Postoperative mortality likely in children undergoing tonsillectomy?
The increasing rates of postoperative death in children under going tonsillectomy is uncertain. Mortality rates are not separately reported for children at increased risk of complications, including young children (aged <3 y) and those with sleep-disordered breathing or complex chronic conditions.
A recent retrospective cohort study published in JAMA Network included close to 5 lac Participants youngerthan21years for whom discharge records were available to link out patient or inpatient tonsillectomy with at least 90daysoffollow-up.
Postoperativedeathwas characterized as death within 30 days or during a surgical stay lasting more than 30 days. Out of the Total of 5 lac children, 10.1%tonsillectomies were performed in young children, 28.9%inthosewithsleep-disordered breathing, and 2.8%inthosewith complex chronic conditions. It was found that there were36postoperative deaths, which occurred in 4.5 day safter surgical admission, and most of which occurred after surgical discharge.
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