Risk factors for secondary post-tonsillectomy hemorrhage in children
B-ENT, cilt.16, sa.1, ss.36-40, 2020 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 16 Sayı: 1
- Basım Tarihi: 2020
- Doi Numarası: 10.5152/b-ent.2020.18268
- Dergi Adı: B-ENT
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.36-40
- Anahtar Kelimeler: bleeding, pediatric tonsillectomy, risk factors, secondary tonsillectomy hemorrhage
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: The purpose of this study was to investigate the secondary post-tonsillectomy hemorrhage (PTH) rate in the pediatric population undergoing cold dissection tonsillectomy and to evaluate its clinical risk factors. Methods: This retrospective case-control study comprised pediatric tonsillectomy cases admitted to the tertiary otorhinolaryngology clinic between January 2007 and June 2017. Risk factors were compared between the PTH and non-PTH groups, including surgical diagnosis, preoperative demographic and clinical characteristics, surgeon skill level, and hemostasis methods during tonsillectomy (intraoperative bipolar electrocautery and suture ligation). Results: In the last decade, tonsillectomy had been performed in 4122 pediatric cases using the cold dissection method. The number of secondary PTH cases was 89 (2.16%), and significant risk factors for secondary PTH were male sex (p<0.021), age (≥13 years, p<0.008), environmental tobacco smoke exposure at home (p<0.000), attention deficit hyperactivity disorder (p<0.011), and hemostasis with intraoperative bipolar electrocautery (p<0.000). Conclusion: Male children aged ≥13 years whose pre-tonsillectomy history included environmental tobacco smoke exposure at home and hyperactivity disorder and who had undergone hemostasis with bipolar electrocautery during tonsillectomy were at significant risk for secondary PTH.