Abstract |
The goal of this study was to assess which factors affect length of stay in patients operated on for a thyroglossal duct cyst (TDC) and whether day surgery is a safe alternative to a postoperative admission. All charts of patients with TDC excisions at one children's hospital from 1995 to 2001 were reviewed retrospectively. Chi-square tests and multiple logistic regression were used as statistical tests, with p<0.05 considered significant. One hundred children with a mean age of 6 years were operated on for TDC; 46% had day-surgery, with a median length of stay (LOS) of 4 h, and the other 54% were admitted overnight after TDC excision, with a median LOS of 24 h. Factors that significantly prolonged LOS were drain placement, start of surgery after 1 p.m., and surgery being performed by the ENT surgical service rather than the pediatric general surgery service. There was only one hospital readmission for a patient with day surgery at 36 h postoperation for wound hematoma that resolved with nonoperative treatment. Day surgery is safe for routine TDC excisions. There must be a shift in surgeons' behavior if the trend towards an increase in outpatient services for TDC excisions is to continue.
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Authors | Ioana Bratu, Jean-Martin Laberge |
Journal | Pediatric surgery international
(Pediatr Surg Int)
Vol. 20
Issue 9
Pg. 675-8
(Sep 2004)
ISSN: 0179-0358 [Print] Germany |
PMID | 15351893
(Publication Type: Journal Article)
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Topics |
- Ambulatory Surgical Procedures
(statistics & numerical data, trends)
- Child
- Child, Preschool
- Humans
- Length of Stay
- Quebec
- Retrospective Studies
- Thyroglossal Cyst
(surgery)
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