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.