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To understand national trends in 30-day postoperative readmission following inpatient pediatric tonsillectomy and adenoidectomy. Retrospective cohort study. Nationwide Readmissions Database. We used the Nationwide Readmissions Database to identify and analyze 30-day readmissions following inpatient tonsillectomy from 2010 to 2015. Using the codes, we identified 66,652 patients and analyzed the incidence, causes, risk factors, and costs of 30-day readmission. Of 66,652 patients who underwent inpatient tonsillectomy, 2660 (4.0%) experience