Gastroesophageal Reflux increases morbidity After Tonsillectomy in Kids: Study
Gastroesophageal reflux (GER) has been identified as a risk factor for complications following pediatric tonsillectomy. In a study, researchers have reported that children with GER experience poorer outcomes after tonsillectomy. The study findings were published in The Laryngoscope on July 18, 2020.
A growing amount of evidence has correlated poorer post-tonsillectomy outcomes among children diagnosed with reflux. Specifically, reflux has been shown to predict worse pain and more frequent bleeding, early airway complications and increased length of hospitalization.
However, these studies have been limited by the lack of prospective design and small sample size. Therefore, researchers of the Perelman School of Medicine at the University of Pennsylvania, USA, conducted a study to examine outcomes after tonsillectomy among children with GER using a nationwide database. They also analysed the duration of hospitalization and total charges after admission.
It was a cross‐sectional review of the Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Databases (KID) from 2012 and 2016. Researchers assessed the database for bleeding rates, length of stay (reported in days), respiratory complications, and total hospitalization charges. They identified 21,232 children who had a tonsillectomy with or without adenoidectomy, with 1,683 (7.9%) diagnosed with GER.
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