AI Article Synopsis
- The study investigates the factors contributing to post-tonsillectomy hemorrhage in adult patients in Georgia, emphasizing that while tonsillectomy is generally straightforward, complications can arise during recovery.* -
- A total of 778 adult patients were analyzed, revealing that 14.7% experienced post-operative bleeding, with primary bleeding occurring most frequently on the first day after surgery.* -
- Significant risk factors linked to increased bleeding include smoking (with an odds ratio of 10.1) and having a body mass index (BMI) greater than 25 (odds ratio of 3.6), indicating the need for further research in this area.*
Article Abstract
Background: Tonsillectomy, a common surgical procedure for removing the palatine tonsils, is frequently performed in the otorhinolaryngology department. Tonsillectomy, with or without adenoidectomy, is considered a straightforward operation. However, serious complications, such as post-tonsillectomy hemorrhage, can complicate the recovery period. The research aims to analyze and estimate the factors associated with postoperative bleeding in the adult Georgian population.
Method: We conducted a cross-sectional study. The data was collected retrospectively from the medical records of adult patients aged 18 years and older, who underwent tonsillectomy in 2022 and 2023 at the National Center of Otorhinolaryngology, Japaridze-Kevanishvili Clinic, in Georgia. We performed univariate analysis using binary logistic regression and multivariate logistic regression analysis and calculated odds ratio (OR) to identify factors associated with postoperative bleeding among patients with tonsillectomy. A p-value of <0.05 was considered statistically significant.
Results: A total of 778 adult patients with tonsillectomy were included in the study. Post-tonsillectomy hemorrhage occurred in 14.7% (n=114) of cases, with primary bleeding observed in 8.1% (n=63) of patients and secondary bleeding in 6.6% (n=51) of cases. The highest incidence of bleeding was observed on days 1 (8.1%, n=63) and 7 (1.3%, n=10). The statistical analysis revealed a statistically significant association between post-tonsillectomy hemorrhage and several factors: smoking status (OR=10.1, 95% CI: 6.1-16.7, p<0.001) and having a body mass index (BMI) greater than 25 (OR=3.6, 95% CI: 2.1-6.1, p<0.001).
Conclusion: The study confirmed several significant risk factors, including smoking and higher BMI, that are associated with an increased risk of bleeding among patients, undergoing tonsillectomy. Further research is needed to validate these findings in the Georgian population.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444841 | PMC |
| http://dx.doi.org/10.7759/cureus.68371 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Tie or do not tie: comparing knot tying hemostasis in tonsillectomy with other methods of hemostasis. A systematic review and meta-analysis.
Eur Arch Otorhinolaryngol
January 2025
Academic Department of Otolaryngology-Head and Neck Surgery, Royal College of Surgeons Ireland, 123 St. Stephen's Green, Dublin 2, D02 YN77, Ireland.
Purpose: This meta-analysis sought to compare knot tying against other methods of haemostasis in terms of post-operative haemorrhage, intraoperative blood loss and tonsillectomy time.
Methods: Two independent reviewers performed a literature search according to PRISMA guidelines. Three databases were consulted, Pubmed, Google Scholar and Embase.
Rebleeding After Secondary Post-Tonsillectomy Bleeding: Risk Factors Identified From a Single-Centre Retrospective Study of 448 Cases.
Clin Otolaryngol
December 2024
Department of Otolaryngology and Head and Neck Surgery, Waikato Hospital, Hamilton, New Zealand.
Post-tonsillectomy hemorrhage in children.
CMAJ
December 2024
Department of Otolaryngology - Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ont.
Short-Term Outcomes of Tonsillectomy in Large Paediatric Case Series.
Indian J Otolaryngol Head Neck Surg
December 2024
ENT Department, Faculty of Medicine, Cairo University, Cairo University Childrens Hospital, Al Inshaa WA Al Munirah, El Sayeda Zeinab, Cairo Governorate, Cairo, 4262010 Egypt.
Tonsillectomy is a commonly performed procedure in pediatric ENT departments worldwide. To comprehensively evaluate the morbidity associated with tonsillectomy techniques and potential factors that impact outcomes The present study examined the entirety of pediatric patients who underwent tonsillectomy or adenotonsillectomy at CUCH during the years 2021 and 2022. Comprehensive scrutiny was conducted on admissions and readmission data, which encompassed hospital episode statistics, operative notes, patient questionnaires, and electronic records.
View Article and Find Full Text PDFIntracapsular versus extracapsular tonsil surgery: Comparison of postoperative haemorrhage outcomes in the Australasian setting.
Int J Pediatr Otorhinolaryngol
November 2024
Department of Otolaryngology Head and Neck Surgery, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
Objective: To investigate the incidence and timing of postoperative haemorrhage between intracapsular (ICT) and extracapsular tonsillectomy (ECT) techniques and evaluate factors influencing haemorrhage risk and severity.
Methods: A retrospective review of patients undergoing tonsillectomy over 5 years across otolaryngology services in Australia and New Zealand. Primary outcomes were rate and timing of post-tonsillectomy haemorrhage.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!