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 |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162431987&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162431987 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00016489 B6D jtl: Acta Oto-Laryngologica issn: 00016489 maglogo: Y pubinfo: dt: Feb2023 vid: 143 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 162431987 162169048 162431987 162431987 10.1080/00016489.2023.2181391 162431987 ppf: 191 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The beneficial effects of an adenotonsillectomy upon upper respiratory tract infections, asthma and rhinitis in children: a national database study in Korea. aug: au: Bae, Mi Rye Han, Kyung-Do Park, Sang-Hyun Chung, Yoo-Sam affil: Department of Otorhinolaryngology-Head and Neck Surgery, Daejin Medical Center, Bundang Jesaeng General Hospital, Seongnam, Gyeonggido, Republic of Korea sug: subj: Tonsillectomy In Infancy and Childhood Adenoidectomy In Infancy and Childhood Respiratory Tract Infections Surgery Asthma Surgery Rhinitis Surgery Health Resource Utilization Tonsillectomy In Adolescence Adenoidectomy In Adolescence Age Factors Sex Factors Hospitalization Prescriptions, Drug Rhinitis Asthma Histamine H1 Antagonists Leukotrienes Antibiotics Administration, Oral Steroids Expectorants Bronchomalacia Human Male Female Infant Child, Preschool Child Adolescence Funding Source Data Analysis Software Descriptive Statistics South Korea Infant: 1-23 months Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Male Female ab: 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。 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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