Risk factors for post-tonsillectomy haemorrhage

Abstract

In a logistical regression analysis there proved to be no links between gender or type of operation. When patients were grouped according to age there was a significant 2.3 times higher risk of operation-requiring postoperative bleeding in patients above 35 than for patients under 35 years. Age dependence was greater for the à chaud group alone. Here, a significant age dependence (p = 0.047) was found, as patients above the age of 40 years were estimated to have a 2.5 times higher risk of operation-requiring postoperative bleeding (2/28) than patients under 40 (9/246).

Risk factors for secondary post-tonsillectomy haemorrhage following tonsillectomy with bipolar scissors: four-year retrospective cohort study

“…In the present study, there were no significant differences in the secondary post-tonsillectomy haemorrhage rates between patients treated with acute abscess tonsillectomy and elective patients (pharyngeal obstruction, chronic tonsillitis, previous quinsy treated with interval tonsillectomy), which is in line with previous studies 17 25 , 26 However, patients aged 15 years or older had an 8-fold risk of secondary bleeding compared to younger patients.…”

Post-tonsillectomy bleeding: Our 10-year experience

“…[16] Çalışmamızda, kliniğimizde gerçekleştirilmiş tonsil cerrahilerinde bir kısım hastanın veri dosyasına ulaşılamadığı için bu konuda bir yorum yapılamamıştır.…”

“…[11,17,22] Ancak endikasyonun bir risk faktörü olmadığı sonucuna varan yayınlara da rastlanmaktadır. [4,16] Kronik veya tekrarlayan akut enfeksiyonların, tonsil kapsülünde bozulma ve çevre dokuya yapışıklıklara neden olması sonucu, enfeksiyöz nedenli endikasyonlarda daha fazla kanama saptanabileceği, TUA hastalarında ise pıhtılaşma yatkınlığının artması sonucu kanama sıklığının azalacağı genel kanı olarak bilinmektedir. [17,22] Çalışmamızda, kanama ile başvuran hastaların çoğunda tonsillektomi endikasyonlarının enfeksiyöz etyolojide olduğu görüldü (Tablo 1).…”

Specified data for tonsil surgery in Germany

“…Several risk factors for bleeding complications after TE and ATE have been described, such as male gender [82], [83], [84], [85], [86], [87], [88], [89], [90]. To the best of our knowledge, a different gender-specific and age-related post-tonsillectomy hemorrhage rate has never been described before.…”