Univariate and multivariate analyses for postoperative bleeding after nasal endoscopic surgery

Area of Science:

• Otolaryngology
• Surgical Oncology

Background:

• Postoperative bleeding is a significant complication following nasal endoscopic surgery (NES).
• Identifying risk factors and preventative measures is crucial for patient safety and surgical outcomes.

Purpose of the Study:

• To investigate the primary risk factors associated with postoperative bleeding after NES.
• To evaluate the efficacy of preoperative corticosteroids in mitigating this risk.

Main Methods:

• Retrospective analysis of 641 patients undergoing NES.
• Application of univariate analysis and logistic regression to identify significant risk factors.

Main Results:

• The incidence of postoperative bleeding was 8.4%.
• Key risk factors identified include hypertension, prolonged non-steroidal anti-inflammatory drug (NSAID) use, previous NES, and modified submucosal septoplasty.
• Preoperative corticosteroid use demonstrated a negative association with postoperative bleeding.

Conclusions:

• Hypertension, long-term NSAID use, and prior nasal surgery are significant risk factors for postoperative bleeding post-NES.
• Preoperative corticosteroid administration is an effective strategy for reducing the incidence of postoperative bleeding.