Trial registration number: The trial was registered with the United States National Institutes of Health Clinical Trials Register (NCT 01568372).
A randomized clinical trial of a nurse telephone follow-up on paediatric tonsillectomy pain management and complications
Article first published online: 13 JAN 2013
© 2013 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 69, Issue 9, pages 2054–2065, September 2013
How to Cite
2013) A randomized clinical trial of a nurse telephone follow-up on paediatric tonsillectomy pain management and complications. Journal of Advanced Nursing, 69(9),2054–2065. doi: 10.1111/jan.12072, , , , & (
- Issue published online: 14 AUG 2013
- Article first published online: 13 JAN 2013
- Manuscript Accepted: 24 NOV 2012
- Quebec Interuniversity Nursing Intervention Research Group
- CHU Sainte-Justine
- Nursing of the University of Montreal
- day surgery;
- nursing interventions;
- paediatric pain management;
- postoperative complications;
- postoperative pain;
To determine the effect of a nurse telephone follow-up on paediatric post-tonsillectomy pain intensity, complications, and use of other healthcare services.
After tonsillectomy, children experience moderate-to-severe pain for days. Parents tend to give insufficient analgesia, with resulting increases in pain and postoperative complications. In adults, nurse telephone follow-up for ambulatory surgeries reduces postoperative pain.
The study design was a randomized clinical trial.
In this trial, children aged 4–12 years undergoing elective tonsillectomy in June–October 2010 were assigned to a nurse telephone follow-up with parents on postoperative days 1, 3, 5 and 10, or standard care with no follow-up but data collection. Outcomes included pain intensity, analgesics administered, complications, and healthcare use.
Of 45 participants, the intervention group (n = 24) received more analgesics on postoperative days 1 and 3, increased their fluid intake at days 1 and 3, but had more constipation at day 3 than the control group (n = 21). There was no significant difference regarding pain intensity or use of healthcare resources.
Nurse telephone follow-up was beneficial for some pain management and prevention of complications, although better analgesic treatments are needed. The intervention was simple, safe, and appreciated by parents.