| Adeno-tonsillectomy surgery in a joint aid effort: a feasible solution? | |
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MedLine Citation:
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PMID: 17923915 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Public hospitals in Brazil are under capacity for adenotonsillectomies, resulting in a growing waiting line. Otolaryngologists are used to these lines, since they understand that this problem is under govern responsibility. For this reason we believe that joint aid efforts to carry out adenotonsillectomies are justified. AIM: To standardize the organization of adenotonsillectomies in joint aid efforts, its effectiveness and feasibility for public hospitals, and to compare the incidence of post-operative hemorrhage in joint aid effort surgery with that of regular surgeriy. METHODS: A clinical case-control prospective study of adenotonsillectomies done in joint aid efforts was done from September 2004 to June 2006 at the Diadema State Hospital. An analysis was made of the multiprofessional staff involved in this process, and a comparison was made of the incidence of hemorrhage in joint aid efforts and after regular surgery. RESULTS: 22 joint aid effort events for adenotonsillectomies were done during the period mentioned above (339 surgeries), an average 15.4 surgeries per event. The rate of postoperative hemorrhage requiring surgical revision was 1.48%(5/339), which did not differ statistically from the case-control group (1.37% - 5/364). CONCLUSION: We were able to standardize the results of adenotonsillectomies done in a joint aid effort to the parameters that are considered as safe. This may reduce the waiting line for this procedure. The difference in the incidence of postoperative hemorrhage in the joint aid effort and regular surgery was not statistically significant. |
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Authors:
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Marcos Luiz Antunes; Ricardo Frazatto; Eduardo Kosugi Macoto; Fernando Mirage Vieira; Fernando Kaoru Yonamine |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Brazilian journal of otorhinolaryngology Volume: 73 ISSN: 1808-8694 ISO Abbreviation: - Publication Date: 2007 Jul-Aug |
Date Detail:
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Created Date: 2007-10-09 Completed Date: 2008-02-01 Revised Date: 2008-10-06 |
Medline Journal Info:
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Nlm Unique ID: 101207337 Medline TA: Braz J Otorhinolaryngol Country: Brazil |
Other Details:
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Languages: eng Pagination: 446-51 Citation Subset: IM |
Affiliation:
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Otorhinolaryngology Unit, Diadema State Hospital, Federal University of São Paulo, Vila Clementino, SP. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenoidectomy
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adverse effects,
statistics & numerical data* Adolescent Case-Control Studies Chi-Square Distribution Child Child, Preschool Cohort Studies Feasibility Studies Female Humans Male Postoperative Hemorrhage / epidemiology* Prospective Studies Tonsillectomy / adverse effects, statistics & numerical data* Waiting Lists* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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