Risk Factors for Postoperative Bleeding after Adenoidectomy

IMPORTANCE: Postoperative bleeding is a common and potentially life-threatening complication. Precise identification of risk factors in addition to the basic ones, such as coagulation parameters, is certainly very desirable. OBJECTIVE: The aim of this study was to identify other possible risk factors for bleeding after adenoidectomy in children. DESIGN: This observational prospective study enrolled children undergoing adenoidectomy from October 2019 to February 2020, then evaluated the influence of possible risk factors for bleeding. SETTING: Tertiary pediatric otorhinolaryngology center. PARTICIPANTS: A total of 288 children aged 0–18 years undergoing adenoidectomy for recurrent upper respiratory tract infections, recurrent acute otitis media, secretory otitis media, and obstructive sleep apnea syndrome. MAIN OUTCOMES AND MEASURES: Increased blood pressure and time of surgery were identified as risk factors for bleeding after adenoidectomy. RESULTS: Elevated systolic (<i<p</i< = 0.046), diastolic (<i<p</i< = 0.012), and mean arterial blood pressure (<i<p</i< = 0.007) (Mann–Whitney U test) as adjusted for age-specific distributions and with corrections for height and weight, as well as time length of surgery (<i<p</i< < 0.001) (Fisher’s exact test) were revealed as statistically significant risk factors for postoperative bleeding. Atmospheric pressure, surgeon’s level of experiences, chronic inflammatory content in adenoid vegetation (AV), size of AV, recidivism of AV, recurrent infections of the upper respiratory tract, type of anesthesia, long-term using of drugs, and positive coagulation questionnaire or pathology in standard coagulation tests were not found to be risk factors for bleeding after adenoidectomy. CONCLUSIONS AND RELEVANCE: In this prospective study within a well-defined population of children, we evaluated increased blood pressure and time of surgery as risk factors for bleeding after adenoidectomy. These data bring new information that complements current knowledge in this field. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Milan Urík [verfasserIn] Michal Bartoš [verfasserIn] Soňa Šikolová [verfasserIn] Jana Jančíková [verfasserIn] Klára Perceová [verfasserIn] Jiří Jarkovský [verfasserIn] Eva Klabusayová [verfasserIn] Petr Štourač [verfasserIn] Petr Jabandžiev [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	bleeding adenoidectomy children surgery risk factors

Übergeordnetes Werk:	In: Children - MDPI AG, 2014, 8(2021), 3, p 242
Übergeordnetes Werk:	volume:8 ; year:2021 ; number:3, p 242

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/children8030242

Katalog-ID:	DOAJ068903375

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allfields	10.3390/children8030242 doi (DE-627)DOAJ068903375 (DE-599)DOAJ250fffa5e2c04486be7539a577e890dd DE-627 ger DE-627 rakwb eng RJ1-570 Milan Urík verfasserin aut Risk Factors for Postoperative Bleeding after Adenoidectomy 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IMPORTANCE: Postoperative bleeding is a common and potentially life-threatening complication. Precise identification of risk factors in addition to the basic ones, such as coagulation parameters, is certainly very desirable. OBJECTIVE: The aim of this study was to identify other possible risk factors for bleeding after adenoidectomy in children. DESIGN: This observational prospective study enrolled children undergoing adenoidectomy from October 2019 to February 2020, then evaluated the influence of possible risk factors for bleeding. SETTING: Tertiary pediatric otorhinolaryngology center. PARTICIPANTS: A total of 288 children aged 0–18 years undergoing adenoidectomy for recurrent upper respiratory tract infections, recurrent acute otitis media, secretory otitis media, and obstructive sleep apnea syndrome. MAIN OUTCOMES AND MEASURES: Increased blood pressure and time of surgery were identified as risk factors for bleeding after adenoidectomy. RESULTS: Elevated systolic (<i<p</i< = 0.046), diastolic (<i<p</i< = 0.012), and mean arterial blood pressure (<i<p</i< = 0.007) (Mann–Whitney U test) as adjusted for age-specific distributions