Abstract:
INTRODUCTION:Tonsillectomy is the second most common surgery in children with sickle cell disease. These children are at an increased risk of perioperative complications due to vaso-occlusive events. Although controversial, preoperative blood transfusions are sometimes given in an effort to prevent such complications. The purpose of this study is to analyze trends in the use of blood transfusion for management of children with sickle cell disease (SCD) undergoing tonsillectomy in a national database. METHODS:Patients in the 1997-2012 KID with a primary procedure matching the ICD-9 procedure code for tonsillectomy (28.2-28.3) and diagnosis code for SCD (282.60-282.69) were examined. Patients were split into groups by blood transfusion status and compared across variables including complication rate, length of stay (LOS), and hospital charges. Statistical analysis included chi-square test for trend, Mann-Whitney U test, and independent t-test. RESULTS:1133 patients with SCD underwent tonsillectomy. There was a strong positive correlation between increasing chronologic year and the proportion of patients receiving blood transfusions, 47 (30.1%) in 1997 to 78 (42.5%) in 2012 (r = 0.94, p = 0.005). During this period, there was no significant change in the rate of complications (r = -0.1, p = 0.87). Overall, patients receiving blood transfusion had a longer mean LOS (3.1 ± 2.4 days vs. 2.5 ± 2.2 days, p < 0.005) and higher mean charge ($17,318 ± 13,191 vs. $13,532 ± 12,124, p < 0.005) compared to patients who did not receive blood transfusion. The rate of complications in the transfusion group, 18 of 352(5.1%), was not significantly different (p = 0.48) from the group without transfusion, 40 of 626 (6.4%). CONCLUSIONS:From 1997 to 2012, there was a significant increase in the proportion of patients with SCD receiving perioperative blood transfusions for tonsillectomy. While the frequency of transfusion rose, those who received a transfusion had similar complication rates with increased charges and length of hospital stays compared to those who did not receive a transfusion.
journal_name
Int J Pediatr Otorhinolaryngoljournal_title
International journal of pediatric otorhinolaryngologyauthors
Atwood CM,Gnagi SH,Teufel RJ 2nd,Nguyen SA,White DRdoi
10.1016/j.ijporl.2017.10.013subject
Has Abstractpub_date
2017-12-01 00:00:00pages
117-120eissn
0165-5876issn
1872-8464pii
S0165-5876(17)30477-9journal_volume
103pub_type
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journal_title:International journal of pediatric otorhinolaryngology
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更新日期:2020-10-01 00:00:00
abstract::Monitoring the effects of Hearing Loss on Quality of Life, which is frequently seen on children and causes inefficiency in speech, education, and social development, is not only important for listening skills, using hearing devices, and linguistic and speech skills but also important for the treatment. And, if no trea...
journal_title:International journal of pediatric otorhinolaryngology
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更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To assess the impact of the waiting list on the spontaneous resolution of recurrent acute tonsillitis in children. METHODS:We have evaluated 623 cases placed on the waiting list for elective tonsillectomy (with or without adenoidectomy) between February 1994 and May 1999 at our institution. In each child, ag...
journal_title:International journal of pediatric otorhinolaryngology
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abstract:OBJECTIVE:Parameters to distinguish normal from deviant voices in early childhood have not been established. The current study sought to auditorily and acoustically characterize voices of children, and to study the relationship between vocal behavior reported by teachers and the presence of vocal aberrations. METHODS:...
journal_title:International journal of pediatric otorhinolaryngology
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doi:10.1016/j.ijporl.2012.02.067
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abstract::Sialoendoscopy has recently emerged as an alternative to gland excision in management of recurrent sialoadenitis and sialolithiasis. This technique has both diagnostic and therapeutic purposes. We report a case of unusual device failure during removal of a submandibular stone from Wharton's duct, which ultimately led ...
journal_title:International journal of pediatric otorhinolaryngology
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更新日期:2016-11-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
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doi:10.1016/j.ijporl.2009.04.018
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/0165-5876(95)01217-6
更新日期:1995-11-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
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journal_title:International journal of pediatric otorhinolaryngology
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doi:10.1016/j.ijporl.2009.07.015
更新日期:2009-10-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
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doi:10.1016/j.ijporl.2009.07.014
更新日期:2009-10-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
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doi:10.1016/j.ijporl.2007.10.016
更新日期:2008-02-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/s0165-5876(99)00185-8
更新日期:1999-10-05 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/j.ijporl.2016.03.020
更新日期:2016-06-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/s0165-5876(98)00160-8
更新日期:1998-12-15 00:00:00
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pub_type: 杂志文章
doi:10.1016/0165-5876(79)90004-1
更新日期:1979-09-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/j.ijporl.2003.11.015
更新日期:2004-04-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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更新日期:2019-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2008-10-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1991-04-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
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更新日期:2018-09-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
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更新日期:2020-08-01 00:00:00
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pub_type: 杂志文章
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/j.ijporl.2011.07.023
更新日期:2011-10-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/s0165-5876(03)00181-2
更新日期:2003-09-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/j.ijporl.2018.10.032
更新日期:2019-01-01 00:00:00