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Post-tonsillectomy late haemorrhage: is it a preferably night-time event?
Roberto D'Agostino1, Vincenzo Tarantino, Maria Grazia Calevo
1Department of Otolaryngology, Istituto G. Gaslini Largo G. Gaslini 5, Genova, Italy.
International Journal of Pediatric Otorhinolaryngology
|February 24, 2009
Summary
Late post-tonsillectomy bleeding is more common at night. This study found a significant difference in bleeding incidence between night-time and day-time occurrences in pediatric patients.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Post-tonsillectomy hemorrhage is a known complication.
- Understanding the timing of these bleeds can inform patient care and resource allocation.
Purpose of the Study:
- To investigate the temporal patterns of late post-tonsillectomy hemorrhage.
- To determine if bleeding incidence differs significantly between day and night periods.
Main Methods:
- Retrospective analysis of pediatric patients undergoing adenotonsillectomy or tonsillectomy.
- Categorization of late post-operative hemorrhages into day-time (9 a.m. - 9 p.m.) and night-time (9 p.m. - 9 a.m.) events.
- Analysis of hemorrhage frequency per hour over a 24-hour period.
Main Results:
- A total of 59 (1.78%) late hemorrhages were recorded out of 3306 procedures.
- Night-time hemorrhages (71.2%) were significantly more frequent than day-time hemorrhages (28.8%) (p=0.002).
- No significant hourly distribution pattern was observed, though specific clusters were noted.
Conclusions:
- The incidence of late post-tonsillectomy hemorrhage was 1.78% in this cohort.
- A statistically significant predilection for night-time bleeding was identified.
- While no uniform hourly pattern emerged, specific night-time periods showed higher event occurrences.
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