and with corrections for height and weight, as well as time length of surgery (<i<p</i< < 0.001) (Fisher’s exact test) were revealed as statistically significant risk factors for postoperative bleeding. Atmospheric pressure, surgeon’s level of experiences, chronic inflammatory content in adenoid vegetation (AV), size of AV, recidivism of AV, recurrent infections of the upper respiratory tract, type of anesthesia, long-term using of drugs, and positive coagulation questionnaire or pathology in standard coagulation tests were not found to be risk factors for bleeding after adenoidectomy. CONCLUSIONS AND RELEVANCE: In this prospective study within a well-defined population of children, we evaluated increased blood pressure and time of surgery as risk factors for bleeding after adenoidectomy. These data bring new information that complements current knowledge in this field. bleeding adenoidectomy children surgery risk factors Pediatrics Michal Bartoš verfasserin aut Soňa Šikolová verfasserin aut Jana Jančíková verfasserin aut Klára Perceová verfasserin aut Jiří Jarkovský verfasserin aut Eva Klabusayová verfasserin aut Petr Štourač verfasserin aut Petr Jabandžiev verfasserin aut In Children MDPI AG, 2014 8(2021), 3, p 242 (DE-627)768093007 (DE-600)2732685-8 22279067 nnns volume:8 year:2021 number:3, p 242 https://doi.org/10.3390/children8030242 kostenfrei https://doaj.org/article/250fffa5e2c04486be7539a577e890dd kostenfrei https://www.mdpi.com/2227-9067/8/3/242 kostenfrei https://doaj.org/toc/2227-9067 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2021 3, p 242
spelling	10.3390/children8030242 doi (DE-627)DOAJ068903375 (DE-599)DOAJ250fffa5e2c04486be7539a577e890dd DE-627 ger DE-627 rakwb eng RJ1-570 Milan Urík verfasserin aut Risk Factors for Postoperative Bleeding after Adenoidectomy 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IMPORTANCE: Postoperative bleeding is a common and potentially life-threatening complication. Precise identification of risk factors in addition to the basic ones, such as coagulation parameters, is certainly very desirable. OBJECTIVE: The aim of this study was to identify other possible risk factors for bleeding after adenoidectomy in children. DESIGN: This observational prospective study enrolled children undergoing adenoidectomy from October 2019 to February 2020, then evaluated the influence of possible risk factors for bleeding. SETTING: Tertiary pediatric otorhinolaryngology center. PARTICIPANTS: A total of 288 children aged 0–18 years undergoing adenoidectomy for recurrent upper respiratory tract infections, recurrent acute otitis media, secretory otitis media, and obstructive sleep apnea syndrome. MAIN OUTCOMES AND MEASURES: Increased blood pressure and time of surgery were identified as risk factors for bleeding after adenoidectomy. RESULTS: Elevated systolic (<i<p</i< = 0.046), diastolic (<i<p</i< = 0.012), and mean arterial blood pressure (<i<p</i< = 0.007) (Mann–Whitney U test) as adjusted for age-specific distributions and with corrections for height and weight, as well as time length of surgery (<i<p</i< < 0.001) (Fisher’s exact test) were revealed as statistically significant risk factors for postoperative bleeding. Atmospheric pressure, surgeon’s level of experiences, chronic inflammatory content in adenoid vegetation (AV), size of AV, recidivism of AV, recurrent infections of the upper respiratory tract, type of anesthesia, long-term using of drugs, and positive coagulation questionnaire or pathology in standard coagulation tests were not found to be risk factors for bleeding after adenoidectomy. CONCLUSIONS AND RELEVANCE: In this prospective study within a well-defined population of children, we evaluated increased blood pressure and time of surgery as risk factors for bleeding after adenoidectomy. These data bring new information that complements current knowledge in this field. bleeding adenoidectomy children surgery risk factors Pediatrics Michal Bartoš verfasserin aut Soňa Šikolová verfasserin aut Jana Jančíková verfasserin aut Klára Perceová verfasserin aut Jiří Jarkovský verfasserin aut Eva Klabusayová verfasserin aut Petr Štourač verfasserin aut Petr Jabandžiev verfasserin aut In Children MDPI AG, 2014 8(2021), 3, p 242 (DE-627)768093007 (DE-600)2732685-8 22279067 nnns volume:8 year:2021 number:3, p 242 https://doi.org/10.3390/children8030242 kostenfrei https://doaj.org/article/250fffa5e2c04486be7539a577e890dd kostenfrei https://www.mdpi.com/2227-9067/8/3/242 kostenfrei https://doaj.org/toc/2227-9067 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2021 3, p 242
