Ovesen Therese, Kamarauskas Gintaras, Dahl Mads, Mainz Jan
Øre-, Næse- Og Halsafdelingen, Aarhus Sygehus, Nørrebrogade 44, 8000 Aarhus C, Denmark.
Dan Med J. 2012 Feb;59(2):A4382.
The objective of this prospective cohort study was to measure the medical technical quality of outpatient tonsillectomy in Danish ear, nose & throat practices by indicators, standards and prognostic factors.
According to standardised and validated specific questionnaires, quality of surgery was measured in terms of postoperative bleeding, pain, gastrointestinal problems and infection.
A total of 614 patients were included. 11% were younger than four years, and 93% were observed for less than four hours. A total of 23% had unscheduled postoperative contacts. Almost 12% of the patients contacted a physician due to pain; a percentage that exceeds the chosen standard of 10%. 4% were hospitalised due to bleeding exceeding the chosen standard of 1%. Secondary haemostatic procedures were performed in 2% of the patients. The indication chronic tonsillitis, being an adult, and a postoperative observation shorter than four hours increased the risk of unscheduled contacts.
Outpatient tonsillectomy seems safe in Denmark. A minimum postoperative observation period of four hours will reduce the need for postoperative contacts. Because of the potentially life-threatening risk related to tonsillectomy, careful patient selection is mandatory and continuous monitoring of the quality of the procedure is essential.
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这项前瞻性队列研究的目的是通过指标、标准和预后因素来衡量丹麦耳鼻喉科门诊扁桃体切除术的医疗技术质量。
根据标准化且经过验证的特定问卷，从术后出血、疼痛、胃肠道问题和感染方面对手术质量进行评估。
共纳入614例患者。11%的患者年龄小于4岁，93%的患者观察时间少于4小时。共有23%的患者进行了非计划内的术后随访。近12%的患者因疼痛联系医生，这一比例超过了选定的10%的标准。4%的患者因出血住院，超过了选定的1%的标准。2%的患者接受了二次止血手术。慢性扁桃体炎、成年以及术后观察时间短于4小时会增加非计划内随访的风险。
在丹麦，门诊扁桃体切除术似乎是安全的。术后至少观察4小时将减少术后随访的需求。由于扁桃体切除术存在潜在的危及生命的风险，必须谨慎选择患者，并且对手术质量进行持续监测至关重要。
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不相关。
