Abraham Zephania Saitabau, Kahinga Aveline Aloyce
Department of Surgery, School of Medicine and Dentistry, University of Dodoma, Dodoma, Tanzania.
Department of Otorhinolaryngology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
East Afr Health Res J. 2023;7(1):116-120. doi: 10.24248/eahrj.v7i1.717. Epub 2023 Jul 12.
Day-case tonsillectomy is becoming popular with varying patients' satisfaction. Whether day-case or overnight tonsillectomy is safe and preferred by patients has been debatable among otorhinolaryngologists. To date, majority of otorhinolaryngologists in Tanzania are practicing overnight tonsillectomy unlike what is being practiced in other parts of the world. There is scarce literature regarding whether day-case or overnight surgical option is preferred by patients.
To assess the time preferred by patients to undergo surgery by ascertaining the proportion of patients who would prefer day-case to overnight tonsillectomy or adenotonsillectomy.
We conducted a hospital based cross sectional study at Ekenywa Specialised Hospital from January to December 2021. The study recruited 200 patients who underwent elective tonsillectomy or adenotonsillectomy. A structured questionnaire adopted from previously published studies and thereafter modified accordingly to fit the current study was used to collect relevant data. Data were analysed using Statistical Package for Social Sciences (SPSS) version 21.
The study had more male participants 104(52%) than females, 96 (48%) with a male to female ratio of 1.1:1. Majority of the study participants were aged below 5 years. Male participants aged below 5 years accounted for 50% while females aged <5 years accounted for 65.6%. Of the 200 (100%) patients who returned the questionnaires, 135(67.5%) preferred discharge on the 1 day post surgery while 65 (32.5%) preferred discharge on the 2 postoperative day or later. Similarly, five (2.5%) would have wished day-case tonsillectomy/adenotonsillectomy while 195(97.5%) preferred an overnight surgery. Patients with postoperative pyrexia, older patients and those discharged on the 2 day post surgery or later were more likely to prefer a longer postoperative hospital stay.
Day-case surgery seems feasible due to less risk of postoperative complications such as haemorrhage and fever. Majority of the participants in this study preferred overnight tonsillectomy/adenotonsillectomy.
日间扁桃体切除术越来越受欢迎，但患者满意度各不相同。日间或过夜扁桃体切除术是否安全以及患者更倾向于哪种方式，在耳鼻喉科医生中一直存在争议。迄今为止，坦桑尼亚的大多数耳鼻喉科医生都采用过夜扁桃体切除术，这与世界其他地区的做法不同。关于患者更倾向于日间还是过夜手术选项的文献很少。
通过确定倾向于日间扁桃体切除术而非过夜扁桃体切除术或腺样体扁桃体切除术的患者比例，评估患者倾向于接受手术的时间。
2021年1月至12月，我们在埃凯尼瓦专科医院进行了一项基于医院的横断面研究。该研究招募了200例行择期扁桃体切除术或腺样体扁桃体切除术的患者。采用先前发表的研究中的结构化问卷，并根据当前研究进行相应修改，以收集相关数据。使用社会科学统计软件包（SPSS）21版进行数据分析。
该研究中男性参与者104名（52%）多于女性参与者96名（48%），男女比例为1.1:1。大多数研究参与者年龄在5岁以下。5岁以下的男性参与者占50%，而5岁以下的女性参与者占65.6%。在200名（100%）返回问卷的患者中，135名（67.5%）倾向于术后第1天出院，65名（32.5%）倾向于术后第2天或更晚出院。同样，5名（2.5%）患者希望进行日间扁桃体切除术/腺样体扁桃体切除术，而195名（97.5%）患者倾向于过夜手术。术后发热的患者、年龄较大的患者以及术后第2天或更晚出院的患者更有可能倾向于术后住院时间更长。
由于术后出血和发热等并发症的风险较低，日间手术似乎是可行的。本研究中的大多数参与者倾向于过夜扁桃体切除术/腺样体扁桃体切除术。
