Experience is more important than technology in paediatric post-tonsillectomy bleeding
Paediatric tonsillectomy is a common procedure and one of the first skills acquired by surgical trainees. Post-tonsillectomy bleeding is one of the most significant complications. This study examined post-tonsillectomy bleed rates associated with technology and level of surgical experience. Data wer...
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| Veröffentlicht in: | Journal of laryngology and otology 2017-07, Vol.131 (S2), p.S35-S40 |
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| container_title | Journal of laryngology and otology |
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| creator | Hinton-Bayre, A D Noonan, K Ling, S Vijayasekaran, S |
| description | Paediatric tonsillectomy is a common procedure and one of the first skills acquired by surgical trainees. Post-tonsillectomy bleeding is one of the most significant complications. This study examined post-tonsillectomy bleed rates associated with technology and level of surgical experience.
Data were collected on all tonsillectomies performed by surgical consultants (n = 6) and trainees (n = 10) at affiliated hospitals over a nine-month period. Hospital records were audited for post-tonsillectomy bleeding re-admissions and returns to the operating theatre.
A total of 1396 tonsillectomies were performed (279 by trainees, 1117 by consultant surgeons). Primary post-tonsillectomy bleed rates were equivalent between trainees and consultants. Secondary bleed rates were significantly greater for trainees (10.0 per cent) compared to consultants (3.3 per cent), as were return to operating theatre rates (2.5 per cent vs 0.7 per cent). Amongst consultants, technology used was not associated with differences in secondary post-tonsillectomy bleeding and returns to the operating theatre.
Our data suggest that experience of the surgeon may have greater bearing on post-tonsillectomy bleed rates than the technology used. |
| doi_str_mv | 10.1017/S0022215117000755 |
| format | Article |
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Data were collected on all tonsillectomies performed by surgical consultants (n = 6) and trainees (n = 10) at affiliated hospitals over a nine-month period. Hospital records were audited for post-tonsillectomy bleeding re-admissions and returns to the operating theatre.
A total of 1396 tonsillectomies were performed (279 by trainees, 1117 by consultant surgeons). Primary post-tonsillectomy bleed rates were equivalent between trainees and consultants. Secondary bleed rates were significantly greater for trainees (10.0 per cent) compared to consultants (3.3 per cent), as were return to operating theatre rates (2.5 per cent vs 0.7 per cent). Amongst consultants, technology used was not associated with differences in secondary post-tonsillectomy bleeding and returns to the operating theatre.
Our data suggest that experience of the surgeon may have greater bearing on post-tonsillectomy bleed rates than the technology used.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S0022215117000755</identifier><identifier>PMID: 28393742</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Bleeding ; Child ; Child, Preschool ; Clinical Competence - standards ; Cold ; Consultants ; Dissection ; Female ; Hemorrhage ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Main Articles ; Male ; Otolaryngology ; Postoperative Complications - etiology ; Postoperative Hemorrhage - etiology ; Risk factors ; Studies ; Surgeons ; Surgeons - standards ; Surgery ; Surgical techniques ; Tonsillectomy - adverse effects ; Tonsillectomy - education ; Western Australia</subject><ispartof>Journal of laryngology and otology, 2017-07, Vol.131 (S2), p.S35-S40</ispartof><rights>Copyright © JLO (1984) Limited 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-81107ac6077a7a3baeb277f1fcc820513cc17d38dd52e92f55a791bbaa682de83</citedby><cites>FETCH-LOGICAL-c373t-81107ac6077a7a3baeb277f1fcc820513cc17d38dd52e92f55a791bbaa682de83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0022215117000755/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,27901,27902,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28393742$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hinton-Bayre, A D</creatorcontrib><creatorcontrib>Noonan, K</creatorcontrib><creatorcontrib>Ling, S</creatorcontrib><creatorcontrib>Vijayasekaran, S</creatorcontrib><title>Experience is more important than technology in paediatric post-tonsillectomy bleeding</title><title>Journal of laryngology and otology</title><addtitle>J. Laryngol. Otol</addtitle><description>Paediatric tonsillectomy is a common procedure and one of the first skills acquired by surgical trainees. Post-tonsillectomy bleeding is one of the most significant complications. This study examined post-tonsillectomy bleed rates associated with technology and level of surgical experience.
Data were collected on all tonsillectomies performed by surgical consultants (n = 6) and trainees (n = 10) at affiliated hospitals over a nine-month period. Hospital records were audited for post-tonsillectomy bleeding re-admissions and returns to the operating theatre.
A total of 1396 tonsillectomies were performed (279 by trainees, 1117 by consultant surgeons). Primary post-tonsillectomy bleed rates were equivalent between trainees and consultants. Secondary bleed rates were significantly greater for trainees (10.0 per cent) compared to consultants (3.3 per cent), as were return to operating theatre rates (2.5 per cent vs 0.7 per cent). Amongst consultants, technology used was not associated with differences in secondary post-tonsillectomy bleeding and returns to the operating theatre.
