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  • 101.
    Proczkowska-Björklund, Marie
    et al.
    Division of Child and Adolescent Psychiatry, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden; Psychiatric Department, Höglandssjukhuset, Eksjö/Nässjö, Sweden.
    Gimbler Berglund, Ingalill
    Department of Nursing Science, School of Health Sciences, Jönköping.
    Ericsson, Elisabeth
    Department of Nursing Science, School of Health Sciences, Jönköping; Division of Nursing Science, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Reliability and validity of the Swedish version of the modified Yale Preoperative Anxiety Scale2012Inngår i: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 56, nr 4, s. 491-497Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The modified Yale Preoperative Anxiety Scale (m-YPAS) is an observational behavioral checklist that has been widely used as an indicator of pre-operative anxiety in children. The present study describes the translation process of m-YPAS into Swedish and the testing of its reliability and validity when used with Swedish children.

    Methods: The questionnaire was translated using standard forward-back-forward translation technique. The validation process was divided into two phases: a pilot study with 61 children as a first version and a test of a final version with 102 children.

    Results: The reliability tested with Cronbach's alpha was acceptable to good. Interrater reliability analyzed with weighted kappa was acceptable to good with Students Registered Nurse Anesthetists and Certified Registered Nurse Anesthetist (CRNA) as evaluators (phase 1) and good to excellent with CRNA's very experienced in child anesthesia (phase 2). Both concurrent and constructed validity could be demonstrated.

    Conclusion: This validation study of the Swedish version of the m-YPAS shows good consistency, interrater validity, and construct validity when used by experienced assessors.

  • 102.
    Stalfors, J.
    et al.
    Departments of Otorhinolaryngology, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Ericsson, Elisabeth
    Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Linköping, Sweden.
    Hemlin, Claes
    Aleris Sabbatsberg, Stockholm, Sweden.
    Hultcrantz, Elisabeth
    Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
    Månsson, Ingemar
    Departments of Otorhinolaryngology, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Roos, Kristian
    Capio Lundby, Gothenburg, Sweden.
    Hessén Söderman, Anne-Charlotte
    Karolinska University Hospital, Stockholm, Sweden.
    Tonsil surgery efficiently relieves symptoms: analysis of 54 696 paqtients in The National Tonsil Surgery Register in Sweden2012Inngår i: Acta Oto-Laryngologica, ISSN 0001-6489, E-ISSN 1651-2251, Vol. 132, nr 5, s. 533-539Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Conclusion: Patients operated with tonsillar surgery report a high degree of symptom relief 6 months after surgery.

    Objective: The purpose of this study was to analyze symptom relief 6 months after tonsil surgery in relation to age, indication, surgical procedure, primary bleeding and unplanned postoperative visits. The National Tonsil Surgery Register in Sweden offers data from 54,696 patients registered during 1997-2008.

    Methods: This was a prospective assessment by questionnaire. Data were collected using three questionnaires, two completed by professionals and one 6 months postoperatively by the parents/patients.

    Results: Among 54,696 patients, the most common surgical indications were obstruction (49.7%), followed by recurrent tonsillitis (35.2%). Symptom relief 6 months after surgery was high in all indication groups (>92%), and highest for patients operated on the indication peritonsillitis (>98%). The indications obstruction, recurrent tonsillitis or chronic tonsillitis reported a high degree (>96%) of symptom relief. Of the patients who underwent tonsillectomy with adenoidectomy, 97.5% were symptom-free compared to 96% of patients who had tonsillectomy alone and 96.1% who underwent tonsillotomy (p < 0.0001). In all, 13.9% of patients required an unplanned visit to the clinic postoperatively. Only 148 of 54,696 patients reported worsening of symptoms after surgery.

