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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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John Wiley & Sons, Inc.
2022
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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. |
format | Online Article Text |
id | pubmed-9392385 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
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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