oru.sePublikationer
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Self-reported postoperative recovery in children after tonsillectomy compared to tonsillotomy
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-5996-2584
Örebro University, School of Health Sciences.ORCID iD: 0000-0001-5403-4183
Fakulty of Health and Society, Department of Care Science, Malmö University, Malmö, Sweden.
Fakulty of Health and Society, Department of Care Science, Malmö University, Malmö, Sweden.
Show others and affiliations
2017 (English)In: International Journal of Pediatric Otorhinolaryngology, ISSN 0165-5876, E-ISSN 1872-8464, Vol. 96, 47-54 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: Tonsil surgery is associated with significant morbidity during recovery. Patient-reported outcome measures (PROM) are the golden standard for the planning and follow-up of delivered care, which should also be an axiom for children. The current aims were to describe self-reported postoperative recovery in children after tonsil surgery, and to compare tonsillotomy and tonsillectomy in this respect.

Methods: In total, 238 children (4–12 years old) with a history of obstructive problems and/or recurrent tonsillitis, and undergoing tonsil surgery were included. Forty-eight per cent were operated with partial tonsil resection/tonsillotomy (TT) and 52% with total tonsillectomy (TE), all in day surgery.

Postoperative recovery was assessed on days 1, 4 and 10 using the validated self-rating instrument PRiC, Postoperative Recovery in Children. This includes 23 items covering different aspects of recovery after tonsil surgery. A higher score indicates worse status in the respective items.

Results: Daily life activities (sleeping, eating and playing), physical symptoms (e.g., headache, stomach ache, sore throat, otalgia, dizziness, nausea, defecation, urination), and emotional aspects (sadness, frightening dreams) were affected during the recovery period.

The TE-girls showed higher scores than the boys regarding stomach ache, defecation and dizziness.

Children above 6 years of age reported higher values for the physical comfort variables, while the younger group showed worse emotional states.

Postoperative recovery improved from day 1–10 in all surgical groups. The TE-group showed lower recovery compared to the TT-group (p < 0.01–0.001) in most items.

Conclusion: The goal of postoperative management is to minimize or eliminate discomfort, facilitating the recovery process and avoiding complications. Children are able to describe their recovery, and thus, PRiC seems to be able to serve as a PROM to obtain patient-centered data after tonsil surgery. The recovery process after TT causes less postoperative morbidity and a quicker return to normal activity compared to TE.

Place, publisher, year, edition, pages
Elsevier, 2017. Vol. 96, 47-54 p.
Keyword [en]
Patient-reported outcome measures, postoperative recovery, Pain, Tonsillectomy tonsillotomy
National Category
Nursing Otorhinolaryngology Pediatrics
Research subject
Oto-Rhino-Laryngology; Caring Sciences w. Medical Focus
Identifiers
URN: urn:nbn:se:oru:diva-56233DOI: 10.1016/j.ijporl.2017.02.029ISI: 000403737800010PubMedID: 28390613Scopus ID: 2-s2.0-85014815423OAI: oai:DiVA.org:oru-56233DiVA: diva2:1080388
Note

Funding Agencies:

Research Committee at Region Örebro County

Örebro University Hospital Research Foundation

Research Council of South East Sweden (FORSS)

Sloane University Care

Available from: 2017-03-10 Created: 2017-03-10 Last updated: 2017-07-28Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedScopus

Search in DiVA

By author/editor
Eriksson, MatsNilsson, UlricaEricsson, Elisabeth
By organisation
School of Health Sciences
In the same journal
International Journal of Pediatric Otorhinolaryngology
NursingOtorhinolaryngologyPediatrics

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 148 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf