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

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7 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)S1-S9
JournalLaryngoscope
Volume127
DOIs
StatePublished - Oct 2017

Keywords

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

ASJC Scopus subject areas

  • Otorhinolaryngology

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