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Risk factors for post-thyroidectomy haemorrhage: a meta-analysis
Jinhao Liu1, Wei Sun1, Wenwu Dong1
1Department of Thyroid SurgeryThe First Affiliated Hospital of China Medical University, Shenyang, Liaoning Province, People's Republic of China.
European Journal of Endocrinology
|February 10, 2017
Summary
Post-thyroidectomy hemorrhage is a rare complication. Risk factors include older age, male sex, Graves' disease, antithrombotic use, bilateral surgery, neck dissection, and prior thyroid surgery. Managing these can improve outcomes.
Area of Science:
- Endocrinology
- Surgical Oncology
- Clinical Research
Background:
- Post-thyroidectomy hemorrhage is a rare but serious complication of thyroid surgery.
- Identifying risk factors is crucial for preventing and managing this complication.
Purpose of the Study:
- To conduct a systematic review and meta-analysis to identify risk factors for post-thyroidectomy hemorrhage.
- To analyze data from numerous studies to determine the incidence and associated variables of post-thyroidectomy hemorrhage.
Main Methods:
- Comprehensive search of PubMed and SCIE databases for relevant studies published before June 30, 2016.
- Inclusion of studies on open thyroidectomy patients, with or without neck dissection.
- Data analysis using RevMan 5.3 software for meta-analysis.
Main Results:
- Analysis of 25 studies involving 424,563 patients revealed an overall post-thyroidectomy hemorrhage incidence of 1.48%.
- Significant risk factors identified include older age, male sex, Graves' disease, antithrombotic agent use, bilateral surgery, neck dissection, and previous thyroid surgery.
- Malignant tumors and drainage device use were not significantly associated with increased hemorrhage risk.
Conclusions:
- Older age, male sex, Graves' disease, antithrombotic use, bilateral surgery, neck dissection, and prior thyroid surgery are key risk factors for post-thyroidectomy hemorrhage.
- Early identification and management of modifiable risk factors can potentially improve patient outcomes and satisfaction after thyroid surgery.