  • 103.
    Stalfors, Joacim
    et al.
    ÖNH-Kliniken, Sahlgrenska Universitetssjukhuset, Göteborg, Sverige.
    Brattwall, Metha
    An/Op/IVA/Sc Sahlgrenska Universitetssjukhuset, Göteborg, Sverige.
    Ericsson, Elisabeth
    Institutionen för medicin och hälsa, Linköpings universitet, Linköping, Sweden; Anestesi och operationskliniken, Universitetssjukhuset, Linköping, Sverige.
    Hemlin, Claes
    ÖNH-Kliniken, Aleris Specialistvård Sabbatsberg, Stockholm, Sverige.
    Hessén-Söderman, Anne-Charlotte
    ÖNH-Kliniken, Aleris Specialistvård Sabbatsberg, Stockholm, Sverige.
    Hultcrantz, Eva
    Avd. för Öron-, Näs- och Hals, Instutionen för klinisk och experimentell medicin, Linköpings universitet, Linköping, Sverige.
    Lundeberg, Stefan
    Smärtbehandlingsenheten, Astrid Lindgrens Barnsjukhus, Stockholm, Sverige.
    Odhagen, Erik
    ÖNH-Kliniken, Södra Älvsborgs Sjukhus, Borås, Sverige.
    Sunnergren, Ola
    ÖNH- Kliniken, Länssjukhuset Ryhov, Jönköping, Sverige.
    Nationellt kvalitetsregister för tonsilloperation. Öron-näs-och halssjukvård: Årsrapport 20132013Rapport (Annet vitenskapelig)
  • 104.
    Stalfors, Joacim
    et al.
    Oto-Rhino-Laryngologi, Sahlgrenska Universitetssjukhuset, Göteborg, Sverige.
    Ericsson, Elisabeth
    Oto-Rhino-Laryngologi, Linköpings universitet, Linköping, Sverige.
    Hemlin, Claes
    Aleris specialistvård, Sabbatsbergs sjukhus, Stockholm, Sverige.
    Hessén Söderman, Anne-Charlotte
    Oto-Rhino-Laryngologi, Karolinska Universitetsjukhuset, Danderyd, Sverige.
    Hultcrantz, Elisabeth
    Oto-Rhino-Laryngologi, Linköpings universitet, Linköping, Sverige.
    Odhagen, Erik
    Oto-Rhino-Laryngologi, Södra Älvsborgs Sjukhus, Borås, Sverige.
    Padoan, Serge
    Oto-Rhino-Laryngologi, Kristianstads sjukhus, Kristianstad, Sverige.
    Sunnergren, Ola
    Oto-Rhino-Laryngologi, Länssjukhuset Ryhov, Jönköping, Sverige.
    Nationellt kvalitetsregister för tonsilloperation. Öron- näs- och halssjukvård: Årsrapport 20112012Rapport (Annet vitenskapelig)
  • 105.
    Stalfors, Joacim
    et al.
    Sahlgrenska Universitetssjukhus, Göteborg, Sweden.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Hemlin, Claes
    Aleris Specialistvård, Stockholm, Sweden.
    Hessén-Söderman, Anne-Charlotte
    Aleris Specialistvård, Stockholm, Sweden.
    Hultcrantz, Elisabeth
    Linköpings universitet, Linköping, Sweden.
    Odhagen, Erik
    Södra Älvsborgs Sjukhus, Borås, Sweden.
    Sunnergren, Ola
    Länssjukhuset Ryhov, Jönköping, Sweden.
    Data from the Swedish national tonsil surgery register can be used for clinical improvement programs2014Konferansepaper (Fagfellevurdert)
  • 106.
    Stalfors, Joacim
    et al.
    Sahlgrenska Universitetssjukhuset, Göteborg, Sverige.
    Ericsson, Elisabeth
    Institutionen för medicin och hälsa (IHM), Linköpings universitet, Linköping, Sverige.
    Hemlin, Claes
    Aleris Sabbatsberg, Stockholm, Sverige.
    Hessén-Söderman, Anne-Charlotte
    Karolinska Universitetssjukhuset, Solna, Sverige.
    Hultcrantz, Elisabeth
    Oto-Rhino-Laryngologi, Linköpings universitet, Linköping, sverige.
    Roos, Kristian
    Capio Lundby Sjukhus, Göteborg, Sverige.
    Sunnergren, Ola
    Länssjukhuset Ryhov, Jönköping, Sverige.
    Årsrapport av kvalitetsregisterdata för tonsilloperation2011Konferansepaper (Fagfellevurdert)
  • 107.
    Stalfors, Joacim
    et al.
    Sahlgrenska Universitetssjukhus, Göteborg, Sverige.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Hemlin, Claes
    Aleris Specialistvård, Stockholm, Sverige.
    Hessén-Söderman, Anne-Charlotte
    Aleris Specialistvård, Stockholm, Sverige.
    Odhagen, Erik
    Sahlgrenska Universitetssjukhus, Göteborg, Sverige.
    Nerfeldt, Pia
    Karolinska Universitetssjukhuset, Huddinge, Sverige.
    Sunnergren, Ola
    Länssjukhuset Ryhov, Jönköping, Sverige.
    Registerdata från tonsillregistret2015Inngår i: Svensk ÖNH-tidskrift, ISSN 1400-0121, Vol. 22, nr 3, s. 59s. 34-93Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 108.
    Stalfors, Joacim
    et al.
    Sahlgrenska Universitetssjukhus, Göteborg, Sverige.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Hemlin, Claes
