Format

Send to

Choose Destination
Laryngoscope. 2017 Oct;127 Suppl 5:S1-S9. doi: 10.1002/lary.26777. Epub 2017 Aug 7.

Emergency department visits, hospitalizations, and readmissions of patients with a peritonsillar abscess.

Author information

1
Department of Otolaryngology and Pediatric Otolaryngology, UT Southwestern Medical Center at Dallas and Children's Medical Center Dallas, Dallas, Texas, U.S.A.

Abstract

OBJECTIVES:

To determine the demographics and treatment outcomes of patients with a peritonsillar abscess (PTA) and to provide guidance for treatment options.

METHODS:

The 2012 National Emergency Department Database, 2012 National Inpatient Sample, and 2013 Nationwide Readmissions Database were used to analyze patients with a PTA who presented to emergency departments (ED), were admitted and/or readmitted to hospitals in the United States. Outcomes were used to create a decision model to compare initial medical versus surgical management.

RESULTS:

An estimated 62,787 ED visits; 15,095 inpatient admissions; and 267 readmissions for PTA were recorded. The average age was 29 years old, with a slight male predominance. The majority of patients seen in the ED (80%) were treated without surgery and discharged home. Patients admitted to hospital were more likely to undergo surgery (50%). The tonsillectomy rate was 11%. The complication and readmission rates were < 2%. Medical therapy was used more often than surgical therapy in many cases.

CONCLUSION:

Peritonsillar abscess mostly occurs in adults and leads to a significant number of ED visits, admissions, and readmissions. A trial of medical management of PTA appears to be safe, although surgery is highly successful and associated with low morbidity.

LEVEL OF EVIDENCE:

2c. Laryngoscope, 127:S1-S9, 2017.

KEYWORDS:

Peritonsillar abscess; cross-sectional survey; decision analysis; treatment algorithms

PMID:
28782104
DOI:
10.1002/lary.26777
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center