Schloss M D, Tan A K, Schloss B, Tewfik T L
Department of Otolaryngology, McGill University, Canada.
Int J Pediatr Otorhinolaryngol. 1994 Aug;30(2):115-22. doi: 10.1016/0165-5876(94)90194-5.
An example of cost-effective alternatives in medical care is the increasing use of out-patient surgery for those children requiring tonsillectomy, or tonsillectomy with adenoidectomy rather than an in-patient procedure. Two studies were carried out to answer questions about the complications, in addition to post-operative hemorrhage, and also the questions about the parental views and concerns relating to providing at-home care for their children following surgery. A triad, including recent history of upper airway infection, knife dissection technique, and increased intra-operative blood loss of 100 ml or more should be used to help identify the risk of post-operative hemorrhage.
医疗保健中具有成本效益的替代方案的一个例子是，对于那些需要扁桃体切除术或扁桃体切除术加腺样体切除术的儿童，越来越多地采用门诊手术而非住院手术。开展了两项研究，以回答除术后出血外的并发症问题，以及关于父母对术后在家照顾孩子的看法和担忧的问题。一个由上呼吸道感染近期病史、刀割解剖技术以及术中失血增加100毫升或更多组成的三联征，应用于帮助识别术后出血的风险。
