18 March 2025 : Clinical Research
Impact of Nurse-Led Versus Surgeon-Led Preoperative Counseling and Follow-Up on Postoperative Outcomes in Pediatric Tonsillectomy: A Longitudinal Observational Study
Mengting Fan
ABCF 1, Peiyu Xue CDEF 1*
DOI: 10.12659/MSM.945597
Med Sci Monit 2025; 31:e945597
Table 3 Immediate (during hospital stays of patients) and late (after discharge of patients in 6-months of follow-up) postoperative complications of the enrolled children after tonsillitis.
| NCC | Cohorts | Between FSS and USS cohorts | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FSS | UUS | |||||||||||
| Healthcare professionals associated with non-treatment interventions | Nurse | Surgeon | None | |||||||||
| Event | Value | Value | #p-value | Relative risk | 95% CI | Value | #p-value | Relative risk | 95% CI | p-value | Relative risk | 95% CI |
| Numbers of children | 29 | 35 | 38 | |||||||||
| Nausea | 28 (97) | 34 (97) | 0.9999 | 0.9032 | 0.2198 to 3.711 | 37 (97) | 0.9999 | 0.8485 | 0.2062 to 3.491 | 0.9999 | 0.9577 | 0.2345 to 3.912 |
| Vomiting | 12 (41) | 20 (57) | 0.3152 | 0.7059 | 0.4059 to 1.228 | 24 (63)* | 0.043 | 0.549 | 0.3168 to 0.9514 | 0.6386 | 0.8788 | 0.5449 to 1.417 |
| Dizziness | 7 (24) | 11 (31) | 0.5849 | 0.8131 | 0.4231 to 1.563 | 11 (29) | 0.5849 | 0.8131 | 0.4231 to 1.563 | 0.9999 | 1.063 | 0.6384 to 1.768 |
| Constipation | 6 (21) | 11 (31) | 0.4017 | 0.7212 | 0.3557 to 1.463 | 12 (32) | 0.4085 | 0.7101 | 0.3463 to 1.456 | 0.9999 | 0.9964 | 0.5951 to 1.668 |
| Fever | 12 (41) | 18 (51) | 0.4601 | 0.8 | 0.4604 to 1.390 | 22 (58) | 0.2218 | 0.6851 | 0.3902 to 1.203 | 0.6419 | 0.8735 | 0.5424 to 1.407 |
| Bleeding | 1 (3) | 1 (3) | 0.9999 | 0.9032 | 0.2198 to 3.711 | 2 (5) | 0.9999 | 0.7619 | 0.1501 to 3.868 | 0.9999 | 0.6863 | 0.1360 to 3.464 |
| Dysphasia | 0 (0) | 1 (3) | 0.9999 | 0 | -Infinity to Infinity | 3 (8) | 0.2524 | 0 | -Infinity to Infinity | 0.6157 | 0.5074 | 0.09134 to 2.818 |
| Anxiety | 8 (28) | 15 (43) | 0.2958 | 0.6791 | 0.3601 to 1.281 | 30 (79)* | <0.0001 | 0.2907 | 0.1509 to 0.56 | 0.0019 | 0.4667 | 0.2902 to 0.7505 |
| Depression | 5 (17) | 9 (26) | 0.5471 | 0.744 | 0.3480 to 1.591 | 12 (32) | 0.2588 | 0.6127 | 0.2778 to 1.352 | 0.6145 | 0.8571 | 0.4877 to 1.506 |
| Bed taste | 3 (10) | 4 (11) | 0.9999 | 0.9396 | 0.3815 to 2.314 | 5 (13) | 0.9999 | 0.851 | 0.3324 to 2.178 | 0.9999 | 0.9176 | 0.4235 to 1.988 |
| Decrease in oral intake | 15 (51) | 19 (54) | 0.9999 | 0.9454 | 0.5519 to 1.619 | 22 (58) | 0.63 | 0.8687 | 0.5029 to 1.501 | 0.8159 | 0.9268 | 0.5746 to 1.495 |
| Variables are depicted as frequencies (percentages). # Compared to the NCC cohort. Test value (relative risk for Fisher exact test). Anxiety and depression were evaluated hospital anxiety and depression scale. A hospital anxiety and depression scale score of more than 7 is considered anxiety or depression. Children may have one or more events. CI: Confidence interval (using the approximation of Katz.). * Significantly higher value than those of the NCC cohort; # significantly higher value than those of the FSS cohort. A -value less than 0.05 was considered significant. | ||||||||||||