    Aleris Specialistvård, Stockholm, Sverige.
    Hessén-Söderman, Anne-Charlotte
    Aleris Specialistvård, Stockholm, Sverige.
    Odhagen, Erik
    Sahlgrenska Universitetssjukhus, Göteborg, Sverige.
    Nerfeldt, Pia
    Karolinska Universitetssjukhuset, Huddinge, Sverige.
    Sunnergren, Ola
    Länssjukhuset Ryhov, Jönköping, Sverige.
    Stora skillnader i blödningsfrekvens efter tonsillektomi i Sverige2015Inngår i: Svensk ÖNH-tidskrift, ISSN 1400-0121, nr S1, s. 26-29Artikkel i tidsskrift (Annet vitenskapelig)
  • 109.
    Stalfors, Joacim
    et al.
    ÖNH-kliniken, Sahlgrenska Universitetssjukhuset, Göteborg, Sweden.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Hemlin, Claes
    Aleris Specialistvård, Sollentuna sjukhus, Stockholm, Sweden.
    Hessén-Söderman, Anne-Charlotte
    Aleris Specialistvård, Sabbatsbergs sjukhus, Stockholm, Sweden.
    Odhagen, Erik
    Sahlgrenska Universitetssjukhuset, Göteborg, Sweden.
    Sunnergren, Ola
    Öron-, Näs- och halskliniken Länssjukhuset Ryhov, Jönköping, Sweden.
    The National Tonsil Surgery Register in Sweden: Annual Report 20132014Rapport (Annet vitenskapelig)
  • 110.
    Stalfors, Joacim
    et al.
    Sahlgrenska University Hospital, Gothenburg, Sweden.
    Hemlin, Claes
    Aleris Sabbatsberg Hospital, Stockholm, Sweden.
    Hessén Söderman, Anne- Charlotte
    Karolinska University Hospital, Karlstad, Sweden.
    Hultcrantz, Elisabeth
    Oto-Rhino-Laryngologi, Linköping university, Linköping, Sweden.
    Roos, Kristian
    Capio Lundby Hospital, Gothenburg, Sweden.
    Sunnergren, Ola
    County Hospital Ryhov, Jönköping, Sweden.
    Ericsson, Elisabeth
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Presentation of large datavolumes with the valuecompass: a qualitive method2012Konferansepaper (Annet vitenskapelig)
  • 111.
    Stalfors, Joacim
    et al.
    Sahlgrenska Universitetssjukhus, Göteborg, Sweden.
    Sunnergren, Ola
    Länssjukhuset Ryhov, Jönköping, Sweden.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Hemlin, Claes
    Aleris Specialistvård, Stockholm, Sweden.
    Hessén-Söderman, Anne-Charlotte
    Aleris Specialistvård, Stockholm, Sweden.
    Hultcrantz, Elisabeth
    Linköpings universitet, Linköping, Sweden.
    Odhagen, Erik
    Södra Älvsborgs Sjukhus, Borås, Sweden.
    Coverage and completeness of the national tonsil surgery in Sweden2014Konferansepaper (Fagfellevurdert)
  • 112.
    Sunnergren, Ola
    et al.
    County Hospital Ryhov, Jönköping, Sweden.
    Ericsson, Elisabeth
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Hemlin, Claes
    Aleris Sabbatsberg Hospital, Stockholm, Sweden.
    Hessén Söderman, Anne- Charlotte
    Karolinska University Hospital, Stockholm, Sweden.
    Hultcrantz, Elisabeth
    Oto-Rhino-Laryngologi, Linköpings University, Linköping, Sweden.
    Roos, Kristian
    Capio Lundby Hospital, Gothenburg, Sweden.
    Stalfors, Joacim
    Sahlgrenska University Hospital, Gothenburg, Sweden.
    Adenotonsillotomy: first line treatment for pediatric sleep disordered breathing?2012Konferansepaper (Annet vitenskapelig)
  • 113.
    Sunnergren, Ola
    et al.
    County Hospital Ryhov, Jönköping, Sweden.
    Ericsson, Elisabeth
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Hemlin, Claes
    Aleris Sabbatsberg Hospital, Stockholm, Sweden.
    Hessén Söderman, Anne- Charlotte
    Karolinska University Hospital, Stockholm, Sweden.
    Hultcrantz, Elisabeth
    Oto-Rhino-Laryngologi, Linköpings University, Linköping, Sweden.
    Roos, Kristian
    Capio Lundby Hospital, Gothenburg, Sweden.
    Stalfors, Joacim
    Sahlgrenska University Hospital, Gothenburg, Sweden.
    Pediatric tonsillotomy: a comparison of high- and low radiofrequency techniques with regard to postoperative bleeding, pain, infection and symptom relief2012Konferansepaper (Fagfellevurdert)
  • 114.
    Sunnergren, Ola
    et al.
    Länssjukhuset Ryhov, Jönköping, Sverige.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Hemlin, Claes
    Aleris Specialistvård, Stockholm, Sverige.
    Hessén-Söderman, Anne-Charlotte
    Aleris Specialistvård, Stockholm, Sverige.
    Odhagen, Erik
    Sahlgrenska Universitetssjukhus, Göteborg, Sverige.
