{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T13:53:28Z","timestamp":1785938008014,"version":"3.56.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015930","name":"Equity Trustees","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100015930","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> Tonsillectomy, with or without adenoidectomy, is the leading reason for paediatric unplanned hospital readmission, some of which are potentially avoidable. Reducing unplanned hospital revisits would improve patient safety and decrease use of healthcare resources. This study aimed to describe the incidence, timing and risk factors for any surgery-related hospital revisits (both emergency presentation and readmission) following paediatric tonsillectomy and adenotonsillectomy in a large state-wide cohort. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> We conducted a population-based cohort study using linked administrative datasets capturing all paediatric tonsillectomy and adenotonsillectomy surgeries performed between 2010 and 2015 in the state of Victoria, Australia. The primary outcome was presentation to the emergency department or hospital readmission within 30-day post-surgery. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Between 2010 and 2015, 46,583 patients underwent 47,054 surgeries. There was a total of 4758 emergency department presentations (10.11% total surgeries) and 2750 readmissions (5.84% total surgeries). Haemorrhage was the most common reason for both revisit types, associated with 33.02% of ED presentations (3.34% total surgeries) and 67.93% of readmissions (3.97% total surgeries). Day 5 post-surgery was the median revisit time for both ED presentations (IQR 3\u20137) and readmission (IQR 3\u20138). Predictors of revisit included older age, public and metropolitan hospitals and peri-operative complications during surgery. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Haemorrhage was the most common reason for both emergency department presentation and hospital readmission. The higher risk of revisits associated with older children, surgeries performed in public and metropolitan hospitals, and in patients experiencing peri-operative complications, suggest the need for improved education of postoperative care for caregivers, and avoidance of inappropriate early discharge. <\/jats:p><\/jats:sec><jats:sec><jats:title>Graphical Abstract<\/jats:title><jats:p> <\/jats:p><\/jats:sec>","DOI":"10.1186\/s40463-021-00552-8","type":"journal-article","created":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T17:02:53Z","timestamp":1642006973000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Hospital revisits after paediatric tonsillectomy: A cohort study"],"prefix":"10.1177","volume":"51","author":[{"given":"Aimy H. L.","family":"Tran","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Monash University and The Ritchie Centre, Hudson Institute of Medical Research, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken L.","family":"Chin","sequence":"additional","affiliation":[{"name":"Melbourne Medical School, University of Melbourne, Melbourne, Australia"},{"name":"Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosemary S. C.","family":"Horne","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Monash University and The Ritchie Centre, Hudson Institute of Medical Research, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Liew","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Rimmer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Monash Health, Melbourne, Australia"},{"name":"Department of Surgery, Monash University, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4944-7754","authenticated-orcid":false,"given":"Gillian M.","family":"Nixon","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Monash University and The Ritchie Centre, Hudson Institute of Medical Research, Melbourne, Australia"},{"name":"Melbourne Children's Sleep Centre, Monash Children's Hospital, 246 Clayton Road, 3168, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,1,1]]},"reference":[{"key":"bibr1-s40463-021-00552-8","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818801757"},{"key":"bibr2-s40463-021-00552-8","first-page":"1","volume":"102","author":"Hall MJ","year":"2017","journal-title":"Natl Health Stat Rep"},{"key":"bibr3-s40463-021-00552-8","doi-asserted-by":"publisher","DOI":"10.1071\/AH18123"},{"key":"bibr4-s40463-021-00552-8","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24783"},{"key":"bibr5-s40463-021-00552-8","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-1283"},{"key":"bibr6-s40463-021-00552-8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0803563"},{"key":"bibr7-s40463-021-00552-8","doi-asserted-by":"crossref","unstructured":"Curtis JL, Harvey DB, Willie S, Narasimhan E, Andrews S, Henrichsen J, et al. Causes and costs for ED visits after pediatric adenotonsillectomy. Otolaryngol Head Neck Surg. 2015;152(4):691\u20136.","DOI":"10.1177\/0194599815572123"},{"key":"bibr8-s40463-021-00552-8","unstructured":"Australian Bureau of Statistics. 2016 Census Quickstats\u2014Victoria [Internet]. Canberra, Australia: ABS; 2017. Accessed 5 Nov 2020. http:\/\/quickstats.censusdata.abs.gov.au\/census_services\/getproduct\/census\/2016\/quickstat\/2?opendocument."},{"key":"bibr9-s40463-021-00552-8","unstructured":"Australian Bureau of Statistics. 2016 Census Quickstats\u2014Greater Melbourne [Internet]. Canberra, Australia: ABS; 2017. Accessed 5 Nov 2020. http:\/\/quickstats.censusdata.abs.gov.au\/census_services\/getproduct\/census\/2016\/quickstat\/2GMEL?opendocument."},{"key":"bibr10-s40463-021-00552-8","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13436"},{"key":"bibr11-s40463-021-00552-8","author":"Department of Health and Human Services","year":"2019","journal-title":"Victorian Admitted Episodes Dataset (VAED) manual\u201429th edition 2019\u201320"},{"key":"bibr12-s40463-021-00552-8","author":"Department of Health and Human Services","year":"2019","journal-title":"Victorian Emergency Minimum Dataset (VEMD) manual\u201424th edition 2019\u201320"},{"key":"bibr13-s40463-021-00552-8","unstructured":"Pink B. Socio-Economic Indexes for Areas (SEIFA) 2011 technical paper. Canberra, Australia: Australian Bureau of Statistics; 2013. Contract No.: 2033.0.55.001."},{"key":"bibr14-s40463-021-00552-8","unstructured":"Pink B. Australian Statistical Geography Standard (ASGS): Volume 5\u2014Remoteness Structure. 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