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👂 Paradise Tonsillectomy Criteria

UseWhen to use: children with recurrent throat infection when surgery is considered.

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StrataAll elements met supports considering tonsillectomy; incomplete favors medical care.

LimitsWhen not to use: OSA-indication tonsillectomy alone. · Pitfall: counting undocumented episodes. · Not an automatic OR booking.

SourceParadise criteria for tonsillectomy

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.

Methodology · worked example, guidelines & full notes
Clinical takeaway

Frequency bands.

When to use

When to use: children with recurrent throat infection when surgery is considered.

How it works

Frequency thresholds + clinical features + antibiotics when indicated + documentation.

Key points

  • Frequency bands.
  • Four checklist items.
  • Next: shared decision.

References

  • Paradise criteria for tonsillectomy

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Episode frequencyBelow thresholds (0)
Each counted episode has ≥1: T≥38.3 °C, cervical adenopathy, tonsillar exudate, or +GASNo (0)
Adequate antibiotics documented when strep suspected/provenNo (0)
Episodes adequately documented in the medical recordNo (0)

→ParadiseNot met

  • Cue：Criteria incomplete — optimize documentation / medical therapy
  • Items met：0/4
Episode frequency≥7 in 1 y OR ≥5/y ×2 y OR ≥3/y ×3 y (+1)
Each counted episode has ≥1: T≥38.3 °C, cervical adenopathy, tonsillar exudate, or +GASYes (+1)
Adequate antibiotics documented when strep suspected/provenYes (+1)
Episodes adequately documented in the medical recordYes (+1)

→ParadiseMet

  • Cue：Paradise criteria met — tonsillectomy may be considered
  • Items met：4/4
Verification & sources · governance
FAQ

Frequently asked questions

Does Paradise Tonsillectomy Criteria upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Paradise Tonsillectomy Criteria calculated in practice? Can you show a worked example?
Inputs: Episode frequency Below thresholds (0), Each counted episode has ≥1: T≥38.3 °C, cervical adenopathy, tonsillar exudate, or +GAS No (0), Adequate antibiotics documented when strep suspected/proven No (0), Episodes adequately documented in the medical record No (0) → Result: Paradise Not met（Cue: Criteria incomplete — optimize documentation / medical therapy, Items met: 0/4） Inputs: Episode frequency ≥7 in 1 y OR ≥5/y ×2 y OR ≥3/y ×3 y (+1), Each counted episode has ≥1: T≥38.3 °C, cervical adenopathy, tonsillar exudate, or +GAS Yes (+1), Adequate antibiotics documented when strep suspected/proven Yes (+1), Episodes adequately documented in the medical record Yes (+1) → Result: Paradise Met（Cue: Paradise criteria met — tonsillectomy may be considered, Items met: 4/4）