Variables associated with pediatric emergency department visits for uncontrolled pain in postoperative adenotonsillectomy patients

Returns to the emergency department (ED) for pain or dehydration after adenotonsillectomy (T&A) are frequent. Attempts to associate the specific pain regimens with these visits have been unrevealing, suggesting a need to assess for other potential factors associated with readmission. A review of...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2019-08, Vol.123, p.10-14
Main Authors: Lavin, Jennifer, Lehmann, David, Silva, Astrid Leon, Bai, Guangyu, Hebal, Ferdynand, Manworren, Renee, Stake, Christine, Rychlik, Karen, Billings, Kathleen R.
Format: Article
Language:English
Subjects:
Adenotonsillectomy complications
Adenotonsillectomy pain
Pediatric adenotonsillectomy
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Summary:Returns to the emergency department (ED) for pain or dehydration after adenotonsillectomy (T&A) are frequent. Attempts to associate the specific pain regimens with these visits have been unrevealing, suggesting a need to assess for other potential factors associated with readmission. A review of a 2:1 cohort matched by age, gender and payer status compared post-T&A patients who did not return ED for pain or dehydration within 21 days to those who returned. Factors investigated included patient demographics, comorbidities, medication regimen and the presence of postoperative telephone encounters. Patients returning to the ED were further assessed for rates of medication adherence. 7493 patients underwent T&A during the period. Of these, 144 (1.9%) returned for pain/dehydration. Comparison to 285 matched patients revealed an association between ED returns and Hispanic ethnicity (p 
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2019.04.038