{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T13:53:24Z","timestamp":1785938004933,"version":"3.56.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,5,28]],"date-time":"2017-05-28T00:00:00Z","timestamp":1495929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005762","name":"National Taiwan University Hospital","doi-asserted-by":"publisher","award":["NTUH 105\u2010S3128"],"award-info":[{"award-number":["NTUH 105\u2010S3128"]}],"id":[{"id":"10.13039\/501100005762","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007225","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["MOST 105\u20102314\u2010B\u2010002\u2010166"],"award-info":[{"award-number":["MOST 105\u20102314\u2010B\u2010002\u2010166"]}],"id":[{"id":"10.13039\/100007225","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate emergency room (<jats:styled-content style=\"fixed-case\">ER<\/jats:styled-content>) revisits and hospital readmissions following adenotonsillectomy (T&amp;A) in children with sleep\u2010disordered breathing (<jats:styled-content style=\"fixed-case\">SDB<\/jats:styled-content>), and correlations between <jats:styled-content style=\"fixed-case\">SDB<\/jats:styled-content> severity and <jats:styled-content style=\"fixed-case\">ER<\/jats:styled-content> revisits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective chart review study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary referral centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participant<\/jats:title><jats:p>610 consecutive children underwent T&amp;A for treating <jats:styled-content style=\"fixed-case\">SDB<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Sleep\u2010disordered breathing severity was defined according to the apnoea\u2013hypopnoea index (<jats:styled-content style=\"fixed-case\">AHI<\/jats:styled-content>) (primary snoring = <jats:styled-content style=\"fixed-case\">AHI<\/jats:styled-content> &lt; 1; mild = <jats:styled-content style=\"fixed-case\">AHI<\/jats:styled-content> 1\u20105; moderate = <jats:styled-content style=\"fixed-case\">AHI<\/jats:styled-content> 5\u201010; and severe = <jats:styled-content style=\"fixed-case\">AHI<\/jats:styled-content> &gt; 10). Revisit and readmission patterns within 30\u00a0days of the surgery were extracted and analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of these children (mean age = 7.2\u00a0years; males = 72%), 49 (8.0%) had first <jats:styled-content style=\"fixed-case\">ER<\/jats:styled-content> revisit, nine (1.5%) had second <jats:styled-content style=\"fixed-case\">ER<\/jats:styled-content> revisits, and one (0.2%) had third <jats:styled-content style=\"fixed-case\">ER<\/jats:styled-content> revisits. Reasons for <jats:styled-content style=\"fixed-case\">ER<\/jats:styled-content> revisits were bleeding related (46%) or non\u2010bleeding related (54%). The timing for revisits was 6.9\u00b11.9 postoperative days for bleeding\u2010related revisits and 9.3\u00b110.0\u00a0days for non\u2010bleeding\u2010related revisits. Treatment strategies during these revisits were treat and release in 44 children (74.6%), admission for observation in eight children (13.5%), and admission for surgery in seven children (11.9%). The incidence of <jats:styled-content style=\"fixed-case\">ER<\/jats:styled-content> revisit and hospital readmission was similar among children with all levels of <jats:styled-content style=\"fixed-case\">SDB<\/jats:styled-content> severity. Multivariable logistic regression analysis showed that young children (&lt;3\u00a0years) experienced an increased risk of non\u2010bleeding\u2010related revisits (odds ratio [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>] = 4.1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Children with severe <jats:styled-content style=\"fixed-case\">SDB<\/jats:styled-content> do not experience increased risks of revisit or readmission; however, young children are at increased risk of non\u2010bleeding\u2010related revisits.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12899","type":"journal-article","created":{"date-parts":[[2017,5,9]],"date-time":"2017-05-09T07:06:48Z","timestamp":1494313608000},"page":"39-46","source":"Crossref","is-referenced-by-count":19,"title":["Revisits after adenotonsillectomy in children with sleep\u2010disordered breathing: A retrospective single\u2010institution 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