    Nerfeldt, Pia
    Karolinska Universitetssjukhuset, Huddinge, Sverige.
    Stalfors, Joacim
    Sahlgrenska Universitetssjukhus, Göteborg, Sverige.
    Nytta med tonsilloperation2015Inngår i: Svensk ÖNH-tidskrift, ISSN 1400-0121, Vol. 22, nr S1, s. 30-32Artikkel i tidsskrift (Annet vitenskapelig)
  • 115.
    Sunnergren, Ola
    et al.
    Department of Otorhinolaryngology, Ryhov County Hospital, Jönköping, Sweden; Futurum-The Academy for health and care, County Council, Jönköping, Sweden.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Hemlin, Claes
    Sollentuna Specialist Clinic, Stockholm, Sweden.
    Hessén-Söderman, Lotta
    Department of Otorhinolaryngology, Aleris Sabbatsberg, Stockholm, Sweden; Division of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
    Odhagen, Erik
    Department of Otorhinolaryngology, Sahlgrenska University Hospital, Gothenburg, Sweden; Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Nerfeldt, Pia
    Karolinska University Hospital, Huddinge, Sweden.
    Stalfors, Joacim
    Sahlgrenska University Hospital, Gothenburg, Gothenburg, Sweden.
    Nytta med tonsilloperation2016Inngår i: Svensk ÖNH-tidskrift, ISSN 1400-0121, Vol. 23, nr S1, s. 24-25Artikkel i tidsskrift (Annet vitenskapelig)
    Fulltekst (pdf)
    Nytta med tonsilloperation
  • 116.
    Sunnergren, Ola
    et al.
    Ear-, Nose- and Throat Clinic, Ryhov County Hospital, Jönköping, Sweden.
    Hemlin, Claes
    Ear-, Nose- and Throat Clinic, Aleris Sabbatsberg Hospital, Stockholm, Sweden.
    Ericsson, Elisabeth
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden; Department of Anesthesia and Intensive Care, County Council of Östergötland, Linköping, Sweden.
    Hessén-Söderman, Anne-Charlotte
    Ear-, Nose- and Throat Clinic, Aleris Sabbatsberg Hospital, Karolinska Institutet, Stockholm, Sweden; Division of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
    Hultcrantz, Elisabeth
    Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
    Odhagen, Erik
    Ear-, Nose- and Throat Clinic, Södra Älvsborgs Hospital, Borås, Sweden.
    Stalfors, Joacim
    Ear-, Nose- and Throat Clinic, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Radiofrequency tonsillotomy in Sweden 2009-20122014Inngår i: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726, Vol. 271, nr 6, s. 1823-1827Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The Swedish National Registry for TonsilSurgery has been operational since 1997. All ENT clinicsin Sweden are encouraged to submit data for all patientsscheduled for tonsil surgery. Preoperatively, age, genderand indication are recorded. Postoperatively, method(tonsillectomy or tonsillotomy), technique, and perioperativecomplications are recorded. Postoperative bleedings,pain, infections, and symptom relief are assessed throughquestionnaires. An earlier report from this registry showedthat tonsillotomy had become more common than tonsillectomyin children with tonsil-related upper airwayobstruction. The aim of this study was to categorize whichinstruments were used for tonsillotomy in Sweden and tocompare their outcome and complication rate. All children2–18 years, reported to the registry from March 2009 untilSeptember 2012, who underwent tonsillotomy on theindication upper airway obstruction, were included in thestudy. 1,676 patients were identified. In 1,602 cases(96 %), a radiofrequency instrument was used. The postoperativebleeding rate was low (1.2 %) and the degree ofsymptom relief was high (95.1 %). Three different radiofrequencyinstruments (ArthroCare Coblation, EllmanSurgitron, and Sutter CURIS) were used in 96 % of thepatients. There were no significant differences in thenumber of postoperative bleedings, postoperative infectionsor symptom relief between the instruments. The onlydifference found was in the number of days on analgesics,where more days were registered after use of Coblation.In Sweden, radiofrequency tonsillotomy is the dominantsurgical technique used for tonsil hypertrophy causingupper airway obstruction in children. There are no significantdifferences in outcome between the different radiofrequencyinstruments except for number of days onanalgesics after surgery.

