Readmission after OSA surgery in pediatric patients

Objectives This study aimed to determine the readmission rate after adenotonsillectomy with the diagnosis of obstructive sleep apnea (OSA) and analyze the factors associated with readmission. Methods It was planned as a retrospective study conducted in a single institution that included pediatric patients who underwent adenotonsillectomy with OSA diagnosis between December 2018 and March 2021. Patients who were readmitted for bleeding or pain/dehydration were compared with those who did not require readmission. Results The mean postoperative admission time was 7.27 +/- 3.49 days in patients with bleeding and 3.5 +/- 2.27 days in patients with pain or dehydration. The mean length of stay in the hospital was 2.6 +/- 1.6 days in patients with bleeding and 3.13 +/- 2.03 days in patients with pain or dehydration. The postoperative admission time was 5.96 +/- 3.57 days, and the hospital stay after readmission was 2.78 +/- 1.73 days. No statistically significant correlation was found in terms of age, gender, surgeon's experience, use of electrocautery and seasonality factors, and readmission rates. Conclusions In children who underwent adenotonsillectomy for OSA, the hospitalization period of patients hospitalized due to pain/dehydration is much longer than patients admitted with bleeding. Therefore, measures to reduce pain or dehydration have the most significant potential to reduce the readmission rate and length of stay.