TY - JOUR
T1 - Same-Day Evaluation and Surgery for Otitis Media and Tympanostomy Tube Placement
T2 - A Feasibility Study
AU - Billings, Kathleen R.
AU - Hajduk, John
AU - Rose, Allison
AU - De Oliveira, Gildasio S.
AU - Suresh, Suresh S.
AU - Thompson, Dana M.
N1 - Publisher Copyright:
© American Academy of Otolaryngology-Head and Neck Surgery Foundation 2016.
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Objective To determine the feasibility of providing streamlined same-day evaluation and surgical management of children with recurrent otitis media or chronic serous otitis media who meet criteria for tympanostomy tube (TT) placement. Study Design Retrospective matched case series. Setting Tertiary care children's hospital. Methods A comparison group (age, sex, insurance product) was utilized to determine if the same-day process decreased facility time and surgical time for the care episode. A parent satisfaction survey was administered. Results Thirty children, with a median age of 16 months (range, 12-22 months), participated in the same-day surgery process for TT. Twenty-one patients (70.0%) were male, and these patients were matched to a comparison group (similar age, sex, and insurance product) having non-same-day (routine) TT placement. The same-day patients spent significantly less time in clinic for the preoperative physician visit (average, 15 minutes) when compared with the non-same-day patients (average, 51.5 minutes; P <.001). The operative experience for the same-day patients was similar to the non-same-day patients (average, 145 vs 137 minutes, respectively; P =.35), but the overall experience was significantly shorter for the same-day patients (average, 151 vs 196 minutes for comparisons; P <.001). All parents surveyed in the same-day group were satisfied with the efficiency of the experience. Conclusion The same-day surgery process for management of children who meet the criteria for TT placement is a model of improved efficiency of care for children who suffer from otitis media.
AB - Objective To determine the feasibility of providing streamlined same-day evaluation and surgical management of children with recurrent otitis media or chronic serous otitis media who meet criteria for tympanostomy tube (TT) placement. Study Design Retrospective matched case series. Setting Tertiary care children's hospital. Methods A comparison group (age, sex, insurance product) was utilized to determine if the same-day process decreased facility time and surgical time for the care episode. A parent satisfaction survey was administered. Results Thirty children, with a median age of 16 months (range, 12-22 months), participated in the same-day surgery process for TT. Twenty-one patients (70.0%) were male, and these patients were matched to a comparison group (similar age, sex, and insurance product) having non-same-day (routine) TT placement. The same-day patients spent significantly less time in clinic for the preoperative physician visit (average, 15 minutes) when compared with the non-same-day patients (average, 51.5 minutes; P <.001). The operative experience for the same-day patients was similar to the non-same-day patients (average, 145 vs 137 minutes, respectively; P =.35), but the overall experience was significantly shorter for the same-day patients (average, 151 vs 196 minutes for comparisons; P <.001). All parents surveyed in the same-day group were satisfied with the efficiency of the experience. Conclusion The same-day surgery process for management of children who meet the criteria for TT placement is a model of improved efficiency of care for children who suffer from otitis media.
KW - access to care
KW - acute otitis media
KW - otitis media
KW - otitis media with effusion
KW - same day surgery
KW - tympanostomy tubes
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U2 - 10.1177/0194599816648310
DO - 10.1177/0194599816648310
M3 - Article
C2 - 27188708
AN - SCOPUS:84989870892
SN - 0194-5998
VL - 155
SP - 663
EP - 669
JO - Otolaryngology - Head and Neck Surgery (United States)
JF - Otolaryngology - Head and Neck Surgery (United States)
IS - 4
ER -