  • 117. Timms, Michael
    et al.
    Andersson, Anna
    Graf, Jonas
    Ericsson, Elisabeth
    Department of Medical and Health Sciences, Linköping University, Linköping.
    Tonsilloperation: Nya indikationer och metoder2006Inngår i: Svensk ÖNH-tidskrift, ISSN 1400-0121, Vol. 13, s. 43-44Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
    Abstract [sv]

       

  • 118.
    Wireklint, Sara
    et al.
    Department of Medical and Health Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden; Emergency Clinic, Växjö Central Hospital, Växjö, Sweden.
    Ericsson, Elisabeth
    Department of Medical and Health Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Health-related quality of life after tonsillotomy versus tonsillectomy in young adults: 6 years postsurgery follow-up2012Inngår i: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726, Vol. 269, nr 8, s. 1951-1958Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The indication for tonsil surgery is tonsillitis or obstructive symptoms due to tonsillar hypertrophy, associated with morbidity affecting health related quality of life (HRQL). Surgery performed is either tonsillectomy (TE) or partial intra capsular tonsillectomy/tonsillotomy (TT). TT is associated with fewer postoperative complications and rapid recovery, but with risk for regrowth of tonsillar tissue and return of sleep disordered breathing (SDB) or infections. The aim of this study was to investigate the long-term effects of TT and TE in young adults relating to HRQL and well-being as consequence of obstructive symptoms or ENT-infections after 6 years versus effect after 1 year. Young adults with symptoms of tonsillar hyperplasia were randomized to TE (44) or TT (32). Patients were assessed prior to surgery and 1 and 6 years postoperatively. Short Form 36 and the EuroQul Visual Analog Scale evaluated HRQL. Questionnaire was used to explore well-being, obstruction symptoms and infections. Patient BMI was calculated. Six years after surgery, 91 % of young adults (TE39/TT29) reported persisting benefits in well-being, reduced obstructive problems and fewer infections. Some patients in both groups reported a slight increase in snoring compared to 1 year after surgery, but still less than before surgery. Obesity was more frequent among those snoring. Both TT and TE in young adults yielded HRQL improvements and reduction in symptoms defining SDB persisting through 6 years postsurgery. Results indicated that both surgical methods were equally effective. Findings favor choice of TT due to lesser postoperative morbidity.

