Paradise J L, Bluestone C D, Bachman R Z, Karantonis G, Smith I H, Saez C A, Colborn K, Bernard B S, Taylor F H, Schwarzbach R H, Felder H, Stool S E, Fitz A M, Rogers K D
N Engl J Med. 1978 Feb 23;298(8):409-13. doi: 10.1056/NEJM197802232980801.
As part of a prospective study of indications for tonsillectomy and adenoidectomy, we followed closely 65 children with histories of recurrent throat infection that seemed impressive (at least seven episodes in one year, five in each of two consecutive years or three in each of three consecutive years), but lacked documentation. During the first year of observation, only 11 children (17 per cent) had episodes of throat infection with clinical features and patterns of frequency conforming to those described in their presenting histories. Of the remaining 54 children, 43 (80 per cent) experienced no, one or two observed episodes each, and most of the episodes were mild. We conclude that undocumented histories of recurrent throat infection do not validly forecast subsequent experience and hence do not constitute an adequate basis for subjecting children to tonsillectomy.
作为一项关于扁桃体切除术和腺样体切除术适应证的前瞻性研究的一部分，我们密切跟踪了65名有复发性咽喉感染病史的儿童，这些病史看似严重（一年中至少发作7次，连续两年中每年发作5次或连续三年中每年发作3次），但缺乏相关记录。在观察的第一年，只有11名儿童（17%）出现了咽喉感染发作，其临床特征和发作频率模式与他们就诊时所述的相符。在其余54名儿童中，43名（80%）每人经历了0次、1次或2次观察到的发作，并且大多数发作都很轻微。我们得出结论，无记录的复发性咽喉感染病史不能有效预测后续情况，因此不能构成让儿童接受扁桃体切除术的充分依据。
