title: Paediatric day-case tonsillectomy: a three-year prospective audit spiral in a district hospital.
abstract: BACKGROUND
  Paediatric tonsillectomy is a common ENT operation. The use of day-case surgery is increasing, in order to improve efficiency in healthcare.
  
  
  METHODS
  A prospective audit spiral was carried out from January 2006 to December 2008 for all children undergoing day-case tonsillectomy at Huddersfield Royal Infirmary.
  
  
  RESULTS
  There was a haemorrhage rate of 2.6 per cent over three years. The most common complication was nausea and vomiting, seen in 5.3 per cent of patients.
  
  
  CONCLUSIONS
  For a well selected group of children, day-case tonsillectomy in a district hospital setting is a safe and efficient alternative to an in-patient stay. A dedicated day-case team, good anaesthetic technique, adequate post-operative analgesia and on-site paediatric in-patient facilities are essential.
authors: Huddersfield Royal Infirmary, Hull Royal Infirmary, UK.
authors: Y
authors: Y
authors: Bajaj
authors: H
authors: H
authors: Atkinson
authors: R
authors: R
authors: Sagoo
authors: I
authors: I
authors: Bhatti
authors: C
authors: C
authors: Newbegin
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data* / Q000639:trends; D002648:Child; D002675:Child, Preschool; D017598:Efficiency, Organizational; D006767:Hospitals, District; D006801:Humans; D008485:Medical Audit; D010149:Postoperative Pain / Q000453:epidemiology; D019106:Postoperative Hemorrhage / Q000453:epidemiology; D020250:Postoperative Nausea and Vomiting / Q000453:epidemiology; D011184:Postoperative Period; D011446:Prospective Studies; D014068:Tonsillectomy / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data*