The beneficial effects of an adenotonsillectomy upon upper respiratory tract infections, asthma and rhinitis in children: a national database study in Korea.
Adenotonsillectomy is the most commonly performed surgery in children. To evaluate the effects of pediatric adenotonsillectomy on health care utilization. From 2006 to 2017, age/sex-matched adenotonsillectomy participants (n = 243.396) and controls (n = 730.188) were selected (62% of male and 38% of...
| Publicado en: | Acta Oto-Laryngologica Vol. 143; no. 2; pp. 191 - 196 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Feb2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | Adenotonsillectomy is the most commonly performed surgery in children. To evaluate the effects of pediatric adenotonsillectomy on health care utilization. From 2006 to 2017, age/sex-matched adenotonsillectomy participants (n = 243.396) and controls (n = 730.188) were selected (62% of male and 38% of female. 47% age≦ 6, 16% 7–9years, 8% 10–12years, 29% 13–18years). The changes in outpatient visits, hospitalization days, and drug prescriptions due to a URI, asthma, and rhinitis before and after the surgery date (from 13 months to 1 month) were compared. Outpatient visits decreased more in the surgery group than the control group (mean change, 3.24 ± 8.61 d and 1.16 ± 6.57 d for URI, 2.07 ± 8.63 d and 0.51 ± 6.47 d for rhinitis, and 0.72 ± 4.81 d and 0.42 ± 3.91 d for asthma, p <.001 for all). Hospitalizations also showed greater decreases in the surgery group (mean change, 0.31 ± 2.96 d and 0.04 ± 1.70 d for URI, 0.13 ± 2.40 d and 0.02 ± 1.48 d for rhinitis, 0.11 ± 2.32 d and 0.04 ± 1.83 d for asthma, p <.001 for all). The prescription of antihistamines, leukotriene modulators, oral antibiotics, oral steroids, and expectorants, cough suppressants and oral bronchodilators was also decreased after surgery. The adenotonsillectomy group showed a greater decrease in post-operative outpatients visits, hospital days and drug prescriptions associated with URI, rhinitis and asthma than the control group. 背景：腺样体扁桃体切除术是最常进行的儿童手术。 目的：评估小儿腺样体扁桃体切除术对医疗保健运用的影响。 方法：选择了2006 年到 2017 年之间的年龄/性别匹配的腺样体扁桃体切除术参与者 (n = 243.396) 和对照组 (n = 730.188)（62% 的男性和 38% 的女性；47% 6 岁, 16% 7–9 岁, 8% 10-12 岁, 29% 13-18 岁）。对手术日期前后（13个月至1个月）由于URI、哮喘、鼻炎导致的门诊、住院天数、用药处方变化情况进行了比较。 结果：手术组的门诊就诊次数比对照组减少得更多（平均变化, URI 3.24 ± 8.61 天 相对于 1.16 ± 6.57 天, 鼻炎 2.07 ± 8.63 天 相对于 0.51 ± 6.47 天, 以及 哮喘0.72 ± 4.81 天 相对于 0.42 ± 3.91 天, 都是 p <.001）。 住院也显示手术组减少更多（平均变化, URI 0.31 ± 2.96 天相对于 0.04 ± 1.70 天, 鼻炎 0.13 ± 2.40 天相对于 0.02 ± 1.48 天, 哮喘 0.11 ± 2.32 天相对于 0.04 ± 1.83 天, 都是 p <.001）。 抗组胺药、白三烯调节剂、口服抗生素、口服类固醇、祛痰药、止咳药和口服支气管扩张剂的处方也在手术后减少。 结论：对于腺样体扁桃体切除术组, 术后门诊就诊次数、住院天数和与 URI、鼻炎和哮喘相关的药物处方都比对照组少得多。 |
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