Document Type
Article
Publication Date
5-11-2020
Abstract
Objectives
Using multiple well-validated measures and a large sample size, the goal of this paper was to describe the immediate clinical and behavioral recovery of children following tonsillectomy with or without an adenoidectomy (T&A) during the first two weeks following surgery.
Study design
Observational, longitudinal study.
Setting
Four major pediatric hospitals in the U.S. consisting of Children's Hospital of Orange County, Children's Hospital of Los Angeles, Lucile Packard Children's Hospital, and Children's Hospital Colorado.
Subjects
and Methods: Participants included 827 patients between 2 and 15 years of age who underwent tonsillectomy with or without adenoidectomy surgery. Baseline and demographic information were gathered prior to surgery, and measures of clinical, behavioral, and physical recovery were recorded immediately following and up through two weeks after surgery.
Results
Pain following T&A was clinically significant through the first post-operative week and nearly resolved by the end of the second week. Negative behavioral changes were highly prevalent after surgery (75.6% of children at Day 0) through the first week (63.9% at Week 1), and over 20% of children continued to evidence new onset negative behavioral changes at two weeks post-operatively. Children were rated as experiencing significant functional impairment in the immediate three days following surgery and most children returned to baseline functioning by the end of the second week.
Conclusions
Results of this study suggest that children show immediate impairment in functioning and experience clinically significant pain throughout the first week following T&A, and new onset maladaptive behavioral changes persisting even up to the two-week assessment period.
Recommended Citation
Lao, B. K., Kain, Z. N., Khoury, D., Jenkins, B. N., Prager, J., Stevenson, R. S., Golianu, B., Zuk, J., Gold, J. I., Zhong, Q., & Fortier, M. A. (2020). A comprehensive examination of the immediate recovery of children following tonsillectomy and adenoidectomy. International Journal of Pediatric Otorhinolaryngology, 135, 110106. https://doi.org/10.1016/j.ijporl.2020.110106
Copyright
Elsevier
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Included in
Behavioral Disciplines and Activities Commons, Child Psychology Commons, Health Psychology Commons, Other Psychiatry and Psychology Commons, Otolaryngology Commons, Pediatrics Commons, Surgery Commons
Comments
NOTICE: this is the author’s version of a work that was accepted for publication in International Journal of Pediatric Otorhinolaryngology. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in International Journal of Pediatric Otorhinolaryngology, volume 135, in 2020. https://doi.org/10.1016/j.ijporl.2020.110106
The Creative Commons license below applies only to this version of the article.