[Post-tonsillectomy haemorrhage--do coagulation tests and coagulopathy history have predictive value?]

Area of Science:

• Otorhinolaryngology
• Hematology
• Surgical Complications

Context:

• Post-tonsillectomy hemorrhage (PTH) is a significant complication.
• Accurate prediction of PTH risk is essential for patient safety and effective surgical planning.
• Previous studies have explored various predictive factors with varying success.

Purpose:

• To evaluate the predictive value of coagulation tests (Activated Partial Thromboplastin Time, prothrombin/INR ratio, platelet count) and preoperative medical history for post-tonsillectomy hemorrhage (PTH).

Summary:

• This study analyzed coagulation test results and patient medical history in 222 adult patients undergoing tonsillectomy.
• While coagulation tests showed limited predictive value for PTH, a history of easy bruising or prolonged bleeding after injury was significant.
• Specifically, patients with a history of proneness to bruise formation after minor trauma and prolonged bleeding after injury demonstrated a higher risk of PTH.

Impact:

• Findings suggest that routine coagulation screening may not be necessary for all adult patients undergoing tonsillectomy.
• Emphasis on detailed personal medical history, particularly concerning bleeding tendencies, can improve the prediction of PTH risk.
• This can lead to more targeted patient selection for further investigations or preventative measures, optimizing surgical outcomes.