title: Adeno-tonsillectomy surgery in a joint aid effort: a feasible solution?
abstract: Public hospitals in Brazil are under capacity for adenotonsillectomies, resulting in a growing waiting line. Otolaryngologists are used to these lines, since they understand that this problem is under govern responsibility. For this reason we believe that joint aid efforts to carry out adenotonsillectomies are justified.
  
  
  OBJECTIVE
  To standardize the organization of adenotonsillectomies in joint aid efforts, its effectiveness and feasibility for public hospitals, and to compare the incidence of post-operative hemorrhage in joint aid effort surgery with that of regular surgeriy.
  
  
  METHODS
  A clinical case-control prospective study of adenotonsillectomies done in joint aid efforts was done from September 2004 to June 2006 at the Diadema State Hospital. An analysis was made of the multiprofessional staff involved in this process, and a comparison was made of the incidence of hemorrhage in joint aid efforts and after regular surgery.
  
  
  RESULTS
  22 joint aid effort events for adenotonsillectomies were done during the period mentioned above (339 surgeries), an average 15.4 surgeries per event. The rate of postoperative hemorrhage requiring surgical revision was 1.48%(5/339), which did not differ statistically from the case-control group (1.37% - 5/364).
  
  
  CONCLUSIONS
  We were able to standardize the results of adenotonsillectomies done in a joint aid effort to the parameters that are considered as safe. This may reduce the waiting line for this procedure. The difference in the incidence of postoperative hemorrhage in the joint aid effort and regular surgery was not statistically significant.
authors.affiliation: Otorhinolaryngology Unit, Diadema State Hospital, Federal University of São Paulo, Vila Clementino, SP.
authors.forename: Marcos Luiz
authors.initials: ML
authors.lastname: Antunes
authors.forename: Ricardo
authors.initials: R
authors.lastname: Frazatto
authors.forename: Eduardo Kosugi
authors.initials: EK
authors.lastname: Macoto
authors.forename: Fernando Mirage
authors.initials: FM
authors.lastname: Vieira
authors.forename: Fernando Kaoru
authors.initials: FK
authors.lastname: Yonamine
mesh_terms: D000233:Adenoidectomy / Q000009:adverse effects / Q000706:statistics & numerical data*; D000293:Adolescent; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D019106:Postoperative Hemorrhage / Q000453:epidemiology*; D011446:Prospective Studies; D014068:Tonsillectomy / Q000009:adverse effects / Q000706:statistics & numerical data*; D014850:Waiting Lists