{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T13:53:20Z","timestamp":1785938000961,"version":"3.56.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T00:00:00Z","timestamp":1600214400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to assess the current post\u2010tonsillectomy haemorrhage and return to theatre rates in Scotland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>National cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants and setting<\/jats:title><jats:p>Tonsillectomy outcomes data were collated for all NHS patients undergoing tonsillectomy in Scotland between 1998\u20102002 and 2013\u20102017.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Using Information Services Division (ISD) Scotland retrospective data, 30\u2010day re\u2010admission and 30\u2010day return to theatre rates allowed an assessment of post\u2010tonsillectomy haemorrhage rates. Data were validated through comparison with an audit conducted in NHS Greater Glasgow &amp; Clyde between 2015 and 2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Tonsillectomy was performed in 27\u00a0819 patients between 1998 and 2002, and 23\u00a0184 patients between 2013 and 2017. 30\u2010day re\u2010admission rates increased considerably between the 1998\u20102002 and 2013\u20102017 cohorts, from 4.7% to 12.1% in paediatric patients, and 9.8%\u201019.9% in adult patients. Similarly, 30\u2010day \u201creturn to theatre rates\u201d increased between the two cohorts, from 1.2% to 1.7% in paediatric patients, and 3.6%\u20104.9% in adult patients. Re\u2010admission and return to theatre rates were similar across Health Boards for both adult and paediatric tonsillectomies in each cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Current 30\u2010day re\u2010admission and return to theatre rates are significantly higher than the majority of reported series to date. The rising rate of tonsillectomy haemorrhage between cohorts is likely to be multifactorial, possibly reflecting an underestimation of previous rates and the changing profile of the tonsillectomy patient. A detailed audit of current practice is needed to investigate these tonsillectomy outcomes, which are similar across all Health Boards in Scotland. Of most significance are the implications for accurate patient consent and non\u2010elective ENT service provision.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13608","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T05:16:43Z","timestamp":1595222203000},"page":"138-145","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Pan\u2010Scotland tonsillectomy outcomes: A national cross\u2010sectional study"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6688-502X","authenticated-orcid":false,"given":"Thomas D.","family":"Milner","sequence":"first","affiliation":[{"name":"Queen Elizabeth University Hospital Glasgow UK"},{"name":"University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Hilmi","sequence":"additional","affiliation":[{"name":"Queen Elizabeth University Hospital Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Marshall","sequence":"additional","affiliation":[{"name":"Queen Elizabeth University Hospital Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"MacKenzie","sequence":"additional","affiliation":[{"name":"Queen Elizabeth University Hospital Glasgow UK"},{"name":"University of Strathclyde Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3312-z"},{"key":"e_1_2_8_3_1","volume-title":"National prospective tonsillectomy audit final report","author":"British Association of Otorhinolaryngologists Head and Neck Surgeons (BAO\u2010HNS) Comparative Audit Group","year":"2005"},{"key":"e_1_2_8_4_1","unstructured":"BinghamB.A Scottish prospective audit of tonsil and adenoid surgery with disposable surgical instruments [online]. 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The Scottish Parliament. Date published = 29\/05\/19.https:\/\/digitalpublications.parliament.scot\/ResearchBriefings\/Report\/2019\/5\/29\/Primary\u2010Care\u2010in\u2010Scotland. 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