ArticleThe Laryngoscope2025
Reduced Returns to ED With Post-Tonsillectomy and Adenoidectomy Chat Program: Outcomes and Costs.
Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
The trial behind it
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Who cites it
3 citing papers in PubMed.
- Incidence and causes of unplanned acute care revisits after pediatric tonsillectomy with or without adenoidectomy: a systematic review.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 · 2026Review
- Article
- Reduced Returns to ED With Post-Tonsillectomy and Adenoidectomy Chat Program: Outcomes and Costs.The Laryngoscope · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePatients who participate in the post-surgical chat programs will have lower rates of emergency department (ED) visits when compared to those who do not participate.
methodsData from a texting program was used to stratify patients into those participating versus those not participating with the program. Individual patients' charts were reviewed for demographic information, if a postoperative ED visit related to surgery occurred, and if the ED visit was caused by a failure of patient education regarding the treatment plan or by expected postoperative symptoms. Odds ratios compared the ED visit rates between participating and non-participating families. Cost was analyzed by comparing published data on ED visit costs with internal data on chat program cost.
resultsDuring the study (2/2022-3/2023), 1059 unique patients (children/caregiver dyads) were enrolled in the chat. Five hundred and fifty-eight patients (52.7%) participated in one or more chats while 501 patients (47.3%) did not participate. Of note, patients with public insurance were less likely to participate. Non-participants were 9.12 times more likely to visit the ED postoperatively due to a communication lapse (p = 0.047). Estimated savings from 1 year of avoided ED visits did not outweigh the chat program's expense.
conclusionsUtilization of an automated messaging system for frequently asked questions after pediatric tonsillectomy demonstrated a statistically significant reduction in ED visits and readmissions related to postoperative complications and questions, but an increase in health care costs. LEVEL OF EVIDENCE: 3:
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