Day-case tonsillectomy: practical solution or practical impossibility.

Hdl Handle:
http://hdl.handle.net/10147/559173
Title:
Day-case tonsillectomy: practical solution or practical impossibility.
Authors:
Kharytaniuk, N; Ali, R; Sharafa, A; Keogh, I J
Citation:
Day-case tonsillectomy: practical solution or practical impossibility. 2015, 108 (1):11-3 Ir Med J
Publisher:
Irish Medical Journal
Journal:
Irish medical journal
Issue Date:
Jan-2015
URI:
http://hdl.handle.net/10147/559173
PubMed ID:
25702346
Abstract:
The use of day case surgery is on the rise. In order to improve efficiency and reduce cost, it has been proposed that tonsillectomy could be undertaken as a day-case procedure in Ireland. A retrospective, chart-based study was carried out. The medical and social criteria of all patients who underwent tonsillectomy during a twelve-month period were evaluated. Individual, local and national factors were identified and international comparisons were made. Of 161 patients included, 43 (27%) were considered suitable for day case tonsillectomy (DCT). The distance/time criteria from hospital excluded 64% of patients. The diagnosis of obstructive sleep apnoea was the single most common medical reason for exclusion. Support structures were deficient. Local factors must be considered before any policy or targets are developed for DCT. Patient safety is the fundamental tenet. Currently, the infrastructure and the support required for a patient-focused, safe efficient DCT are deficient, and need investment.
Item Type:
Article
Language:
en
Keywords:
SURGERY, DAY; TONSILLECTOMY
MeSH:
Adolescent; Adult; Aged; Ambulatory Surgical Procedures; Child; Child, Preschool; Humans; Ireland; Middle Aged; Patient Safety; Postoperative Complications; Retrospective Studies; Spatial Analysis; Tonsillectomy; Young Adult
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorKharytaniuk, Nen
dc.contributor.authorAli, Ren
dc.contributor.authorSharafa, Aen
dc.contributor.authorKeogh, I Jen
dc.date.accessioned2015-07-07T16:10:33Zen
dc.date.available2015-07-07T16:10:33Zen
dc.date.issued2015-01en
dc.identifier.citationDay-case tonsillectomy: practical solution or practical impossibility. 2015, 108 (1):11-3 Ir Med Jen
dc.identifier.issn0332-3102en
dc.identifier.pmid25702346en
dc.identifier.urihttp://hdl.handle.net/10147/559173en
dc.description.abstractThe use of day case surgery is on the rise. In order to improve efficiency and reduce cost, it has been proposed that tonsillectomy could be undertaken as a day-case procedure in Ireland. A retrospective, chart-based study was carried out. The medical and social criteria of all patients who underwent tonsillectomy during a twelve-month period were evaluated. Individual, local and national factors were identified and international comparisons were made. Of 161 patients included, 43 (27%) were considered suitable for day case tonsillectomy (DCT). The distance/time criteria from hospital excluded 64% of patients. The diagnosis of obstructive sleep apnoea was the single most common medical reason for exclusion. Support structures were deficient. Local factors must be considered before any policy or targets are developed for DCT. Patient safety is the fundamental tenet. Currently, the infrastructure and the support required for a patient-focused, safe efficient DCT are deficient, and need investment.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.rightsArchived with thanks to Irish medical journalen
dc.subjectSURGERY, DAYen
dc.subjectTONSILLECTOMYen
dc.subject.meshAdolescenten
dc.subject.meshAdulten
dc.subject.meshAgeden
dc.subject.meshAmbulatory Surgical Proceduresen
dc.subject.meshChilden
dc.subject.meshChild, Preschoolen
dc.subject.meshHumansen
dc.subject.meshIrelanden
dc.subject.meshMiddle Ageden
dc.subject.meshPatient Safetyen
dc.subject.meshPostoperative Complicationsen
dc.subject.meshRetrospective Studiesen
dc.subject.meshSpatial Analysisen
dc.subject.meshTonsillectomyen
dc.subject.meshYoung Adulten
dc.titleDay-case tonsillectomy: practical solution or practical impossibility.en
dc.typeArticleen
dc.identifier.journalIrish medical journalen
dc.description.fundingNo fundingen
dc.description.provinceConnachten
dc.description.peer-reviewpeer-reviewen

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