Analysis of risk factors for post-tonsillectomy hemorrhage in adults. Issue 3 (June 2023)

• Record Type: Journal Article
• Authors: Fushimi, Katsuya; Gyo, Kiyofumi; Okunaka, Mieko; Watanabe, Maiko; Sugihara, Ayako; Tsuzuki, Kenzo
• Is Part Of: Auris nasus larynx. Volume 50:Issue 3(2023)
• Page Start: 389
• Page End: 394
• Publication Date: 2023-06
• Subjects: Tonsillectomy -- Hemorrhage -- Adult -- IGA Nephropathy -- Surgical Procedure; Otolaryngology -- Periodicals; Electronic journals; 616
• DOI: 10.1016/j.anl.2022.10.002
• Languages: English
• ISSNs: 0385-8146

Abstract

Abstract: Objectives: To identify the risk factors for post-tonsillectomy hemorrhage (PTH) in adult patients (>19 years). Methods: 275 adult patients who underwent tonsillectomy between 2009 and 2019 were retrospectively analyzed. Possible risk factors associated with PTH were investigated by univariate and multivariate logistic regression analyses. Results: PTH occurred in 39 of 275 patients (14.2%). Regarding underlying diseases, PTH occurred more frequently in focal infection of IgA nephropathy. Furthermore, bipolar electrocautery was the other risk factor for PTH on multivariate analysis. Conclusion: Focal infection of IgA nephropathy and bipolar electrocautery were identified as the risk factors for PTH.