Outpatient cochlear implantation in the pediatric population

Studies have shown that the incidence of complications in pediatric cochlear implant surgery is related to the age of the child, with a higher complication rate in younger patients. Consequently, many surgeons advocate admitting these children overnight. We began our pediatric cochlear implant progr...

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Bibliographic Details
Published in:	Otolaryngology-head and neck surgery Vol. 122; no. 1; pp. 19 - 22
Main Authors:	LIU, JAMES H., ROLAND, PETER S., WALLER, MELISSA A.
Format:	Journal Article
Language:	English
Published:	Los Angeles, CA Mosby, Inc 2000 SAGE Publications
Subjects:	Adolescent Ambulatory Surgical Procedures Child Child, Preschool Cochlear Implantation - adverse effects Humans Infant Patient Satisfaction Postoperative Complications Surveys and Questionnaires
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Summary:	Studies have shown that the incidence of complications in pediatric cochlear implant surgery is related to the age of the child, with a higher complication rate in younger patients. Consequently, many surgeons advocate admitting these children overnight. We began our pediatric cochlear implant program starting in June 1991 using the Nucleus 22-channel cochlear implant. To date, 65 children have undergone implantation, all on an outpatient basis. To evaluate safety, complication rate, and patient satisfaction, we gave the parents of the patients a questionnaire survey to complete. All patient charts were also retrospectively reviewed. More than 90% of parents surveyed responded that they were satisfied with the outpatient treatment of their children. There were no perioperative complications or readmissions. Cochlear implantation can be safely and effectively performed on an outpatient basis without an increase in morbidity. Day surgery reduces hospital costs at least $2500. (Otolaryngol Head Neck Surg 2000;122:19-22.)
Bibliography:	Presented at the Annual Meeting of the American Academy of Otolaryngology‐Head and Neck Surgery, San Antonio, TX, September 13‐16, 1998. Currently a fellow at Children's Hospital Medical Center, Cincinnati, OH. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0194-5998 1097-6817
DOI:	10.1016/S0194-5998(00)70138-0