Document Detail


Post-tonsillectomy hemorrhage: an assessment of risk factors.
MedLine Citation:
PMID:  8884405     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hemorrhage is the most frequent complication of tonsillectomy and is responsible for the majority of post-tonsillectomy fatalities. The incidence of this hemorrhage has been reported to be as high as 20% [6]. Despite continued efforts to reduce this problem, it remains a persistent risk. The charts of 1138 patients who underwent tonsillectomy with or without adenoidectomy from 7-1-89 to 6-30-93 were reviewed. Post-tonsillectomy hemorrhage occurred in 36 patients (3%). Preoperative, intraoperative and postoperative risk factors were assessed. Postoperative bleeding occurred more often in older patients (69% over age 11 years). Seventy-five per cent of these patients were operated on for chronic tonsillitis as compared to 11% operated on for upper airway obstruction. The majority of these patients presented after postoperative day 1 (83%). Four patients required blood transfusions. Postoperative hemorrhage occurred in 14% of patients with elevated postoperative mean arterial pressures. Intraoperative blood loss that exceeded 50 cm3 was also a significant risk factor for post-tonsillectomy hemorrhage. It is concluded that older age, a history of chronic tonsillitis, excessive intraoperative blood loss and elevated postoperative mean arterial pressure are significant risk factors for post-tonsillectomy hemorrhage. An awareness of these risk factors can help identify patients with potential to bleed postoperatively.
Authors:
D Myssiorek; A Alvi
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  International journal of pediatric otorhinolaryngology     Volume:  37     ISSN:  0165-5876     ISO Abbreviation:  Int. J. Pediatr. Otorhinolaryngol.     Publication Date:  1996 Sep 
Date Detail:
Created Date:  1997-01-29     Completed Date:  1997-01-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8003603     Medline TA:  Int J Pediatr Otorhinolaryngol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  35-43     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology and Communicative Disorders, Long Island Jewish Medical Center, New Hyde Park, New York 11040, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Adenoidectomy / adverse effects
Adolescent
Adult
Airway Obstruction
Child
Child, Preschool
Female
Hemorrhage / etiology*
Humans
Infant
Infant, Newborn
Intraoperative Complications
Male
Prothrombin Time
Retrospective Studies
Risk Factors
Tonsillectomy / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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