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Post-tonsillectomy hemorrhage (PTH) requiring surgery is more likely in patients over 6 years old if bleeding occurs within the first week. Adults, bilateral tonsil bleeding, and blood transfusions predict the need for surgical intervention.

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Area of Science:

  • Otolaryngology
  • Surgical Complications
  • Hemorrhage Management

Background:

  • Post-tonsillectomy hemorrhage (PTH) is a significant complication following tonsillectomy.
  • Immediate surgical intervention may be necessary for severe bleeding.
  • Understanding predictors of PTH severity is crucial for patient management.

Purpose of the Study:

  • To investigate the association between patient age, timing of PTH onset, and the requirement for surgical intervention.
  • To identify key factors influencing the need for surgery to control post-tonsillectomy bleeding.

Main Methods:

  • Retrospective analysis of 227 patients with PTH admitted to two tertiary hospitals (2012-2019).
  • Data collected included demographics, bleeding characteristics, and interventions.
  • Statistical analyses included Chi-square, independent samples T-test, and binary logistic regression.

Main Results:

  • A total of 227 patients with PTH were analyzed (mean age 14.99 years; 56.4% male).
  • 63 patients (27.8%) required surgery; mean PTH onset was 8.14 days post-surgery.
  • Patients aged 6+, experiencing PTH within the first week, were more likely to need surgery (P=0.034).
  • Adults (OR=4.032), bilateral tonsil bleeding (OR=2.380), and blood transfusion (OR=7.934) were independent predictors for surgical treatment.

Conclusions:

  • PTH occurring within the first postoperative week in patients over 6 years old warrants close monitoring.
  • Adult patients, bilateral tonsil bleeding, and blood transfusion are significant indicators for potential surgical intervention.
  • These factors can help predict the need for surgery in managing post-tonsillectomy hemorrhage.