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Paediatric Posttonsillectomy Haemorrhage Rates in Auckland: A Retrospective Case Series
المؤلفون المشاركون
Alvo, Andrés
Hall, Andrew
Johnston, James
Mahadevan, Murali
المصدر
International Journal of Otolaryngology
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-03-06
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Tonsillectomy is one of the most commonly performed surgical procedures in children.
It is performed for sleep-disordered breathing and infective symptoms.
Despite advances in instrumentation and perioperative care, posttonsillectomy haemorrhage (PTH) remains a significant complication, which should be audited regularly.
Methods.
A retrospective case series of all tonsillectomies performed in patients <15 years old in the Auckland region during 2017 was performed.
Demographic, clinical, and surgical data were extracted and analysed.
Univariate analysis was performed to compare patients with and without PTH.
Results.
A total of 2177 tonsillectomies were performed during the study period, 64% in a public hospital and 36% in a private hospital.
The overall PTH rate was 3.6% (0.23% occurring within the first 24 hours (primary) and 3.4% after 24 hours (secondary)).
Mean time to PTH was 6.6 ± 3 days (range: 1-16 days).
90% of PTH occurred within the first 10 days and 99% by 14 days.
Return to theatre was required in 28% of these cases, representing 1% of all tonsillectomies.
There were no deaths or major complications in this cohort.
The only differences observed between patients with PTH and those without were that children with PTH had smaller tonsils (p=0.004) and were less likely to have associated OME (p<0.001).
Conclusion.
It is important to report institutional tonsillectomy outcomes and associated complications.
These results show that PTH rates in Auckland remain within acceptable limits according to the literature.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Alvo, Andrés& Hall, Andrew& Johnston, James& Mahadevan, Murali. 2019. Paediatric Posttonsillectomy Haemorrhage Rates in Auckland: A Retrospective Case Series. International Journal of Otolaryngology،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1166692
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Alvo, Andrés…[et al.]. Paediatric Posttonsillectomy Haemorrhage Rates in Auckland: A Retrospective Case Series. International Journal of Otolaryngology No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1166692
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Alvo, Andrés& Hall, Andrew& Johnston, James& Mahadevan, Murali. Paediatric Posttonsillectomy Haemorrhage Rates in Auckland: A Retrospective Case Series. International Journal of Otolaryngology. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1166692
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1166692
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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