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J Laryngol Otol. 2017 Feb;131(2):155-161. doi: 10.1017/S0022215116009518. Epub 2016 Dec 29.

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

Author information

1
Department of Otorhinolaryngology,Tampere University Hospital,Finland.

Abstract

OBJECTIVE:

To analyse risk factors associated with secondary post-operative bleeding when only one technique, namely bipolar scissors, is used.

METHODS:

The medical records of all consecutive patients aged six years or older who underwent tonsillectomy or adenotonsillectomy between 1 December 2010 and 30 November 2014 were retrospectively analysed.

RESULTS:

A total of 1734 patients were included in the study. A secondary haemorrhage occurred in 208 patients (12 per cent). Patients aged 15 years or older were 4.5 times (95 per cent confidence interval = 2.6-7.9; p < 0.001) more likely to experience secondary haemorrhage. In cases of acute quinsy, patients aged 15 years or older had an 8.1-fold (95 per cent confidence interval = 1.1-59.6; p = 0.02) increased likelihood of experiencing secondary haemorrhage.

CONCLUSION:

Patients aged 15 years or older have a higher risk for bleeding regardless of the primary indication for the tonsillectomy. The risk for secondary haemorrhage does not seem to depend on the primary indication itself.

KEYWORDS:

Age Groups; Hemorrhage; Risk Factors; Sex; Tonsillectomy

PMID:
28031063
DOI:
10.1017/S0022215116009518
[Indexed for MEDLINE]

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