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Patient reported outcome of pain after tonsil surgery: An analysis of 32,225 children from the National Tonsil Surgery Register in Sweden 2009-2016
Örebro University, School of Health Sciences.ORCID iD: 0000-0003-4718-3361
Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; Sheikh Khalifa Medical City, Ajman, United Arab Emirates.
Karolinska University Hospital, Huddinge, Sweden.
Örebro University, School of Health Sciences.ORCID iD: 0000-0001-8549-9039
2017 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Tonsil surgery is common surgical procedure in children and cause significant pain under postoperative recovery. The objective of this register study was to explore factors affecting pain after pediatric tonsil surgery, using patient-reported outcomes from questionnaires in the National Tonsil Surgery Registry in Sweden, 30 days after surgery. A total of 32,225 tonsil surgeries on children (aged 1-18 years) during January 2009- November 2016 were included; 13,904 tonsillectomies with or without adenoidectomy (TE±A) and 18,321 tonsillotomies with or without adenoidectomy (TT±A). In surgery cases of indication obstruction, the TT±A stopped taking painkillers and returned to normal eating habits sooner, and had less contact with health care services due to pain, compared to TE±A. After TE±A, the indication infection group had more days on analgesics and more contacts with health care services due to pain, compared to the indication obstruction group. TE±A with cold-dissection technique resulted in fewer days on painkillers compared to warm-technique, and reduced the number of contacts with health care services due to pain. Older children were affected by more days of morbidity than the younger ones, but there was no gender difference after adjustment for age, dissection technique and hemostasis technique. Implementation of national guidelines for pain treatment (2013) and patient information on the website tonsilloperation.se seems to have increased the days on analgesics after surgery. Pain after tonsil surgery depends on the surgical procedure and technique, as well as factors such as the patient’s age and surgical indication. More studies including pain interventions are needed to improve the care of tonsillectomy patients.

Place, publisher, year, edition, pages
2017.
National Category
Surgery Otorhinolaryngology Nursing
Research subject
Caring Sciences w. Medical Focus; Oto-Rhino-Laryngology; Anaesthesiology
Identifiers
URN: urn:nbn:se:oru:diva-58197OAI: oai:DiVA.org:oru-58197DiVA: diva2:1114162
Conference
Nordic Pediatric Pain Symposium 2017, Stockholm, Sweden, March 30-31, 2017
Available from: 2017-06-22 Created: 2017-06-22 Last updated: 2017-10-18Bibliographically approved

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Alm, FredrikEricsson, Elisabeth

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