Outcomes of a postoperative day one call to families after adenotonsillectomy in children

OBJECTIVE: To examine the outcomes of a postoperative day one (POD 1) phone call to families of ambulatory surgical patients, as a means of guiding clinical interventions and quality initiatives, with a focus on children undergoing adenotonsillectomy (T&A). METHODS: Retrospective analysis of out...

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Autores principales: Billings, Kathleen R., Bhushan, Bharat, Berkowitz, Rachel J., Stake, Christine, Lavin, Jennifer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392385/
https://www.ncbi.nlm.nih.gov/pubmed/36000061
http://dx.doi.org/10.1002/lio2.845
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author Billings, Kathleen R.
Bhushan, Bharat
Berkowitz, Rachel J.
Stake, Christine
Lavin, Jennifer
author_facet Billings, Kathleen R.
Bhushan, Bharat
Berkowitz, Rachel J.
Stake, Christine
Lavin, Jennifer
author_sort Billings, Kathleen R.
collection PubMed
description OBJECTIVE: To examine the outcomes of a postoperative day one (POD 1) phone call to families of ambulatory surgical patients, as a means of guiding clinical interventions and quality initiatives, with a focus on children undergoing adenotonsillectomy (T&A). METHODS: Retrospective analysis of outcomes of a POD 1 questionnaire completed in children <18 years of age undergoing T&A at a tertiary care children's hospital over a 3‐year period (August 14, 2018–August 31, 2021). RESULTS: Responses to the questionnaire were obtained for a total of 1428/3464 (41.2%) children undergoing T&A during the study period. There was no difference in gender, age at surgery, race, ethnicity, insurance product, or preoperative diagnosis for those whose caregiver responded to the questionnaire versus those who did not. Parent responses included 84 (5.9%) who reported problems or concerns postdischarge. These included 18 (1.3%) patients unable to take their pain medication, 9 (0.6%) refusing oral intake, 28 (2.0%) with postoperative emesis, 27 (1.9%) with fevers, and 6 (0.4%) with a change in breathing. A total of 75/122 (61.5%) who reported pain were taking their pain medication as directed. Nineteen (1.3%) patients were noted to have bleeding after surgery, including 4 (21.5%) with nosebleeds, and 12 (63.2%) with oral cavity bleeding requiring no interventions. CONCLUSIONS: The POD 1 questionnaire identified patients with common concerns and complications after T&A. Although most of these concerns were infrequent, it afforded the clinical team the opportunity to provide additional education and instructions on care and management to caregivers after their child's surgical procedure.
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spelling pubmed-93923852022-08-22 Outcomes of a postoperative day one call to families after adenotonsillectomy in children Billings, Kathleen R. Bhushan, Bharat Berkowitz, Rachel J. Stake, Christine Lavin, Jennifer Laryngoscope Investig Otolaryngol Pediatrics and Development OBJECTIVE: To examine the outcomes of a postoperative day one (POD 1) phone call to families of ambulatory surgical patients, as a means of guiding clinical interventions and quality initiatives, with a focus on children undergoing adenotonsillectomy (T&A). METHODS: Retrospective analysis of outcomes of a POD 1 questionnaire completed in children <18 years of age undergoing T&A at a tertiary care children's hospital over a 3‐year period (August 14, 2018–August 31, 2021). RESULTS: Responses to the questionnaire were obtained for a total of 1428/3464 (41.2%) children undergoing T&A during the study period. There was no difference in gender, age at surgery, race, ethnicity, insurance product, or preoperative diagnosis for those whose caregiver responded to the questionnaire versus those who did not. Parent responses included 84 (5.9%) who reported problems or concerns postdischarge. These included 18 (1.3%) patients unable to take their pain medication, 9 (0.6%) refusing oral intake, 28 (2.0%) with postoperative emesis, 27 (1.9%) with fevers, and 6 (0.4%) with a change in breathing. A total of 75/122 (61.5%) who reported pain were taking their pain medication as directed. Nineteen (1.3%) patients were noted to have bleeding after surgery, including 4 (21.5%) with nosebleeds, and 12 (63.2%) with oral cavity bleeding requiring no interventions. CONCLUSIONS: The POD 1 questionnaire identified patients with common concerns and complications after T&A. Although most of these concerns were infrequent, it afforded the clinical team the opportunity to provide additional education and instructions on care and management to caregivers after their child's surgical procedure. John Wiley & Sons, Inc. 2022-06-29 /pmc/articles/PMC9392385/ /pubmed/36000061 http://dx.doi.org/10.1002/lio2.845 Text en © 2022 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Pediatrics and Development
Billings, Kathleen R.
Bhushan, Bharat
Berkowitz, Rachel J.
Stake, Christine
Lavin, Jennifer
Outcomes of a postoperative day one call to families after adenotonsillectomy in children
title Outcomes of a postoperative day one call to families after adenotonsillectomy in children
title_full Outcomes of a postoperative day one call to families after adenotonsillectomy in children
title_fullStr Outcomes of a postoperative day one call to families after adenotonsillectomy in children
title_full_unstemmed Outcomes of a postoperative day one call to families after adenotonsillectomy in children
title_short Outcomes of a postoperative day one call to families after adenotonsillectomy in children
title_sort outcomes of a postoperative day one call to families after adenotonsillectomy in children
topic Pediatrics and Development
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392385/
https://www.ncbi.nlm.nih.gov/pubmed/36000061
http://dx.doi.org/10.1002/lio2.845
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