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06 December 2013 Page 1 of 9 ProQuest


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Document 1 of 1

Is day case tonsillectomy suitable for children in Cumbria?

Author: Kubba, Haytham !essersm"th, #a$%hPublication info: &r"t"sh 'ourna$ of ($"n"ca$ )o*ernance 4+2 1999-: .6/60+

ProQuest ocument $"n

Abstract: Day case tons"$$ectomy has been a*ocate as a means of reuc"ng hea$th care costs

assoc"ate "th "n%at"ent care+ he authors of th"s %a%er stu"e 4 consecut"*e ch"$ren

unergo"ng con*ent"ona$ o*ern"ght stay tons"$$ectomy us"ng a %arenta$ 5uest"onna"re an a

retros%ect"*e case note re*"e+ !e"ca$ ec$us"on cr"ter"a for ay surgery ere %resent "n 217,

an soc"a$ ec$us"on cr"ter"a "n 827+ *era$$, on$y 167 of ch"$ren sat"se a$$ the cr"ter"a for

su"tab"$"ty+ n the ay of surgery, 297 of ch"$ren ere re%orte as ha*"ng %oor$y contro$$e %a"n

an 317 as ha*"ng nausea an *om"t"ng, such that un%$anne am"ss"on ou$ ha*e been $"e$y

ha they been one as ay cases+ ;n tota$, 637 of %arents ere unha%%y or *ery unha%%y "th

the %oss"b"$"ty of same ay "scharge+

Full text: Haytham Kubba: Haytham Kubba "s a


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most common reason for a e$ay "n resum"ng a norma$ "et Bee an


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ana$yse us"ng the


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case- an shou$ be a*a"$ab$e at the %arentsJ re5uest one case-+ hree 10 %er cent- e%resse

reser*at"ons about ear$"er "scharge from hos%"ta$ because of the"r "stance from hos%"ta$+ >our

thought ana$ges"a "n hos%"ta$ as %oor, an one com%$a"ne that no ana$ges"a as g"*en to go

home "th+ hree com%$a"ne about %oor commun"cat"on regar"ng the e%ecte reco*ery of the"r

ch"$+

D"scuss"on

h"s "s a sma$$, retros%ect"*e stuy, h"ch re$"es at $east "n %art on %arenta$ reco$$ect"on of e*ents+

here "s a $"m"t to ho far e can genera$"se from the resu$ts+ ;n %art"cu$ar, the $o res%onse rate

"ntrouces a chance of b"as+ #es%oners may "er systemat"ca$$y from non/res%oners, %erha%s

by ho$"ng stronger o%"n"ons regar"ng the"r ch"$Js care+ Hoe*er, some conc$us"ons emerge

h"ch are of "nterest to those contem%$at"ng the "ntrouct"on of ay case tons"$$ectomy+

;t shou$ be note that May surgeryM has "erent mean"ngs on each s"e of the =t$ant"c+ ;n the

?


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orar, +'+, !art"n/H"rsch, D+P+ an &asey, C+ 1993-, M($"n"ca$ au"t: "s ay/case

aenotons"$$ectomy safeNM, &r"t"sh 'ourna$ of ($"n"ca$ Pract"ce, Lo$+ 4 @o+ ., %%+ 2.4/.+

+ Bee, A+(+ an


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16+ Gar$ey, !+P+ 1992-, Mons"$$ectomy, aeno"ectomy an aenotons"$$ectomy: are they safe as

ay case %roceuresNM, 'ourna$ of Baryngo$ogy to$ogy, Lo$+ 106 @o+ 4, %%+ 299/300+

1+ Gar$ey, !+P+'+, >a"r$ey, '+A+, Durham, B+H+ an Parer, =+'+ 1994-, MDay case tons"$ an aeno"

surgery: ho many are e$"g"b$eNM, 'ourna$ of the #oya$ (o$$ege of


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Subect: eature

ProQuest document I(: 208.11219

(ocument *R!: htt%:search+%ro5uest+comoc*"e208.11219Naccount"S.063

Copyri$ht: (o%yr"ght !(& ?P B"m"te !(&- 1999

!ast updated: 2011/0./16

(atabase: =&;;@>#! (om%$ete

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