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Gender-specific risk factors in post-tonsillectomy hemorrhage
Annekatrin Coordes1, Janina Soudry2, Veit Maria Hofmann2
1Department of Otorhinolaryngology, Head and Neck Surgery, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin, Germany. annekatrin.coordes@charite.de.
Summary
Male patients have a higher risk of post-tonsillectomy hemorrhage (PTH) after tonsillectomy (TE). This gender-specific risk is particularly notable in young adulthood, necessitating increased awareness and careful postoperative care for males.
Area of Science:
- Otolaryngology
- Surgical Complications
- Gender-Specific Medicine
Background:
- Gender differences exist in disease prevalence and outcomes.
- Post-tonsillectomy hemorrhage (PTH) is a known complication with potential gender-specific risk factors.
Purpose of the Study:
- To investigate gender-specific risk factors for hemorrhage following tonsillectomy (TE) and abscess-tonsillectomy (abscess-TE).
Main Methods:
- Retrospective analysis of anonymized patient data (≥14 years) from 2011-2013 at Charité Universitätsmedizin Berlin.
- Data collection included patient surveys to supplement records.
- Analysis focused on identifying gender-specific risk factors for PTH.
Main Results:
- A total of 250 patients (213 TE, 37 abscess-TE) were analyzed.
- The overall rate of secondary PTH (>24h) was 23%, significantly higher in males (p=0.037).
- Multivariate analysis identified diagnosis, alcohol consumption, and glucocorticoid use as independent risk factors associated with gender.
Conclusions:
- Post-tonsillectomy hemorrhage (PTH) exhibits gender-specific patterns, with males at increased risk, especially young adults.
- Physicians should inform male patients about elevated bleeding risks and emphasize adherence to post-operative instructions.
- Enhanced postoperative monitoring for male patients is recommended to mitigate bleeding risks.
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