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Risk Factors Associated With Pediatric Post-Tonsillectomy Complications: A Focus on Racial, Ethnic and Socioeconomic Factors.

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Title: Risk Factors Associated With Pediatric Post-Tonsillectomy Complications: A Focus on Racial, Ethnic and Socioeconomic Factors.
Authors: Wikner, Emily, Nguyen, Catherine, Vazifedan, Turaj, Almirante, Jaime, Chilampath, Benjamin, Mason, Lauren, Derkay, Craig
Source: Annals of Otology, Rhinology & Laryngology. Jul2025, Vol. 134 Issue 7, p533-539. 7p.
Subjects: Risk assessment, Otitis media, Research funding, T-test (Statistics), Tonsillectomy, Socioeconomic factors, Fisher exact test, Logistic regression analysis, Retrospective studies, Tertiary care, Children's hospitals, Descriptive statistics, Chi-squared test, Surgical complications, Pediatrics, Race, Odds ratio, Sleep apnea syndromes, Medical records, Acquisition of data, Case-control method, Data analysis software, Confidence intervals, Disease risk factors
Abstract: Objectives: Though a common procedure, tonsillectomy is often associated with significant risks such as bleeding, odynophagia, and dehydration. There has been some research investigating racial/ethnic and socioeconomic disparities in other pediatric otolaryngic issues such as otitis media and sleep disordered breathing. However, there is a paucity of research regarding disparities in children undergoing tonsillectomy. Methods: A retrospective case control study was performed on all pediatric patients who underwent tonsillectomy with or without adenoidectomy from January 1, 2019 to December 31, 2020 at a tertiary care center. Patient records were documented including demographics, race, ethnicity, type of insurance, surgical technique, and post-operative complications. A major post-operative complication was defined as post-surgical hemorrhage, uncontrolled pain, or dehydration requiring medical attention. Results: There were 1751 patients included in the study with an average age of 6.7 years old with 55.3% patients white, 41.6% black and 3% identified as another race and 8% patients Hispanic or Latino. A complication occurred in 7% of patients including 2.3% who experienced a post-operative hemorrhage and 4.6% with dehydration or poor pain control. Among the entire cohort, 64.2% were publicly insured while 35.8% had private insurance and 1.2% were self-pay. There was no statistically significant difference in terms of probability of complication among patients with different races (P =.85), ethnicities (P =.18) or insurance type (P =.48). Those with bleeding complications were found to be significantly older (P =.011). There was a statistically significant lower likelihood of complication in patients who underwent intracapsular tonsillectomy compared to total electrocautery tonsillectomy (P <.001). Discussion: We found no racial/ethnic or socioeconomic disparities in the risk of post-operative complications in children who underwent tonsillectomy. Despite the frequency of tonsillectomy in children, there are few studies addressing inequalities. Further investigation of disparities in other regions of the United States should be performed. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Risk Factors Associated With Pediatric Post-Tonsillectomy Complications: A Focus on Racial, Ethnic and Socioeconomic Factors.
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  Data: Objectives: Though a common procedure, tonsillectomy is often associated with significant risks such as bleeding, odynophagia, and dehydration. There has been some research investigating racial/ethnic and socioeconomic disparities in other pediatric otolaryngic issues such as otitis media and sleep disordered breathing. However, there is a paucity of research regarding disparities in children undergoing tonsillectomy. Methods: A retrospective case control study was performed on all pediatric patients who underwent tonsillectomy with or without adenoidectomy from January 1, 2019 to December 31, 2020 at a tertiary care center. Patient records were documented including demographics, race, ethnicity, type of insurance, surgical technique, and post-operative complications. A major post-operative complication was defined as post-surgical hemorrhage, uncontrolled pain, or dehydration requiring medical attention. Results: There were 1751 patients included in the study with an average age of 6.7 years old with 55.3% patients white, 41.6% black and 3% identified as another race and 8% patients Hispanic or Latino. A complication occurred in 7% of patients including 2.3% who experienced a post-operative hemorrhage and 4.6% with dehydration or poor pain control. Among the entire cohort, 64.2% were publicly insured while 35.8% had private insurance and 1.2% were self-pay. There was no statistically significant difference in terms of probability of complication among patients with different races (P =.85), ethnicities (P =.18) or insurance type (P =.48). Those with bleeding complications were found to be significantly older (P =.011). There was a statistically significant lower likelihood of complication in patients who underwent intracapsular tonsillectomy compared to total electrocautery tonsillectomy (P &lt;.001). Discussion: We found no racial/ethnic or socioeconomic disparities in the risk of post-operative complications in children who underwent tonsillectomy. Despite the frequency of tonsillectomy in children, there are few studies addressing inequalities. Further investigation of disparities in other regions of the United States should be performed. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Annals of Otology, Rhinology &amp; Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1177/00034894251328095
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        Text: English
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        PageCount: 7
        StartPage: 533
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      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Otitis media
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Tonsillectomy
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Fisher exact test
        Type: general
      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Tertiary care
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      – SubjectFull: Children's hospitals
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Chi-squared test
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      – SubjectFull: Surgical complications
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      – SubjectFull: Pediatrics
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      – SubjectFull: Race
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      – SubjectFull: Odds ratio
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Disease risk factors
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      – TitleFull: Risk Factors Associated With Pediatric Post-Tonsillectomy Complications: A Focus on Racial, Ethnic and Socioeconomic Factors.
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              Text: Jul2025
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