Our data suggest that experience of the surgeon may have greater bearing on post-tonsillectomy bleed rates than the technology used.</description><subject>Adolescent</subject><subject>Bleeding</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical Competence - standards</subject><subject>Cold</subject><subject>Consultants</subject><subject>Dissection</subject><subject>Female</subject><subject>Hemorrhage</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Main Articles</subject><subject>Male</subject><subject>Otolaryngology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Hemorrhage - etiology</subject><subject>Risk factors</subject><subject>Studies</subject><subject>Surgeons</subject><subject>Surgeons - standards</subject><subject>Surgery</subject><subject>Surgical techniques</subject><subject>Tonsillectomy - adverse effects</subject><subject>Tonsillectomy - education</subject><subject>Western Australia</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kEtPwzAQhC0EoqXwA7igSFy4BLx2E7tHhMpDqsSBxzVynE3rKrGD7Ur035PSghCI0xzmm9nVEHIK9BIoiKsnShljkAEISqnIsj0yBDGWaTbO6T4Zbux04w_IUQjLnulBdkgGTPIJF2M2JK_T9w69QasxMSFpne-17ZyPysYkLpRNIuqFdY2brxNjk05hZVT0RiedCzGNzgbTNKija9dJ2WBv2_kxOahVE_BkpyPycjt9vrlPZ493DzfXs1RzwWMqAahQOqdCKKF4qbBkQtRQay0ZzYBrDaLisqoyhhNWZ5kSEyhLpXLJKpR8RC62vZ13bysMsWhN0Ng0yqJbhQKkzHlO2Zj36PkvdOlW3vbfFTAB2Oz4ScGW0t6F4LEuOm9a5dcF0GIzevFn9D5ztmtelS1W34mvlXuA70pVW3pTzfHH7X9rPwD9u4u4</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Hinton-Bayre, A D</creator><creator>Noonan, K</creator><creator>Ling, S</creator><creator>Vijayasekaran, S</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201707</creationdate><title>Experience is more important than technology in paediatric post-tonsillectomy bleeding</title><author>Hinton-Bayre, A D ; Noonan, K ; Ling, S ; Vijayasekaran, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-81107ac6077a7a3baeb277f1fcc820513cc17d38dd52e92f55a791bbaa682de83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Bleeding</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clinical Competence - standards</topic><topic>Cold</topic><topic>Consultants</topic><topic>Dissection</topic><topic>Female</topic><topic>Hemorrhage</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Main Articles</topic><topic>Male</topic><topic>Otolaryngology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Hemorrhage - etiology</topic><topic>Risk factors</topic><topic>Studies</topic><topic>Surgeons</topic><topic>Surgeons - standards</topic><topic>Surgery</topic><topic>Surgical techniques</topic><topic>Tonsillectomy - adverse effects</topic><topic>Tonsillectomy - education</topic><topic>Western Australia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hinton-Bayre, A D</creatorcontrib><creatorcontrib>Noonan, K</creatorcontrib><creatorcontrib>Ling, S</creatorcontrib><creatorcontrib>Vijayasekaran, S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laryngology and otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hinton-Bayre, A D</au><au>Noonan, K</au><au>Ling, S</au><au>Vijayasekaran, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Experience is more important than technology in paediatric post-tonsillectomy bleeding</atitle><jtitle>Journal of laryngology and otology</jtitle><addtitle>J. Laryngol. Otol</addtitle><date>2017-07</date><risdate>2017</risdate><volume>131</volume><issue>S2</issue><spage>S35</spage><epage>S40</epage><pages>S35-S40</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><abstract>Paediatric tonsillectomy is a common procedure and one of the first skills acquired by surgical trainees. Post-tonsillectomy bleeding is one of the most significant complications. This study examined post-tonsillectomy bleed rates associated with technology and level of surgical experience.
Data were collected on all tonsillectomies performed by surgical consultants (n = 6) and trainees (n = 10) at affiliated hospitals over a nine-month period. Hospital records were audited for post-tonsillectomy bleeding re-admissions and returns to the operating theatre.
A total of 1396 tonsillectomies were performed (279 by trainees, 1117 by consultant surgeons). Primary post-tonsillectomy bleed rates were equivalent between trainees and consultants. Secondary bleed rates were significantly greater for trainees (10.0 per cent) compared to consultants (3.3 per cent), as were return to operating theatre rates (2.5 per cent vs 0.7 per cent). Amongst consultants, technology used was not associated with differences in secondary post-tonsillectomy bleeding and returns to the operating theatre.
Our data suggest that experience of the surgeon may have greater bearing on post-tonsillectomy bleed rates than the technology used.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>28393742</pmid><doi>10.1017/S0022215117000755</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of laryngology and otology, 2017-07, Vol.131 (S2), p.S35-S40 |
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| source | MEDLINE; Cambridge University Press Journals Complete |
| subjects | Adolescent Bleeding Child Child, Preschool Clinical Competence - standards Cold Consultants Dissection Female Hemorrhage Hospitals Humans Infant Infant, Newborn Main Articles Male Otolaryngology Postoperative Complications - etiology Postoperative Hemorrhage - etiology Risk factors Studies Surgeons Surgeons - standards Surgery Surgical techniques Tonsillectomy - adverse effects Tonsillectomy - education Western Australia |
| title | Experience is more important than technology in paediatric post-tonsillectomy bleeding |
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