Paediatric tonsillectomy in England: A cohort study of clinical practice and outcomes using Hospital Episode Statistics data (2008-2019).
Kim KeltieAdam DonneMat DanielKate A StephensonMichelle WyattMichael KuoMichael SaundersNirmal B KumarCarl Martin PhilpottIain A BruceMatthew E SmithJohn C HardmanPaola CognigniHayley RichardsonSam GrossAndrew J SimsSteven PowellPublished in: Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery (2021)
Clinical practice of paediatric tonsillectomy has changed in England over the past 11 years. The overall mortality rate associated with the procedure is 0.0037%. Differences in outcomes have been identified for different procedural methods. However, routine administrative data are limited in differentiating procedural detail (eg we are unable to differentiate intra or extra-capsular techniques from current clinical coding of tonsillectomy procedures). Therefore, prospective national data collection or more granular clinical coding is essential to capture relative outcomes of the different tonsillectomy methods and techniques being used in the NHS.
Keyphrases
- clinical practice
- electronic health record
- big data
- intensive care unit
- emergency department
- magnetic resonance imaging
- patient safety
- computed tomography
- data analysis
- risk factors
- cardiovascular events
- quality improvement
- artificial intelligence
- machine learning
- type diabetes
- deep learning
- metabolic syndrome
- glycemic control