Evidence map›Paper›PMID 35476132›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2022

Feasibility of day-case pediatric cochlear implantation.

Margot Hugel, Sonia Ayari-Khalfallah, Maxime Fieux, Aurélie Coudert, Eric Truy, Ruben Hermann

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Margot HugelHospices Civils de Lyon, Hôpital Edouard Herriot, Département d'oto-rhino-laryngologie, de chirurgie cervico-maxillo-faciale et d'audiophonologie, 69003, Lyon, France. margot.hugel@chu-lyon.fr.ORCID http://orcid.org/0000-0003-2268-1321
Sonia Ayari-KhalfallahHospices Civils de Lyon, Hôpital Femme-Mère-Enfant, Service d'ORL et de Chirurgie Cervico-Faciale Pédiatrique, F-69500, Bron, France.
Maxime FieuxHospices Civils de Lyon, Centre Hospitalier Lyon Sud, Service d'ORL, d'otoneurochirurgie et de chirurgie cervico-faciale, 69495, Pierre-Bénite, France.
Aurélie CoudertHospices Civils de Lyon, Hôpital Edouard Herriot, Département d'oto-rhino-laryngologie, de chirurgie cervico-maxillo-faciale et d'audiophonologie, 69003, Lyon, France.
Eric TruyHospices Civils de Lyon, Hôpital Edouard Herriot, Département d'oto-rhino-laryngologie, de chirurgie cervico-maxillo-faciale et d'audiophonologie, 69003, Lyon, France.
Ruben HermannHospices Civils de Lyon, Hôpital Edouard Herriot, Département d'oto-rhino-laryngologie, de chirurgie cervico-maxillo-faciale et d'audiophonologie, 69003, Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePediatric cochlear implantation is performed on an outpatient basis in an inconstant way. The aim of this study is to assess the feasibility of day-case pediatric cochlear implantation by determining the acceptability of outpatient-to-inpatient conversion rate (acceptability threshold of 5%) and to assess the safety by comparing outpatient and inpatient postoperative events. We also want to identify conversion predictive factors.

methodsWe conducted a monocentric retrospective study including 267 cases aged 6 months to 18 years who underwent unilateral cochlear implantation between 2016 and 2020. This population was divided into two groups: outpatient group (190 cases) and inpatient group (77 cases).

resultsAmong the 190 cases scheduled as day surgery, 9 cases required conversion to conventional hospitalization which leads to an outpatient-to-inpatient conversion rate of 4.7%. Postoperative nausea and vomiting (PONV) were involved in all cases of conversion. Conversion predictive factors were the presence of an inner ear malformation at risk of gusher (OR 32.51, 95% CI [4.98-370.27], p 0.001) and the intraoperative administration of morphine (OR 8.52, 95% CI [1.38-86.84], p 0.035). There was no statistically significant difference in immediate postoperative complications (outpatient 14.2% vs inpatient 16.9% p 0.715), early-stage complications (outpatient 12.6% vs inpatient 10.4% p 0.812) and early-stage unplanned consultations (outpatient 4.7% vs inpatient 3.9% p 0.748) between outpatient and inpatient groups. Unplanned readmissions were found only in the outpatient group.

conclusionDay-case pediatric cochlear implantation is a feasible and safe procedure even in infants. The outpatient-to-inpatient conversion rate of 4.7% is considered acceptable but requires anticipation of human and accommodation needs. No causes of conversion were life-threatening. The risk of postoperative complications and unplanned consultations are not influenced by the mode of hospitalization. Special attention should be paid to the prevention of PONV and the presence of inner ear malformations.

Indexed as

Cochlear ImplantationCochlear ImplantsChildFeasibility StudiesHumansInfantMorphine DerivativesPostoperative Nausea and VomitingRetrospective StudiesMorphine DerivativesCochlear implantConversionDay surgeryInner ear malformationsOutpatientPediatricPostoperative nausea and vomiting

Identifiers

PMID35476132

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.