. Developing a safe postoperative pain regimen after tonsillectomy is important. While postoperative steroids may provide an analgesic benefit, it is not known whether steroids increase the bleeding risk after tonsillectomy. . To determine whether postoperative steroids increase the risk of hemorrhage after tonsillectomy in children. . Retrospective cohort study. . Tertiary referral academic medical center. . An age- and indication-matched cohort was randomly selected from tonsillectomy patients ≤12 years old from 2012 to 2017. . Prednisolone, 0.5 mg/kg (maximum dose 20 mg/day) qAM × 3 days postoperatively. . Postoperative hemorrhage requiring operative intervention. . A total of 1358 patients were included in this study, 679 of which received postoperative steroids. The steroid group had a similar of operative intervention for post-tonsillectomy hemorrhage of 1.8% versus 2.2% in the nonsteroid group ( = .560). . Post-tonsillectomy steroid use is not associated with an increase in operative intervention for postoperative hemorrhage.

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http://dx.doi.org/10.1177/0009922820944565DOI Listing

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