allfields_unstemmed	10.3390/children8030242 doi (DE-627)DOAJ068903375 (DE-599)DOAJ250fffa5e2c04486be7539a577e890dd DE-627 ger DE-627 rakwb eng RJ1-570 Milan Urík verfasserin aut Risk Factors for Postoperative Bleeding after Adenoidectomy 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IMPORTANCE: Postoperative bleeding is a common and potentially life-threatening complication. Precise identification of risk factors in addition to the basic ones, such as coagulation parameters, is certainly very desirable. OBJECTIVE: The aim of this study was to identify other possible risk factors for bleeding after adenoidectomy in children. DESIGN: This observational prospective study enrolled children undergoing adenoidectomy from October 2019 to February 2020, then evaluated the influence of possible risk factors for bleeding. SETTING: Tertiary pediatric otorhinolaryngology center. PARTICIPANTS: A total of 288 children aged 0–18 years undergoing adenoidectomy for recurrent upper respiratory tract infections, recurrent acute otitis media, secretory otitis media, and obstructive sleep apnea syndrome. MAIN OUTCOMES AND MEASURES: Increased blood pressure and time of surgery were identified as risk factors for bleeding after adenoidectomy. RESULTS: Elevated systolic (<i<p</i< = 0.046), diastolic (<i<p</i< = 0.012), and mean arterial blood pressure (<i<p</i< = 0.007) (Mann–Whitney U test) as adjusted for age-specific distributions and with corrections for height and weight, as well as time length of surgery (<i<p</i< < 0.001) (Fisher’s exact test) were revealed as statistically significant risk factors for postoperative bleeding. Atmospheric pressure, surgeon’s level of experiences, chronic inflammatory content in adenoid vegetation (AV), size of AV, recidivism of AV, recurrent infections of the upper respiratory tract, type of anesthesia, long-term using of drugs, and positive coagulation questionnaire or pathology in standard coagulation tests were not found to be risk factors for bleeding after adenoidectomy. CONCLUSIONS AND RELEVANCE: In this prospective study within a well-defined population of children, we evaluated increased blood pressure and time of surgery as risk factors for bleeding after adenoidectomy. These data bring new information that complements current knowledge in this field. bleeding adenoidectomy children surgery risk factors Pediatrics Michal Bartoš verfasserin aut Soňa Šikolová verfasserin aut Jana Jančíková verfasserin aut Klára Perceová verfasserin aut Jiří Jarkovský verfasserin aut Eva Klabusayová verfasserin aut Petr Štourač verfasserin aut Petr Jabandžiev verfasserin aut In Children MDPI AG, 2014 8(2021), 3, p 242 (DE-627)768093007 (DE-600)2732685-8 22279067 nnns volume:8 year:2021 number:3, p 242 https://doi.org/10.3390/children8030242 kostenfrei https://doaj.org/article/250fffa5e2c04486be7539a577e890dd kostenfrei https://www.mdpi.com/2227-9067/8/3/242 kostenfrei https://doaj.org/toc/2227-9067 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2021 3, p 242
allfieldsGer	10.3390/children8030242 doi (DE-627)DOAJ068903375 (DE-599)DOAJ250fffa5e2c04486be7539a577e890dd DE-627 ger DE-627 rakwb eng RJ1-570 Milan Urík verfasserin aut Risk Factors for Postoperative Bleeding after Adenoidectomy 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IMPORTANCE: Postoperative bleeding is a common and potentially life-threatening complication. Precise identification of risk factors in addition to the basic ones, such as coagulation parameters, is certainly very desirable. OBJECTIVE: The aim of this study was to identify other possible risk factors for bleeding after adenoidectomy in children. DESIGN: This observational prospective study enrolled children undergoing adenoidectomy from October 2019 to February 2020, then evaluated the