Outpatient cochlear implantation in the pediatric population
Studies have shown that the incidence of complications in pediatric cochlear implant surgery is related to the age of the child, with a higher complication rate in younger patients. Consequently, many surgeons advocate admitting these children overnight. We began our pediatric cochlear implant progr...
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Veröffentlicht in: | Otolaryngology-head and neck surgery 2000, Vol.122 (1), p.19-22 |
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description | Studies have shown that the incidence of complications in pediatric cochlear implant surgery is related to the age of the child, with a higher complication rate in younger patients. Consequently, many surgeons advocate admitting these children overnight. We began our pediatric cochlear implant program starting in June 1991 using the Nucleus 22-channel cochlear implant. To date, 65 children have undergone implantation, all on an outpatient basis. To evaluate safety, complication rate, and patient satisfaction, we gave the parents of the patients a questionnaire survey to complete. All patient charts were also retrospectively reviewed. More than 90% of parents surveyed responded that they were satisfied with the outpatient treatment of their children. There were no perioperative complications or readmissions. Cochlear implantation can be safely and effectively performed on an outpatient basis without an increase in morbidity. Day surgery reduces hospital costs at least $2500. (Otolaryngol Head Neck Surg 2000;122:19-22.) |
doi_str_mv | 10.1016/S0194-5998(00)70138-0 |
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Consequently, many surgeons advocate admitting these children overnight. We began our pediatric cochlear implant program starting in June 1991 using the Nucleus 22-channel cochlear implant. To date, 65 children have undergone implantation, all on an outpatient basis. To evaluate safety, complication rate, and patient satisfaction, we gave the parents of the patients a questionnaire survey to complete. All patient charts were also retrospectively reviewed. More than 90% of parents surveyed responded that they were satisfied with the outpatient treatment of their children. There were no perioperative complications or readmissions. Cochlear implantation can be safely and effectively performed on an outpatient basis without an increase in morbidity. Day surgery reduces hospital costs at least $2500. 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Consequently, many surgeons advocate admitting these children overnight. We began our pediatric cochlear implant program starting in June 1991 using the Nucleus 22-channel cochlear implant. To date, 65 children have undergone implantation, all on an outpatient basis. To evaluate safety, complication rate, and patient satisfaction, we gave the parents of the patients a questionnaire survey to complete. All patient charts were also retrospectively reviewed. More than 90% of parents surveyed responded that they were satisfied with the outpatient treatment of their children. There were no perioperative complications or readmissions. Cochlear implantation can be safely and effectively performed on an outpatient basis without an increase in morbidity. Day surgery reduces hospital costs at least $2500. (Otolaryngol Head Neck Surg 2000;122:19-22.)</description><subject>Adolescent</subject><subject>Ambulatory Surgical Procedures</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cochlear Implantation - adverse effects</subject><subject>Humans</subject><subject>Infant</subject><subject>Patient Satisfaction</subject><subject>Postoperative Complications</subject><subject>Surveys and Questionnaires</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1LxDAURYMoOn78BKUr0UX1pU3SFBRR8QvEWeg-ZNIXjXTamrSK_97MVMSdrgLJuTeP8wjZpXBEgYrjR6AlS3lZygOAwwJoLlNYIRMKZZEKSYtVMvlBNshmCK8AIERRrJMNCiIrWVFMyMl06DvdO2z6xLTmpUbtEzfvat308bptEtck_QsmHVZO996ZpGu7oV6-bZM1q-uAO9_nFnm6vnq6vE3vpzd3l-f3qWFc8hQNy00OjFdgRS6spoJaMDkDtDkzpRCy4pmxsuRWW2nNjAqWzwRSnQms8i2yP9Z2vn0bMPRq7oLBOs6I7RBUAVIwKSGCfASNb0PwaFXn3Vz7T0VBLayppTW1UKIA1NKaWuT2vj8YZnOsfqVGTRE4HYEPV-Pn_1rV9Pbh4jqTwHnMZ2M-6GdUr-3gm-jrz6nOxhBGte8OvQom7snERXg0vapa90fDF2-inV4</recordid><startdate>2000</startdate><enddate>2000</enddate><creator>LIU, JAMES H.</creator><creator>ROLAND, PETER S.</creator><creator>WALLER, MELISSA A.</creator><general>Mosby, Inc</general><general>SAGE Publications</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>7X8</scope><scope>8BM</scope></search><sort><creationdate>2000</creationdate><title>Outpatient cochlear implantation in the pediatric population</title><author>LIU, JAMES H. ; ROLAND, PETER S. ; WALLER, MELISSA A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4585-ec43c3045d0f636fa161f0c340ef34c9668d52cf895faf8fcb1643b6e1a26ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Ambulatory Surgical Procedures</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cochlear Implantation - adverse effects</topic><topic>Humans</topic><topic>Infant</topic><topic>Patient Satisfaction</topic><topic>Postoperative Complications</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LIU, JAMES H.</creatorcontrib><creatorcontrib>ROLAND, PETER S.</creatorcontrib><creatorcontrib>WALLER, MELISSA A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LIU, JAMES H.</au><au>ROLAND, PETER S.</au><au>WALLER, MELISSA A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outpatient cochlear implantation in the pediatric population</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2000</date><risdate>2000</risdate><volume>122</volume><issue>1</issue><spage>19</spage><epage>22</epage><pages>19-22</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>Studies have shown that the incidence of complications in pediatric cochlear implant surgery is related to the age of the child, with a higher complication rate in younger patients. Consequently, many surgeons advocate admitting these children overnight. We began our pediatric cochlear implant program starting in June 1991 using the Nucleus 22-channel cochlear implant. To date, 65 children have undergone implantation, all on an outpatient basis. To evaluate safety, complication rate, and patient satisfaction, we gave the parents of the patients a questionnaire survey to complete. All patient charts were also retrospectively reviewed. More than 90% of parents surveyed responded that they were satisfied with the outpatient treatment of their children. There were no perioperative complications or readmissions. Cochlear implantation can be safely and effectively performed on an outpatient basis without an increase in morbidity. Day surgery reduces hospital costs at least $2500. 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source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SAGE Complete A-Z List; Alma/SFX Local Collection |
subjects | Adolescent Ambulatory Surgical Procedures Child Child, Preschool Cochlear Implantation - adverse effects Humans Infant Patient Satisfaction Postoperative Complications Surveys and Questionnaires |
title | Outpatient cochlear implantation in the pediatric population |
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