An audit on non-echo planar diffusion weighted (DW) MRI scans in the diagnosis of Cholesteatoma
Fadil Khoyratty, Ahmed Hassan Sweed, S. Douglas · International Journal of Surgery · 2015
management.Day-case tonsillectomy is safe, with haemorrhage rates reported between 0.5e6.2%.The aim of this study was to assess reasons behind delayed discharge in children undergoing a tonsillectomy.Methods: A retrospective audit was carried out on the last 50 children (0e15) undergoing a day-case tonsillectomy.In this study, children were excluded if they had sleep apnea.These children remained in-patients.Results: The male:female ratio was 1:1.1 with a median age of 6(4-9).20 patients were excluded due to OSA.Recurrent tonsillitis was the primary indication in 30 children.23/30 (77%) children ended up staying as an inpatient despite undergoing the procedure as a day-case.The tariff for a day case stay on the ward is £74, which increased to £463 for an overnight stay.As a result, £10,469 could have been saved if these children were discharged the same day.Conclusion: Delayed discharge following day-case tonsillectomy is costly.Pain was the limiting factor and we have implemented an analgesic protocol to facilitate safe discharge following a tonsillectomy.