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Reduced Risk of Primary Postoperative Hemorrhage After Tonsil Surgery in Sweden: Results from the National Tonsil Surgery Register in Sweden Covering More Than 10 Years and 54,696 Operations
Department of Otolaryngology, Karolinska University Hospital, Stockholm, Sweden.
Division of Nursing Science, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.ORCID iD: 0000-0001-8549-9039
Division of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden.
Department of Otorhinolaryngology, Aleris Sabbatsberg, Stockholm, Sweden; Division of Otorhinolaryngology, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
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2011 (English)In: The Laryngoscope, ISSN 0023-852X, E-ISSN 1531-4995, Vol. 121, no 11, p. 2322-2326Article in journal (Refereed) Published
Abstract [en]

Objectives/Hypothesis: To analyze the incidence of primary bleeding following tonsil surgery and to evaluate risk factors. less thanbrgreater than less thanbrgreater thanStudy Design: Register study of the results from the National Tonsil Surgery Register in Sweden covering the period 1997 to 2008 and 54,696 operations. less thanbrgreater than less thanbrgreater thanMethods: Data were collected by means of three questionnaires, two filled in by professionals and one 6 months post-operatively by the patient/parent. less thanbrgreater than less thanbrgreater thanResults: A total of 719 patients experienced primary postoperative bleeding during the hospital stay (1.3%). A number of independent factors were correlated with decreased risk of post-tonsillectomy hemorrhage: younger age (P andlt; .0001), female sex (P andlt; .0001), type of surgery (tonsillotomy) (P = .0006), and surgery performed on a day-surgery basis (P andlt; .0001). Indication for surgery and number of operations performed at the department did not correlate with postoperative bleeding risk. A significant decrease in primary postoperative hemorrhage rate from 2% to 0.96% was found during the study period. less thanbrgreater than less thanbrgreater thanConclusions: Primary hemorrhage following tonsil surgery is rare. During the study period, a significant decrease in primary bleeding rates occurred. The changes in practice with an increasing proportion of day-surgery cases and tonsillotomy have contributed to the reduced risk, but cannot completely explain the reduction.

Place, publisher, year, edition, pages
Malden, USA: Wiley-Blackwell, 2011. Vol. 121, no 11, p. 2322-2326
Keywords [en]
Tonsillectomy, tonsillotomy, postoperative hemorrhage, ambulatory surgery, outcome assessment (healthcare), quality assurance (healthcare)
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-40835DOI: 10.1002/lary.22179ISI: 000296714800009PubMedID: 21994191Scopus ID: 2-s2.0-80055025793OAI: oai:DiVA.org:oru-40835DiVA, id: diva2:778681
Available from: 2011-11-24 Created: 2015-01-11 Last updated: 2018-09-06Bibliographically approved

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