influence of possible risk factors for bleeding. SETTING: Tertiary pediatric otorhinolaryngology center. PARTICIPANTS: A total of 288 children aged 0–18 years undergoing adenoidectomy for recurrent upper respiratory tract infections, recurrent acute otitis media, secretory otitis media, and obstructive sleep apnea syndrome. MAIN OUTCOMES AND MEASURES: Increased blood pressure and time of surgery were identified as risk factors for bleeding after adenoidectomy. RESULTS: Elevated systolic (<i<p</i< = 0.046), diastolic (<i<p</i< = 0.012), and mean arterial blood pressure (<i<p</i< = 0.007) (Mann–Whitney U test) as adjusted for age-specific distributions and with corrections for height and weight, as well as time length of surgery (<i<p</i< < 0.001) (Fisher’s exact test) were revealed as statistically significant risk factors for postoperative bleeding. Atmospheric pressure, surgeon’s level of experiences, chronic inflammatory content in adenoid vegetation (AV), size of AV, recidivism of AV, recurrent infections of the upper respiratory tract, type of anesthesia, long-term using of drugs, and positive coagulation questionnaire or pathology in standard coagulation tests were not found to be risk factors for bleeding after adenoidectomy. CONCLUSIONS AND RELEVANCE: In this prospective study within a well-defined population of children, we evaluated increased blood pressure and time of surgery as risk factors for bleeding after adenoidectomy. These data bring new information that complements current knowledge in this field. bleeding adenoidectomy children surgery risk factors Pediatrics Michal Bartoš verfasserin aut Soňa Šikolová verfasserin aut Jana Jančíková verfasserin aut Klára Perceová verfasserin aut Jiří Jarkovský verfasserin aut Eva Klabusayová verfasserin aut Petr Štourač verfasserin aut Petr Jabandžiev verfasserin aut In Children MDPI AG, 2014 8(2021), 3, p 242 (DE-627)768093007 (DE-600)2732685-8 22279067 nnns volume:8 year:2021 number:3, p 242 https://doi.org/10.3390/children8030242 kostenfrei https://doaj.org/article/250fffa5e2c04486be7539a577e890dd kostenfrei https://www.mdpi.com/2227-9067/8/3/242 kostenfrei https://doaj.org/toc/2227-9067 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2021 3, p 242
allfieldsSound	10.3390/children8030242 doi (DE-627)DOAJ068903375 (DE-599)DOAJ250fffa5e2c04486be7539a577e890dd DE-627 ger DE-627 rakwb eng RJ1-570 Milan Urík verfasserin aut Risk Factors for Postoperative Bleeding after Adenoidectomy 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IMPORTANCE: Postoperative bleeding is a common and potentially life-threatening complication. Precise identification of risk factors in addition to the basic ones, such as coagulation parameters, is certainly very desirable. OBJECTIVE: The aim of this study was to identify other possible risk factors for bleeding after adenoidectomy in children. DESIGN: This observational prospective study enrolled children undergoing adenoidectomy from October 2019 to February 2020, then evaluated the influence of possible risk factors for bleeding. SETTING: Tertiary pediatric otorhinolaryngology center. PARTICIPANTS: A total of 288 children aged 0–18 years undergoing adenoidectomy for recurrent upper respiratory tract infections, recurrent acute otitis media, secretory otitis media, and obstructive sleep apnea syndrome. MAIN OUTCOMES AND MEASURES: Increased blood pressure and time of surgery were identified as risk factors for bleeding after adenoidectomy. RESULTS: Elevated systolic (<i<p</i< = 0.046), diastolic (<i<p</i< = 0.012), and mean arterial blood pressure (<i<p</i< = 0.007) (Mann–Whitney U test) as adjusted for age-specific distributions and with corrections for height and weight, as well as time length of surgery (<i<p</i< < 0.001) (Fisher’s exact test) were revealed as statistically significant risk factors for postoperative bleeding. Atmospheric pressure, surgeon’s level of experiences, chronic inflammatory content in adenoid vegetation (AV), size of AV, recidivism of AV, recurrent infections of the upper respiratory tract, type of anesthesia, long-term using of drugs, and positive coagulation questionnaire or pathology in standard coagulation