Assess the feasibility of cochlear implantation as day-surgery in children and identify variables influencing admission, readmission, and unplanned postoperative consultation. This retrospective observational monocentric study was conducted according to the STROBE recommendations. Between January 2017 and July 2022, all medical records of children who underwent cochlear implantation were analyzed. Eligible children were admitted for the first time to the pediatric day-surgery unit. Exclusion criteria were children planned for inpatient procedure, bilateralization or explantation-reimplantation. Sex assigned at birth, analgesic medication, anesthesia and complications were related to categorical variables. Age, duration of anesthesia, length of stay and ASA score were related to continuous variables. We included 66 children from a total of 106. Mean age was 53 months [SD: 46 months, range 8–184 months]. Successful day-surgery management was observed in 86% of cases. In 14% of cases, children were admitted to the pediatric ENT unit for the following reasons: late awakening in 6%, non-controlled pain in 4.5%, postoperative nausea and vomiting in 3.5% of cases. Univariate analysis did not observe any factor promoting success of day-surgery regarding anesthetic agents. Age was not statistically significant as a factor of ambulatory failure. Time spent in the operating room was not a determining factor (p = 0.559). None of the children were rehospitalized. Early unplanned consultations were observed in 3% of cases for vertex edema in 1 case and uncomplicated otorrhea in 1 case. This study adds to the knowledge on pediatric cochlear implantation and suggests that this procedure is suitable for day-surgery at any age.

中文翻译：

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日间耳科：特别关注儿科人工耳蜗植入手术

评估儿童人工耳蜗植入作为日间手术的可行性，并确定影响入院、再入院和计划外术后会诊的变量。这项回顾性观察性单中心研究是根据 STROBE 建议进行的。 2017年1月至2022年7月期间，对接受人工耳蜗植入的儿童的所有医疗记录进行了分析。符合条件的儿童首次入住儿科日间手术室。排除标准是计划进行住院手术、双侧手术或外植再植的儿童。出生时的性别、镇痛药物、麻醉和并发症与分类变量相关。年龄、麻醉持续时间、住院时间和 ASA 评分与连续变量相关。我们纳入了 106 名儿童中的 66 名。平均年龄为 53 个月 [SD：46 个月，范围 8-184 个月]。 86% 的病例得到了成功的日间手术管理。 14% 的病例中，儿童因以下原因被送入儿科耳鼻喉科：6% 为晚醒，4.5% 为无法控制的疼痛，3.5% 为术后恶心和呕吐。单变量分析没有观察到任何与麻醉剂有关的促进日间手术成功的因素。年龄作为行走失败的因素在统计学上并不显着。在手术室花费的时间不是决定因素 (p = 0.559)。没有孩子再次入院。 3%的病例出现早期意外就诊，其中1例出现头顶水肿，1例出现无并发症性耳漏。这项研究增加了有关儿科人工耳蜗植入的知识，并表明该手术适合任何年龄的日间手术。