[Tonsillectomy in adults : Length of hospital stay has no influence on the frequency of XXXX ].

@entity1 @entity86 @entity548
BACKGROUND: Tonsillectomies (TE) in Germany are traditionally performed during inpatient hospital stays. Socioeconomic changes in the healthcare system have resulted in shorter hospital stays. OBJECTIVES: The aim of the study was to investigate whether a shorter hospital stay of 2  days leads to increased @entity86 after TE. Factors affecting the duration of hospitalization were also studied. MATERIALS AND METHODS: The relevant data of all @entity1 (>=   14  years) undergoing TE in the ENT Clinic of the Charit   Universit  tsmedizin Berlin, Campus Benjamin Franklin, between  2011 and  2013 were recorded anonymously. Risk factors for @entity548 after TE were analyzed. Additionally, @entity1 who had a hospital stay of 2  days (since  2013) were compared with @entity1 hospitalized for  >=   3  days, and the influence of various risk factors on the length of hospital stay was analyzed. RESULTS: During the study period 2011-2013, 376  procedures were performed and data from 213  @entity1 was collected for analysis. Median @entity1 age was 26  years (range 14-73  years). The rate of primary @entity548 (up to 24  hours after TE) was 2   % and the rate of secondary @entity548 (later than 24  hours) was 24   %. In 7% of @entity1 with @entity86 (primary and secondary) surgical hemostasis was performed. Male gender was associated with a significantly higher @entity548 rate. Shortening postdischarge surveillance to only 2  days did not affect the @entity86 rate. CONCLUSION: The duration of stationary monitoring following TE should not only be based on the rate of secondary @entity548 , but also on @entity1 comfort and safety. A shortening of postoperative monitoring to only 2  days had no effect on the @entity548 frequency after TE and can therefore, be considered for adults who do not live alone and are within a reasonable distance to a hospital.