tests were not found to be risk factors for bleeding after adenoidectomy. CONCLUSIONS AND RELEVANCE: In this prospective study within a well-defined population of children, we evaluated increased blood pressure and time of surgery as risk factors for bleeding after adenoidectomy. These data bring new information that complements current knowledge in this field. bleeding adenoidectomy children surgery risk factors Pediatrics Michal Bartoš verfasserin aut Soňa Šikolová verfasserin aut Jana Jančíková verfasserin aut Klára Perceová verfasserin aut Jiří Jarkovský verfasserin aut Eva Klabusayová verfasserin aut Petr Štourač verfasserin aut Petr Jabandžiev verfasserin aut In Children MDPI AG, 2014 8(2021), 3, p 242 (DE-627)768093007 (DE-600)2732685-8 22279067 nnns volume:8 year:2021 number:3, p 242 https://doi.org/10.3390/children8030242 kostenfrei https://doaj.org/article/250fffa5e2c04486be7539a577e890dd kostenfrei https://www.mdpi.com/2227-9067/8/3/242 kostenfrei https://doaj.org/toc/2227-9067 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2021 3, p 242
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authorswithroles_txt_mv	Milan Urík @@aut@@ Michal Bartoš @@aut@@ Soňa Šikolová @@aut@@ Jana Jančíková @@aut@@ Klára Perceová @@aut@@ Jiří Jarkovský @@aut@@ Eva Klabusayová @@aut@@ Petr Štourač @@aut@@ Petr Jabandžiev @@aut@@
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title	Risk Factors for Postoperative Bleeding after Adenoidectomy
ctrlnum	(DE-627)DOAJ068903375 (DE-599)DOAJ250fffa5e2c04486be7539a577e890dd
title_full	Risk Factors for Postoperative Bleeding after Adenoidectomy
author_sort	Milan Urík
journal	Children
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author_browse	Milan Urík Michal Bartoš Soňa Šikolová Jana Jančíková Klára Perceová Jiří Jarkovský Eva Klabusayová Petr Štourač Petr Jabandžiev
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author-letter	Milan Urík
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author2-role	verfasserin
title_sort	risk factors for postoperative bleeding after adenoidectomy
callnumber	RJ1-570
title_auth	Risk Factors for Postoperative Bleeding after Adenoidectomy
abstract	IMPORTANCE: Postoperative bleeding is a common and potentially life-threatening complication. Precise identification of risk factors in addition to the basic ones, such as coagulation parameters, is certainly very desirable. OBJECTIVE: The aim of this study was to identify other possible risk factors for bleeding after adenoidectomy in children. DESIGN: This observational prospective study enrolled children undergoing adenoidectomy from October 2019 to February 2020, then evaluated the influence of possible risk factors for bleeding. SETTING: Tertiary pediatric otorhinolaryngology center. PARTICIPANTS: A total of 288 children aged 0–18 years undergoing adenoidectomy for recurrent upper respiratory tract infections, recurrent acute otitis media, secretory otitis media, and obstructive sleep apnea syndrome. MAIN OUTCOMES AND MEASURES: Increased blood pressure and time of surgery were identified as risk factors for bleeding after adenoidectomy. RESULTS: Elevated systolic (<i<p</i< = 0.046), diastolic (<i<p</i< = 0.012), and mean arterial blood pressure (<i<p</i< = 0.007) (Mann–Whitney U test) as adjusted for age-specific distributions and with corrections for height and weight, as well as time length of surgery (<i<p</i< < 0.001) (Fisher’s exact test) were revealed as statistically significant risk factors for postoperative bleeding. Atmospheric pressure, surgeon’s level of experiences, chronic inflammatory content in adenoid vegetation (AV), size of AV, recidivism of AV, recurrent infections of the upper respiratory tract, type of anesthesia, long-term using of drugs, and positive coagulation questionnaire or pathology in standard coagulation tests were not found to be risk factors for bleeding after adenoidectomy. CONCLUSIONS AND RELEVANCE: In this prospective study within a well-defined population of children, we evaluated increased blood pressure and time of surgery as risk factors for bleeding after adenoidectomy. These data bring new information that complements current knowledge in this field.
