Erik Odhagen
University of Gothenburg
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Clinical Otolaryngology | 2015
A.-C. Hessen Soderman; Erik Odhagen; Elisabeth Ericsson; Claes Hemlin; Elisabeth Hultcrantz; Ola Sunnergren; Joacim Stalfors
To analyse post‐tonsillectomy haemorrhage (PTH) rates related to technique for dissection and haemostasis.
Acta Oto-laryngologica | 2017
Niclas Hallenstål; Ola Sunnergren; Elisabeth Ericsson; Claes Hemlin; Anne-Charlotte Hessén Söderman; Pia Nerfeldt; Erik Odhagen; Marie Ryding; Joacim Stalfors
Abstract Aim: To describes how tonsil surgery was performed in Sweden from 2013 to 2015 with data from the National Tonsil Surgery Registry in Sweden (NTSRS). Method: The registry collects data from both professionals and patients through questionnaires. A total of 33,870 tonsil surgeries were analysed, comprising approximately 80% of all tonsil surgeries in Sweden from 2013 to 2015. Results: The two most common procedures were tonsillectomy (41%) and tonsillotomy with adenoidectomy (38%). Tonsillectomy was most commonly performed to treat frequent tonsillitis, while the main indication for tonsil surgery with combined adenoidectomy and for tonsillotomy alone was upper airway obstruction. The most commonly used techniques were cold steel (70%) for tonsillectomy/adenotonsillectomy and radiofrequency (79%) for tonsillotomy/adenotonsillotomy. Ninety-five percent of patients reported symptom relief after 180 d. Day surgery was utilised in 70% of the surgeries. The rate of readmission due to post-tonsillectomy haemorrhage was 5.1%. Male patients more often underwent tonsil surgery at preschool ages due to upper airway obstruction; in comparison, female patients to a larger extent underwent surgery in their early teens because of previous infections. Conclusions: The NTSRS provides an opportunity to survey tonsil surgery in Sweden and to launch and follow up improvement programmes as desired.
European Archives of Oto-rhino-laryngology | 2018
Erik Odhagen; Ola Sunnergren; Anne-Charlotte Hessén Söderman; Johan Thor; Joacim Stalfors
PurposeTonsillectomy (TE) is one of the most frequently performed ENT surgical procedures. Post-tonsillectomy haemorrhage (PTH) is a potentially life-threatening complication of TE. The National Tonsil Surgery Register in Sweden (NTSRS) has revealed wide variations in PTH rates among Swedish ENT centres. In 2013, the steering committee of the NTSRS, therefore, initiated a quality improvement project (QIP) to decrease the PTH incidence. The aim of the present study was to describe and evaluate the multicentre QIP initiated to decrease PTH rates.MethodsSix ENT centres, all with PTH rates above the Swedish average, participated in the 7-month quality improvement project. Each centre developed improvement plans describing the intended changes in clinical practice. The project’s primary outcome variable was the PTH rate. Process indicators, such as surgical technique, were also documented. Data from the QIP centres were compared with a control group of 15 surgical centres in Sweden with similarly high PTH rates. Data from both groups for the 12 months prior to the start of the QIP were compared with data for the 12 months after the QIP.ResultsThe QIP centres reduced the PTH rate from 12.7 to 7.1% from pre-QIP to follow-up; in the control group, the PTH rate remained unchanged. The QIP centres also exhibited positive changes in related key process indicators, i.e., increasing the use of cold techniques for dissection and haemostasis.ConclusionsThe rates of PTH can be reduced with a QIP. A national quality register can be used not only to identify areas for improvement but also to evaluate the impact of subsequent improvement efforts and thereby guide professional development and enhance patient outcomes.
European Archives of Oto-rhino-laryngology | 2016
Erik Odhagen; Ola Sunnergren; Claes Hemlin; Anne-Charlotte Hessén-Söderman; Elisabeth Ericsson; Joacim Stalfors
European Archives of Oto-rhino-laryngology | 2015
Eirik Østvoll; Ola Sunnergren; Elisabeth Ericsson; Claes Hemlin; Elisabeth Hultcrantz; Erik Odhagen; Joacim Stalfors
International Journal of Pediatric Otorhinolaryngology | 2016
Hanna Gerhardsson; Joacim Stalfors; Erik Odhagen; Ola Sunnergren
European Archives of Oto-rhino-laryngology | 2014
Ola Sunnergren; Claes Hemlin; Elisabeth Ericsson; Anne-Charlotte Hessén-Söderman; Elisabeth Hultcrantz; Erik Odhagen; Joacim Stalfors
ÖNH-tidskrift | 2016
Lotta Hessén-Söderman; Elisabeth Ericsson; Claes Hemlin; Erik Odhagen; Pia Nerfeldt; Ola Sunnergren; Joacim Stalfors
Svensk ÖNH-tidskrift | 2016
Ola Sunnergren; Elisabeth Ericsson; Claes Hemlin; Lotta Hessén-Söderman; Erik Odhagen; Pia Nerfeldt; Joacim Stalfors
13th Congress of the European Society of Pediatric Otorhinolaryngology (ESPO 2016), Lisbon, Portugal, June 18-21, 2016 | 2016
Pia Nerfeldt; Joacim Stalfors; Ola Sunnergren; Elisabeth Ericsson; Erik Odhagen; Anne-Charlotte Hessén-Söderman; Claes Hemlin