) were not in favour. For change to next day discharge for tonsillectomy, the figures were 51(34 per cent) and 89 (60 per cent) respectively. Responses from 14 trained paediatric nurses comprised 13 not in favour of same day admission, six in favour and seven not in favour of same day discharge for adenoidectomy and all 14 not in favour of same day discharge for tonsillectomy. All eight Consultant anesthaetists approached were happy with a change in policy to same day admission for children who were otherwise fit and well. Thirty-seven parents (70 per cent) preferred previous day admission and 14 (29 per cent) were happy with same day admission for their children. On the basis of these results, day-case adenoidectomy or tonsillectomy is not being considered in this area. Moves have been made, however, toward a policy of same day admission and next day discharge.

Keywords

AdenoidectomyTonsillectomyChildLength of stay
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 11 , November 1998 , pp. 1047 - 1051
Copyright
Copyright © JLO (1984) Limited 1998

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