  • 119.
    Östvall, Eirik
    et al.
    Sahlgrenska Universitetssjukhus, Göteborg, Sweden.
    Sunnergren, Ola
    Länssjukhuset Ryhov, Jönköping, Sweden.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Hemlin, Claes
    Aleris Specialistvård, Stockholm, Sweden.
    Hultcrantz, Elisabeth
    Linköpings universitet, Linköping, Sweden.
    Odhagen, Erik
    Södra Älvsborgs Sjukhus, Borås, Sweden.
    Stalfors, Joacim
    Sahlgrenska Universitetssjukhus, Göteborg, Sweden.
    Mortality after tonsil surgery, a population study, covering 7 years and 82,527 operations in Sweden2014Konferansepaper (Fagfellevurdert)
  • 120.
    Östvall, Eirik
    et al.
    Ear-, Nose- and Throat Clinic, Sahlgrenska University Hospital, Göteborg, Sweden.
    Sunnergren, Ola
    Ear-, Nose- and Throat Clinic, Ryhov County Hospital, Jönköping, Sweden .
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Hemlin, Claes
    ENT Department, Aleris Specialists Care Center/Surgical Center, Sabbatsbergs Hospital, Stockholm, Sweden .
    Hultcrantz, Elisabeth
    Division of Otorhinolaryngology, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
    Odhagen, Erik
    Ear-, Nose- and Throat Clinic, Södra Älvsborgs Hospital, Borås, Sweden; Institute of Clinical Sciences at Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden .
    Stalfors, Joacim
    Ear-, Nose- and Throat Clinic, Sahlgrenska University Hospital, Göteborg, Sweden.
    Mortality after tonsil surgery, a population study, covering eight years and 82,527 operations in Sweden2015Inngår i: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726, Vol. 272, nr 3, s. 737-743Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objective of this retrospective cohort study was to evaluate mortality rate and cause of death after tonsil surgery in Sweden. Two national registries were used, both run by The Swedish National Board of Health and Welfare, an agency of the Ministry of Health and Social Affairs. In the National Patient register all tonsil surgeries performed in Sweden from 2004 through 2011 were identified. The result from this search was matched with the National Cause of Death Register to identify all deaths that occurred within 30 days of tonsil surgery. Personal identity numbers were used to do the matching of registers. Details on the cause of death were obtained from the Swedish National Board of Health and Welfare. Two deaths were identified in 82,527 operations. Both patients were male, otherwise healthy, children under the age of five, operated due to tonsil-related upper airway obstruction/snoring with coblation technique. Cause of death was bleeding-related airway obstruction in both cases and hemodynamic failure caused by blood loss. Both deaths occurred after discharge from the hospital within the first postoperative week. No abnormal levels of analgesics were found in the postmortal investigations. Two deaths related to tonsil surgery (performed on benign indications) were identified in 82,527 operations (2004–2011) in a well-defined national population. Both deaths were due to postoperative bleeding. Based on our findings, the frequency of post-tonsil-surgery mortality in Sweden was 1/41,263, 2004–2011.

    Level of evidence 2b retrospective cohort study.

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