abstractGer	IMPORTANCE: Postoperative bleeding is a common and potentially life-threatening complication. Precise identification of risk factors in addition to the basic ones, such as coagulation parameters, is certainly very desirable. OBJECTIVE: The aim of this study was to identify other possible risk factors for bleeding after adenoidectomy in children. DESIGN: This observational prospective study enrolled children undergoing adenoidectomy from October 2019 to February 2020, then evaluated the influence of possible risk factors for bleeding. SETTING: Tertiary pediatric otorhinolaryngology center. PARTICIPANTS: A total of 288 children aged 0–18 years undergoing adenoidectomy for recurrent upper respiratory tract infections, recurrent acute otitis media, secretory otitis media, and obstructive sleep apnea syndrome. MAIN OUTCOMES AND MEASURES: Increased blood pressure and time of surgery were identified as risk factors for bleeding after adenoidectomy. RESULTS: Elevated systolic (<i<p</i< = 0.046), diastolic (<i<p</i< = 0.012), and mean arterial blood pressure (<i<p</i< = 0.007) (Mann–Whitney U test) as adjusted for age-specific distributions and with corrections for height and weight, as well as time length of surgery (<i<p</i< < 0.001) (Fisher’s exact test) were revealed as statistically significant risk factors for postoperative bleeding. Atmospheric pressure, surgeon’s level of experiences, chronic inflammatory content in adenoid vegetation (AV), size of AV, recidivism of AV, recurrent infections of the upper respiratory tract, type of anesthesia, long-term using of drugs, and positive coagulation questionnaire or pathology in standard coagulation tests were not found to be risk factors for bleeding after adenoidectomy. CONCLUSIONS AND RELEVANCE: In this prospective study within a well-defined population of children, we evaluated increased blood pressure and time of surgery as risk factors for bleeding after adenoidectomy. These data bring new information that complements current knowledge in this field.
abstract_unstemmed	IMPORTANCE: Postoperative bleeding is a common and potentially life-threatening complication. Precise identification of risk factors in addition to the basic ones, such as coagulation parameters, is certainly very desirable. OBJECTIVE: The aim of this study was to identify other possible risk factors for bleeding after adenoidectomy in children. DESIGN: This observational prospective study enrolled children undergoing adenoidectomy from October 2019 to February 2020, then evaluated the influence of possible risk factors for bleeding. SETTING: Tertiary pediatric otorhinolaryngology center. PARTICIPANTS: A total of 288 children aged 0–18 years undergoing adenoidectomy for recurrent upper respiratory tract infections, recurrent acute otitis media, secretory otitis media, and obstructive sleep apnea syndrome. MAIN OUTCOMES AND MEASURES: Increased blood pressure and time of surgery were identified as risk factors for bleeding after adenoidectomy. RESULTS: Elevated systolic (<i<p</i< = 0.046), diastolic (<i<p</i< = 0.012), and mean arterial blood pressure (<i<p</i< = 0.007) (Mann–Whitney U test) as adjusted for age-specific distributions and with corrections for height and weight, as well as time length of surgery (<i<p</i< < 0.001) (Fisher’s exact test) were revealed as statistically significant risk factors for postoperative bleeding. Atmospheric pressure, surgeon’s level of experiences, chronic inflammatory content in adenoid vegetation (AV), size of AV, recidivism of AV, recurrent infections of the upper respiratory tract, type of anesthesia, long-term using of drugs, and positive coagulation questionnaire or pathology in standard coagulation tests were not found to be risk factors for bleeding after adenoidectomy. CONCLUSIONS AND RELEVANCE: In this prospective study within a well-defined population of children, we evaluated increased blood pressure and time of surgery as risk factors for bleeding after adenoidectomy. These data bring new information that complements current knowledge in this field.
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container_issue	3, p 242
title_short	Risk Factors for Postoperative Bleeding after Adenoidectomy
url	https://doi.org/10.3390/children8030242 https://doaj.org/article/250fffa5e2c04486be7539a577e890dd https://www.mdpi.com/2227-9067/8/3/242 https://doaj.org/toc/2227-9067
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author2	Michal Bartoš Soňa Šikolová Jana Jančíková Klára Perceová Jiří Jarkovský Eva Klabusayová Petr Štourač Petr Jabandžiev
author2Str	Michal Bartoš Soňa Šikolová Jana Jančíková Klára Perceová Jiří Jarkovský Eva Klabusayová Petr Štourač Petr Jabandžiev
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up_date	2024-07-03T20:24:16.699Z
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