Post-tonsillectomy haemorrhage more common than previously described - an institutional chart review

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Abstract Conclusions: Risk of post-tonsillectomy haemorrhage (PTH) was higher compared with previous studies and may be associated with the criteria used. Male gender and the use of haemostatic agents in the primary operation were associated with increased risk of PTH, whereas the use of non-steroidal anti-inflammatory drugs (NSAIDs) or dexamethasone was not. Objectives: The aim of the study was to investigate the risk of PTH in adult patients, and its association with the use of NSAIDs, dexamethasone, paracetamol, serotonin (5-HT(3)) receptor antagonists, haemostatic agents, age and gender during preceding tonsillectomy (TE). Methods: All PTH complications that resulted in an adult TE patient re-contacting the hospital were retrospectively recorded during a 12-month period. PTH types were allocated into three categories: (I) a history of bleeding, (II) bleeding requiring direct pressure or electrocautery under local anaesthesia or (III) reoperation under general anaesthesia. Results: A total of 842 adult TE patients (aged between 16 and 85.8 years) were included in the study. Of these, 122 patients experienced PTH (risk 14.5%). Risk of category III PTH was 1.5%. Risk factors for PTH were the use of haemostatic agents (p = 0.006) and male gender (p = 0.011). The use of NSAID, opioid, 5-HT(3) receptor antagonist and dexamethasone medication did not significantly alter the number of postoperative bleeding events.

Original languageEnglish
JournalActa Oto-Laryngologica
Volume133
Issue number2
Pages (from-to)181-186
Number of pages6
ISSN0001-6489
DOIs
Publication statusPublished - 2013
MoE publication typeA1 Journal article-refereed

Fields of Science

  • 3142 Public health care science, environmental and occupational health
  • dexamethasone
  • NSAID
  • postoperative complications plus haemorrhage

Cite this

@article{3c40de86c18e45ac871a745e09c9d850,
title = "Post-tonsillectomy haemorrhage more common than previously described - an institutional chart review",
abstract = "Abstract Conclusions: Risk of post-tonsillectomy haemorrhage (PTH) was higher compared with previous studies and may be associated with the criteria used. Male gender and the use of haemostatic agents in the primary operation were associated with increased risk of PTH, whereas the use of non-steroidal anti-inflammatory drugs (NSAIDs) or dexamethasone was not. Objectives: The aim of the study was to investigate the risk of PTH in adult patients, and its association with the use of NSAIDs, dexamethasone, paracetamol, serotonin (5-HT(3)) receptor antagonists, haemostatic agents, age and gender during preceding tonsillectomy (TE). Methods: All PTH complications that resulted in an adult TE patient re-contacting the hospital were retrospectively recorded during a 12-month period. PTH types were allocated into three categories: (I) a history of bleeding, (II) bleeding requiring direct pressure or electrocautery under local anaesthesia or (III) reoperation under general anaesthesia. Results: A total of 842 adult TE patients (aged between 16 and 85.8 years) were included in the study. Of these, 122 patients experienced PTH (risk 14.5{\%}). Risk of category III PTH was 1.5{\%}. Risk factors for PTH were the use of haemostatic agents (p = 0.006) and male gender (p = 0.011). The use of NSAID, opioid, 5-HT(3) receptor antagonist and dexamethasone medication did not significantly alter the number of postoperative bleeding events.",
keywords = "3142 Public health care science, environmental and occupational health, dexamethasone, NSAID, postoperative complications plus haemorrhage",
author = "Tolska, {Hanna Kaisa} and Annika Takala and Pitk{\"a}niemi, {Janne Mikael} and Jussi Jero",
year = "2013",
doi = "10.3109/00016489.2012.723825",
language = "English",
volume = "133",
pages = "181--186",
journal = "Acta Oto-Laryngologica",
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Post-tonsillectomy haemorrhage more common than previously described - an institutional chart review. / Tolska, Hanna Kaisa; Takala, Annika; Pitkäniemi, Janne Mikael; Jero, Jussi.

In: Acta Oto-Laryngologica, Vol. 133, No. 2, 2013, p. 181-186.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Post-tonsillectomy haemorrhage more common than previously described - an institutional chart review

AU - Tolska, Hanna Kaisa

AU - Takala, Annika

AU - Pitkäniemi, Janne Mikael

AU - Jero, Jussi

PY - 2013

Y1 - 2013

N2 - Abstract Conclusions: Risk of post-tonsillectomy haemorrhage (PTH) was higher compared with previous studies and may be associated with the criteria used. Male gender and the use of haemostatic agents in the primary operation were associated with increased risk of PTH, whereas the use of non-steroidal anti-inflammatory drugs (NSAIDs) or dexamethasone was not. Objectives: The aim of the study was to investigate the risk of PTH in adult patients, and its association with the use of NSAIDs, dexamethasone, paracetamol, serotonin (5-HT(3)) receptor antagonists, haemostatic agents, age and gender during preceding tonsillectomy (TE). Methods: All PTH complications that resulted in an adult TE patient re-contacting the hospital were retrospectively recorded during a 12-month period. PTH types were allocated into three categories: (I) a history of bleeding, (II) bleeding requiring direct pressure or electrocautery under local anaesthesia or (III) reoperation under general anaesthesia. Results: A total of 842 adult TE patients (aged between 16 and 85.8 years) were included in the study. Of these, 122 patients experienced PTH (risk 14.5%). Risk of category III PTH was 1.5%. Risk factors for PTH were the use of haemostatic agents (p = 0.006) and male gender (p = 0.011). The use of NSAID, opioid, 5-HT(3) receptor antagonist and dexamethasone medication did not significantly alter the number of postoperative bleeding events.

AB - Abstract Conclusions: Risk of post-tonsillectomy haemorrhage (PTH) was higher compared with previous studies and may be associated with the criteria used. Male gender and the use of haemostatic agents in the primary operation were associated with increased risk of PTH, whereas the use of non-steroidal anti-inflammatory drugs (NSAIDs) or dexamethasone was not. Objectives: The aim of the study was to investigate the risk of PTH in adult patients, and its association with the use of NSAIDs, dexamethasone, paracetamol, serotonin (5-HT(3)) receptor antagonists, haemostatic agents, age and gender during preceding tonsillectomy (TE). Methods: All PTH complications that resulted in an adult TE patient re-contacting the hospital were retrospectively recorded during a 12-month period. PTH types were allocated into three categories: (I) a history of bleeding, (II) bleeding requiring direct pressure or electrocautery under local anaesthesia or (III) reoperation under general anaesthesia. Results: A total of 842 adult TE patients (aged between 16 and 85.8 years) were included in the study. Of these, 122 patients experienced PTH (risk 14.5%). Risk of category III PTH was 1.5%. Risk factors for PTH were the use of haemostatic agents (p = 0.006) and male gender (p = 0.011). The use of NSAID, opioid, 5-HT(3) receptor antagonist and dexamethasone medication did not significantly alter the number of postoperative bleeding events.

KW - 3142 Public health care science, environmental and occupational health

KW - dexamethasone

KW - NSAID

KW - postoperative complications plus haemorrhage

U2 - 10.3109/00016489.2012.723825

DO - 10.3109/00016489.2012.723825

M3 - Article

VL - 133

SP - 181

EP - 186

JO - Acta Oto-Laryngologica

JF - Acta Oto-Laryngologica

SN - 0001-6489

IS - 2

ER -