No association between obesity and post-tonsillectomy haemorrhage

Riechelmann, Herbert; Blassnigg, Elisabeth; Profanter, Christoph; Greier, Klaus; Kral, Florian; Bender, Birte

doi:10.1017/s0022215114000863

Cited by 22 publications

(21 citation statements)

References 16 publications

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“…Our study did not shown a positive correlation between weight‐for‐age percentile and occurrence of post‐tonsillectomy hemorrhage, similar to the previously mentioned study performed in Austria . However, ours is the first to demonstrate a lack of correlation in a primarily overweight and obese population, with a median weight‐for‐age percentile of 75.26%.…”

Section: Discussionsupporting

confidence: 86%

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Is weight a predictive risk factor of postoperative tonsillectomy bleed?

Ordemann

Hartzog

Seals

et al. 2018

Laryngoscope Investig Oto

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ObjectiveTo determine if a correlation exists between weight‐for‐age percentile and post‐tonsillectomy hemorrhage in the pediatric population.Study DesignRetrospective study.Methods1418 patients under the age of 15 who underwent tonsillectomy with or without adenoidectomy at a tertiary children's hospital between June 2012 and March 2015 were included in this retrospective study. Patient demographic information, operative and postoperative variables, as well as category and day of postoperative tonsillectomy bleed, if one occurred, were recorded. Fisher's exact and ordinal logistic regression analyses were performed on the full cohort.ResultsThe overall post‐tonsillectomy hemorrhage prevalence was found to be 2.2%, with primary and secondary rates of 0.78% and 1.34%, respectively. Weight‐for‐age percentile, sex, indication for or method of tonsillectomy, or postoperative use of NSAIDs, antibiotics or narcotics were not significantly associated with post‐tonsillectomy hemorrhage. There was a significant relationship between postoperative use of dexamethasone and higher rate of Category 3 post‐tonsillectomy hemorrhage (P = .028).ConclusionThe post‐tonsillectomy hemorrhage rate in our study is consistent with that cited in the literature. No correlation was demonstrated between weight‐for‐age percentile and occurrence of post‐tonsillectomy hemorrhage. Postoperative administration of dexamethasone was associated with a significant increased rate of post‐tonsillectomy hemorrhage requiring surgical intervention, a novel finding.Level of Evidence4

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Section: Discussionsupporting

confidence: 86%

“…To the authors’ knowledge, there has been only one study, from Austria, researching this association, wherein no association between obesity and PTH was found. However, their study, in a country where only 12% of the adult and 7% of the children populations are obese, included both children and adults …”

Section: Introductionmentioning

confidence: 99%

Is weight a predictive risk factor of postoperative tonsillectomy bleed?

Ordemann

Hartzog

Seals

et al. 2018

Laryngoscope Investig Oto

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“…In contrast to this finding, a previous report showed that overweight or obesity did not increase the risk for PTH [15]. The reason for this discrepancy between studies is unclear.…”

Section: Discussionmentioning

confidence: 57%

“…This BMI classification system is endorsed by the World Health Organization and the National Institutes of Health. This system is the most widely accepted means of stratifying individuals based on weight [15]. Patients with hematological diseases, deteriorated immune function, chronic wasting disease, and uncontrolled chronic disease were excluded.…”

Section: Methodsmentioning

confidence: 99%

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Effect of Body Mass Index on Posttonsillectomy Hemorrhage

Hoshino

Tanigawa

Yanohara

et al. 2017

BioMed Research International

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Objective Obesity affects adverse outcomes in patients undergoing various surgeries. Tonsillectomy is one of the most common surgical procedures and posttonsillectomy hemorrhage (PTH) is the major complication in patients with tonsillectomy. However, the effect of body mass index (BMI) on posttonsillectomy bleeding episodes is not well known. This study aimed to assess the clinical association between obesity and PTH. Methods A total of 98 tonsillectomies were retrospectively reviewed. Patient charts were analyzed regarding demographic data and the indication for surgery. Patients with PTH were compared with uneventful cases. Patients were divided into three groups based on BMI: normal weight (BMI < 25 kg/m2), overweight (BMI ≥ 25 and <30 kg/m2), and obese (≥30 kg/m2). Results PTH occurred in 13% of patients with normal weight, in 23.5% of patients with overweight, and in 50% patients with obesity. The occurrence of PTH was significantly higher in patients with obesity than in those with normal weight and overweight (p = 0.008). Multivariate analysis showed that obesity was a significant factor affecting the incidence of PTH after adjusting for confounding factors. Conclusions Our findings suggest that the obese condition is independently associated with the incidence of PTH.

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