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Age-related causes of emergency department visits after pediatric adenotonsillectomy at a tertiary pediatric referral center

International Journal of Pediatric Otorhinolaryngology Sep 12, 2019

Lindquist NR, et al. - Since the overall 30-day emergency department (ED) return rate after the immediate postoperative phase is as high as 13.3%, however, few studies have explored the types and rates of late postoperative complications (ie, bleeding, dehydration, nausea, respiratory complications, and pain) for children undergoing tonsillectomy and adenoidectomy (T&A) stratified base on patient age, researchers described ED return visits for children of all ages, with special consideration to those patients under 3 years of age. Included were all patients 18 years of age or older who had T&A for 18 months. According to this retrospective case series, an overall late complication rate of 12.8% was found in 5,225 patients with no difference based on age. Investigators found that patients under the age of 3 are more likely to return to ED for dehydration, while bleeding and need for oropharyngeal hemorrhage control are more common in older children. Knowledge of T&A's age-related late complications may direct suitable perioperative risk counseling and precautions for return.
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