{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T04:47:38Z","timestamp":1766983658004,"version":"3.37.3"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T00:00:00Z","timestamp":1511395200000},"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":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Adenotonsillectomy is performed in children with recurrent tonsillitis or obstructive sleep apnoea. Children at risk of post\u2010operative respiratory complications are recommended to be monitored in paediatric intensive care unit (<jats:styled-content style=\"fixed-case\">PICU<\/jats:styled-content>). The aim of the study is to review the risk factors for post\u2010operative complications and admissions to <jats:styled-content style=\"fixed-case\">PICU<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A review of medical records of children who underwent adenotonsillectomy between January 2011 and December 2014 was performed. Association between demographic variables and post\u2010operative complications were examined using chi\u2010square and Mann\u2013Whitney tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 214 children were identified, and of these, 19 (8.8%) experienced post\u2010operative complications. Six children (2.8%) had respiratory complications: hypoxaemia in four and laryngospasm requiring reintubation in a further two. Both of the latter patients were extubated upon arrival to <jats:styled-content style=\"fixed-case\">PICU<\/jats:styled-content> and required no escalation of therapy. A total of 13 (6.1%) children had non\u2010respiratory complications: 8 (3.7%) had infection and 5 (2.3%) had haemorrhage. A total of 26 (12.1%) children were electively admitted to <jats:styled-content style=\"fixed-case\">PICU<\/jats:styled-content> and mean stay was 19.5 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> \u00b1 13) h. No association between demographic characteristics, comorbid conditions or polysomnographic parameters and post\u2010operative complications were noted. A total of 194 (90.7%) children stayed only one night in hospital (median 1 day, range 1\u20135 days).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The previously identified risk factors and criteria for <jats:styled-content style=\"fixed-case\">PICU<\/jats:styled-content> admission need revision, and new recommendations are necessary.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.13789","type":"journal-article","created":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T15:46:44Z","timestamp":1511452004000},"page":"530-534","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Pre\u2010operative parameters do not reliably identify post\u2010operative respiratory risk in children undergoing adenotonsillectomy"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4414-7915","authenticated-orcid":false,"given":"Surendran","family":"Thavagnanam","sequence":"first","affiliation":[{"name":"Department of Paediatrics University of Malaya  Kuala Lumpur Malaysia"},{"name":"University Malaya Paediatric and Child Health Research Group University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saou Y","family":"Cheong","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karuthan","family":"Chinna","sequence":"additional","affiliation":[{"name":"Department of Social and Preventive Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna M","family":"Nathan","sequence":"additional","affiliation":[{"name":"Department 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