{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:41:28Z","timestamp":1772160088966,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,6,4]],"date-time":"2022-06-04T00:00:00Z","timestamp":1654300800000},"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":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Obstructive sleep apnoea (OSA) is a common indication for adenoidectomy and tonsillectomy in children. Traditional practice involves overnight admission to monitor for respiratory complications. However, there is a shift towards same\u2010day discharge in selected patients. This systematic review aims to critically evaluate day\u2010case criteria and safety in children with OSA undergoing adenotonsillectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>We performed a systematic search of EMBASE, Medline and the Cochrane library. All data collected were independently validated for accuracy. Quality assessment of included articles was performed. The protocol was registered with PROSPERO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 15 studies were included (10\u2009731 patients). There was heterogeneity in methods used to ascertain OSA, day\u2010case discharge criteria and lack of prospective discharge protocol. The proportion of children considered for planned day\u2010case surgery ranged from 28.7%\u2013100% based on individual criteria, with an average rate of successful same\u2010day discharge of 96.1% in these patients. The reported rates of post\u2010operative respiratory adverse events and need for airway intervention were 0%\u201327.3% and 0.4%\u20136.8%, respectively. There was no reported mortality. The studies were considered low to medium on quality assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is a lack of prospective data on day\u2010case criteria and systematic assessment of post\u2010operative complications in children with OSA undergoing adenoidectomy and tonsillectomy. However, current literature suggests that day\u2010case surgery is safe in carefully selected patients. Better characterisation of patient\u2010specific risk factors is needed to develop an optimal criteria\u2010based timeline for safe discharge. This has the potential to improve confidence and uptake across units.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.13946","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T04:16:21Z","timestamp":1653279381000},"page":"553-560","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Day\u2010case discharge criteria and safety of children undergoing adenoidectomy and tonsillectomy for obstructive symptoms\u2014A systematic review"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7060-8909","authenticated-orcid":false,"given":"Siri","family":"Gowda","sequence":"first","affiliation":[{"name":"Sheffield Teaching Hospitals NHS Trust  Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3708-1348","authenticated-orcid":false,"given":"Wei S.","family":"Leong","sequence":"additional","affiliation":[{"name":"Doncaster and Bassetlaw Hospitals NHS Trust  Doncaster UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6205-806X","authenticated-orcid":false,"given":"Ovie","family":"Edafe","sequence":"additional","affiliation":[{"name":"Department of Oncology and Metabolism University of Sheffield  Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811409837"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.01.013"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ambsur.2006.01.002"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/1968985"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.02.036"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-018-5071-8"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjebm-2017-110853"},{"issue":"4","key":"e_1_2_12_9_1","article-title":"Ambulatory tonsillectomy for children with severe obstructive sleep apnea without risk factors","volume":"41","author":"Kong DK","year":"2020","journal-title":"Am J Otolaryngol \u2010 Head Neck Med Surg"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2001.19826"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989411000210"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556139607500712"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2010.10.036"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2011.11.041"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.109796"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.08.036"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2015.09.038"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.03.027"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.340"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2011.05.003"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13842"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2008.08.016"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588409X432239"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15562"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.20195"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215112001739"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjae.2020.02.007"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaed\/mkx011"},{"key":"e_1_2_12_29_1","unstructured":"HartleyB PowellS BewS BatemanN.Safe delivery of paediatric ENT surgery in the UK: a national strategy. 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