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Analysis of prognostic factors for postoperative bleeding after tonsillectomy.

Authors
 M. K. Kim  ;  J. W. Lee  ;  M. G. Kim  ;  S. Y. Ha  ;  J. S. Lee  ;  S. G. Yeo 
Citation
 EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, Vol.269(3) : 977-981, 2012 
Journal Title
 EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY 
ISSN
 0937-4477 
Issue Date
2012
MeSH
Adolescent ; Adult ; Aged ; Anti-Inflammatory Agents, Non-Steroidal/therapeutic use ; Child ; Female ; Glucocorticoids/adverse effects ; Humans ; Incidence ; Male ; Middle Aged ; Postoperative Hemorrhage/diagnosis ; Postoperative Hemorrhage/epidemiology* ; Postoperative Hemorrhage/etiology ; Preoperative Care/methods ; Republic of Korea/epidemiology ; Retrospective Studies ; Risk Assessment/methods* ; Risk Factors ; Tonsillectomy/adverse effects* ; Young Adult
Keywords
Tonsillectomy ; Bleeding ; Prognosis
Abstract
Postoperative bleeding is the most frequent surgical complication after tonsillectomy and may be associated with increased mortality rate. We have, therefore, analyzed factors associated with and prognostic for bleeding after tonsillectomy. The 2,254 patients who underwent tonsillectomy under general anesthesia at our institution from January 2005 to December 2009 were divided into bleeding and non-bleeding groups, and their demographic and clinical characteristics were compared. Age, administration of steroid immediately after general anesthesia, absence of administration of non-steroidal anti-inflammatory drugs, and the surgeon's experience were significantly associated with bleeding. In contrast, gender, chief complaints, performance of associated surgery, and type of anesthetic were not associated with postoperative bleeding. Hemorrhage after tonsillectomy was associated with the administration of steroids and with the non-administration of non-steroidal anti-inflammatory drugs.
Full Text
http://link.springer.com/article/10.1007%2Fs00405-011-1697-5
DOI
21779841
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Jong Hwa(이종화)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/90177
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