Risk factors for pediatric post-tonsillectomy hemorrhage

Spektor, Zorik; Saint-Victor, Sandra; Kay, David J.; Mandell, David L.

doi:10.1016/j.ijporl.2016.03.005

Cited by 70 publications

(91 citation statements)

References 8 publications

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“…Of the complications, 2.8% were respiratory related and the others included bleeding and/or infection, which were 3.7% and 2.3%, respectively. These are comparable with other published studies …”

Section: Discussionsupporting

confidence: 93%

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Pre‐operative parameters do not reliably identify post‐operative respiratory risk in children undergoing adenotonsillectomy

Thavagnanam

Cheong

Chinna

et al. 2017

J Paediatrics Child Health

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Section: Discussionsupporting

confidence: 93%

“…These are comparable with other published studies. 17,22 Obesity has been shown to be a significant risk factor for postoperative complications in children post-AT. [23][24][25][26] Interestingly, we did not find a similar association in our study.…”

Section: Discussionmentioning

confidence: 99%

Pre‐operative parameters do not reliably identify post‐operative respiratory risk in children undergoing adenotonsillectomy

Thavagnanam

Cheong

Chinna

et al. 2017

J Paediatrics Child Health

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“…The overall bleeding rate in this study was 12.5%. The reported rate in the literature is usually between 2 and 7% [5,6], other reports suggest a wider range of up to 20% [7,8]. At a glance, it seems that the bleeding rate in our study is higher than that reported, but other factors should be taken into consideration in this analysis.…”

Section: Discussioncontrasting

confidence: 59%

“…The risk for post T/AD bleeding is 1-5.7 percent by some reports [4] and 2-7% by others [5,6]. Some studies report even higher and wider range [7,8]. Immediate post-operative bleeding, occurring in the first 24 h after surgery, can be attributed to inadequate operative hemostasis [1].…”

Section: Introductionmentioning

confidence: 99%

Coagulation tests or standardized questionnaire, which is better as a predictor of bleeding? A prospective study among children before tonsillectomy and/or adenoidectomy

et al. 2020

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Objective: The value of pre-operative coagulation testing for adenotonsillar surgery is controversial. The purpose of this study was to evaluate the role of routine coagulation tests and a standardized questionnaire in children before tonsillectomy and/or adenoidectomy.Results: A total of 143 children were prospectively enrolled in the study between 2013 and 2017, 81 males (56.6%) and 62 females (43.4%), age range 1 to 18 years (median age 5 years). Eighteen bleeding events were documented, three of them required treatment in the operating room. Abnormal coagulation tests were not associated with higher odds of bleeding after surgery. Higher risk of bleeding (p = 0.01) was associated with an abnormal standardized medical questionnaire.

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“…A comparative study of bacteriology in recurrent tonsillitis among children and adults says that the diagnosis and treatment of acute tonsillitis are one of the most common problems seen at an otolaryngology clinic in both adult and paediatric population [9]. Tonsillitis appear to constitute 5-10% of the measurable illness from all causes and from 15-20% of illnesses due to respiratory diseases [10].…”

Section: Introductionmentioning

confidence: 99%

Development of a Model for Recurrent Tonsillitis in Paediatric Patient

Akintola¹,

Adegoke²,

Asinobi³

et al. 2019

CMR

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This study identifies the risk factors of recurrent tonsillitis in pediatric patient which in turn are the variables used in developing a predictive model for predicting the risk of recurrent tonsillitis. This is achieved by eliciting knowledge on the risk factors of recurrent tonsillitis, formulating the model using the variables and simulating the model using MATLAB tool. Interviews were conducted with the pediatrician and existing literature was studied on the knowledge of study in order to identify the variables for recurrent tonsillitis. Seven (7) data from tonsillitis patients were collected from Wesley Guild Hospital, Ilesha. Predictive model was formulated using the fuzzy logic model and simulated on MATLAB R2016a. Fuzzy logic was used as the predictive model to determine the risk of recurrent tonsillitis. The stages involved in the process are four (4) which includes: fuzzification, rule production, aggregation and defuzzification. The identified variables were given crisp values and within a membership function of 0 and 1. The simulated result of the fuzzy logic model was done using MATLAB which involved formulation of the fuzzy logic inference system (FIS) which was carried out by the MATLAB tool. The variables which are the risk factors were used to build the fuzzy logic inference system (FIS) to determine the risk of recurrent tonsillitis. Possible combinations of rules were given for the variables and the rules were used in the inference engine to predict the output of the model whether it is no, low, moderate or high risk of recurrent tonsillitis. The validation was done on the data gotten from Wesley Guild Hospital Ilesha from 7 patients. In conclusion, out of the seven (7) patients test data provided, five (5) patients have low risk, two (2) patients have moderate risk, no patients have no low risk and no patients have high risk of recurrent tonsillitis with 100% test accuracy.

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Risk factors for pediatric post-tonsillectomy hemorrhage

Cited by 70 publications

References 8 publications

Pre‐operative parameters do not reliably identify post‐operative respiratory risk in children undergoing adenotonsillectomy

Pre‐operative parameters do not reliably identify post‐operative respiratory risk in children undergoing adenotonsillectomy

Coagulation tests or standardized questionnaire, which is better as a predictor of bleeding? A prospective study among children before tonsillectomy and/or adenoidectomy

Development of a Model for Recurrent Tonsillitis in Paediatric Patient

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