Related Experiment Video
Updated: Jan 17, 2026
CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Assessing the effect of a standardized family history bleeding questionnaire on tonsillectomy outcomes in pediatric
Brevin J Miller1, Meghan Tracy2, Pamela Nicklaus2
1University of Kansas Medical Center, Department of Otolaryngology-Head and Neck Surgery, Kansas City, KS, USA.
Insights
A standardized bleeding questionnaire did not reduce post-tonsillectomy bleeding (PTB) rates. However, it increased hematology referrals without diagnosing more bleeding disorders, suggesting further research is needed for PTB risk prediction.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Hematology
Background:
- Post-tonsillectomy bleeding (PTB) is a common complication.
- Standardized questionnaires are proposed to predict preoperative bleeding risk.
- This study evaluates a bleeding questionnaire's impact on PTB, hematology referrals, and diagnoses.
Purpose of the Study:
- To assess if a validated bleeding questionnaire reduces PTB rates.
- To determine the questionnaire's effect on preoperative hematology referrals.
- To evaluate the association between questionnaire use and bleeding disorder diagnoses.
Main Methods:
- Retrospective cohort study of pediatric patients undergoing tonsillectomy (2014-2019).
- Comparison of PTB rates, hematology referrals, and bleeding disorder diagnoses between pre- and post-questionnaire cohorts.
- 1477 patients included: 1043 (pre-standardization) and 434 (post-standardization).
Main Results:
- PTB rates were 3% (pre) and 2% (post), a non-significant difference.
- Hematology referrals increased 2.46-fold in the post-standardization cohort.
- No significant difference in bleeding disorder diagnoses between cohorts.
Conclusions:
- The standardized bleeding questionnaire did not decrease PTB rates.
- Questionnaire implementation increased hematology referrals but not bleeding disorder diagnoses.
- Further research is needed for effective PTB risk prediction and reduction strategies.
Objectives:
The use of standardized questionnaires has been suggested as a technique to predict preoperative risk and reduce the incidence of post-tonsillectomy bleeding (PTB). This study assesses the association between the administration of a validated questionnaire regarding family history of various bleeding events and the rate of PTB, preoperative hematology referral, and bleeding disorder diagnoses.
Methods:
A retrospective cohort study involving pediatric patients who underwent palatine tonsillectomy between January 1, 2014 and December 31, 2019, was conducted. Patients who had not been administered the standardized bleeding questionnaire were assigned to the pre-standardization cohort. Those who had been administered the standardized questionnaire made up the post-standardization cohort. Rates of PTB, preoperative hematology referral, and bleeding disorder diagnoses were compared between the cohorts.
Results:
Following screening, 1477 patients were included with 1043 assigned to the pre-standardization cohort and 434 to the post-standardization cohort. PTB requiring operative intervention occurred at a rate of 3 % and 2 % in the pre- and post-standardization groups, respectively. Administration of the standardized questionnaire was associated with a 2.46 times greater rate of hematology referral compared to the pre-standardization cohort (95 % CI: 1.47 to 4.14). The rate of bleeding disorder diagnoses was not significantly different between the cohorts.
Conclusions:
The use of a standardized questionnaire was not associated with a reduced rate of PTB. Administration of the questionnaire led to an increase in preoperative hematology referrals without an increased rate of bleeding disorder diagnoses. Further clinical investigation of PTB risk prediction and reduction strategies is necessary to optimize tonsillectomy outcomes.
More Related Videos
07:38Isolation of Tonsillar Mononuclear Cells to Study Ex Vivo Innate Immune Responses in a Human Mucosal Lymphoid Tissue
Published on: June 14, 2020
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Related Concept Videos
01:26Tonsillitis II: Management
01:23Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
01:30Tonsillitis I: Introduction
Etiology
Three primary contributing factors have been identified.