Materials & Methods:
This was a cross-sectional cost-effectiveness study on a sample of 300
patients (children 3 and above) from May 2017 to April 2018 in DK
[removed for blind peer review]*. Patients were randomly divided
into two groups: day case (n = 150) and hospitalization (n = 150).
Surgery was performed by an academic otolaryngologist and the operation,
anesthesia and used drugs were similar in both groups. Incidence of
bleeding, blood transfusion, and frequency of re-operation were recorded
within two weeks after surgery. To compare the incidence of bleeding
incidence after surgery, and the incidence of blood transfusion and the
incidence of re-operation in two groups of DCT and inpatient, Chi-square
test was used. Besides, Paired t-test was used to compare the pain in
two groups of DCT and inpatient. Besides, patients’ pain Level was
measured by VAS (Visual Analysis Scale) within the first 24 hours after
surgery was recorded. A data collection form was also used to collect
cost and effectiveness data.
Inclusion criteria were children with the age of 3-15 years, referred to
tonsillectomy because of recurrent tonsillectomy or hypertrophy of
tonsils, having no other illnesses such as heart disease, lung disease,
diabetes, anemia, metabolic disease, congenital syndrome; having a
personal car at home, parents’ presence at home, 30-minute distance by
car from hospital, being able to use a mobile phone, have an educated
family by least a high school education and patients’ voluntary
participation.