Overview
Tonsillectomy is one of the most common operations performed in children, often recommended for recurrent throat infections or, more commonly in this setting, obstructive sleep apnea (OSA). In children with severe OSA and obesity, current practice guidelines usually favor overnight hospital admission after surgery because these children are considered at higher risk for breathing problems after anesthesia and airway surgery. However, most children still recover without major complications. This study asked a practical question: among children who are already considered high risk, can we identify a subgroup that is still safe for same-day discharge?