Post-tonsillectomy haemorrhage in Australia - a multivariable analysis of risk factors

Matthew Kwok, Muthukumar Subramaniyan, Joanne Rimmer, Amalia Karahalios

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Tonsillectomy is a common procedure in otolaryngology and currently, there are limited multivariable analyses regarding factors associated with secondary post-tonsillectomy haemorrhage (PTH) in an Australian metropolitan setting. This study aims to provide further analysis of various factors associated with secondary PTH in an Australian metropolitan health service.

Methods: A retrospective review was conducted for all elective tonsillectomies performed at Western Health, Australia between December 2011 and December 2015. Multivariable logistic regression analyses were performed.

Results: A total of 1,257 tonsillectomies were included. Secondary PTH was observed in 87 (6.9%) patients with 35 (2.8%) returning to theatre. No differences in PTH were found between surgical techniques, month of tonsillectomy, same day discharge and surgeon experience. Multivariable analysis showed that patients receiving ibuprofen (OR =2.07; 95% CI =1.08, 3.99), as well as a 1-year increase in age (OR =1.03; 95%CI =1.01, 1.05) were associated with significantly increased odds of PTH.

Conclusions: Tonsillectomy is a common procedure in otolaryngology and this study provides updated local data for a more accurate comparison of surgical outcome.

Keywords: Tonsillectomy; hemorrhage; otolaryngology; Australia; emergencies; risk factors; analgesia; seasons;hospital; retrospective study
Original languageEnglish
Article number2
Number of pages8
JournalAustralian Journal of Otolaryngology
Volume1
DOIs
Publication statusPublished - Jan 2018

Cite this

@article{ae4008beadaf4b6980253f9ef837df93,
title = "Post-tonsillectomy haemorrhage in Australia - a multivariable analysis of risk factors",
abstract = "Background: Tonsillectomy is a common procedure in otolaryngology and currently, there are limited multivariable analyses regarding factors associated with secondary post-tonsillectomy haemorrhage (PTH) in an Australian metropolitan setting. This study aims to provide further analysis of various factors associated with secondary PTH in an Australian metropolitan health service.Methods: A retrospective review was conducted for all elective tonsillectomies performed at Western Health, Australia between December 2011 and December 2015. Multivariable logistic regression analyses were performed.Results: A total of 1,257 tonsillectomies were included. Secondary PTH was observed in 87 (6.9{\%}) patients with 35 (2.8{\%}) returning to theatre. No differences in PTH were found between surgical techniques, month of tonsillectomy, same day discharge and surgeon experience. Multivariable analysis showed that patients receiving ibuprofen (OR =2.07; 95{\%} CI =1.08, 3.99), as well as a 1-year increase in age (OR =1.03; 95{\%}CI =1.01, 1.05) were associated with significantly increased odds of PTH.Conclusions: Tonsillectomy is a common procedure in otolaryngology and this study provides updated local data for a more accurate comparison of surgical outcome.Keywords: Tonsillectomy; hemorrhage; otolaryngology; Australia; emergencies; risk factors; analgesia; seasons;hospital; retrospective study",
author = "Matthew Kwok and Muthukumar Subramaniyan and Joanne Rimmer and Amalia Karahalios",
year = "2018",
month = "1",
doi = "10.21037/ajo.2018.01.06",
language = "English",
volume = "1",
journal = "Australian Journal of Otolaryngology",
issn = "2616-2792",
publisher = "AME Publishing Company",

}

Post-tonsillectomy haemorrhage in Australia - a multivariable analysis of risk factors. / Kwok, Matthew; Subramaniyan, Muthukumar; Rimmer, Joanne; Karahalios, Amalia.

In: Australian Journal of Otolaryngology, Vol. 1, 2, 01.2018.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Post-tonsillectomy haemorrhage in Australia - a multivariable analysis of risk factors

AU - Kwok, Matthew

AU - Subramaniyan, Muthukumar

AU - Rimmer, Joanne

AU - Karahalios, Amalia

PY - 2018/1

Y1 - 2018/1

N2 - Background: Tonsillectomy is a common procedure in otolaryngology and currently, there are limited multivariable analyses regarding factors associated with secondary post-tonsillectomy haemorrhage (PTH) in an Australian metropolitan setting. This study aims to provide further analysis of various factors associated with secondary PTH in an Australian metropolitan health service.Methods: A retrospective review was conducted for all elective tonsillectomies performed at Western Health, Australia between December 2011 and December 2015. Multivariable logistic regression analyses were performed.Results: A total of 1,257 tonsillectomies were included. Secondary PTH was observed in 87 (6.9%) patients with 35 (2.8%) returning to theatre. No differences in PTH were found between surgical techniques, month of tonsillectomy, same day discharge and surgeon experience. Multivariable analysis showed that patients receiving ibuprofen (OR =2.07; 95% CI =1.08, 3.99), as well as a 1-year increase in age (OR =1.03; 95%CI =1.01, 1.05) were associated with significantly increased odds of PTH.Conclusions: Tonsillectomy is a common procedure in otolaryngology and this study provides updated local data for a more accurate comparison of surgical outcome.Keywords: Tonsillectomy; hemorrhage; otolaryngology; Australia; emergencies; risk factors; analgesia; seasons;hospital; retrospective study

AB - Background: Tonsillectomy is a common procedure in otolaryngology and currently, there are limited multivariable analyses regarding factors associated with secondary post-tonsillectomy haemorrhage (PTH) in an Australian metropolitan setting. This study aims to provide further analysis of various factors associated with secondary PTH in an Australian metropolitan health service.Methods: A retrospective review was conducted for all elective tonsillectomies performed at Western Health, Australia between December 2011 and December 2015. Multivariable logistic regression analyses were performed.Results: A total of 1,257 tonsillectomies were included. Secondary PTH was observed in 87 (6.9%) patients with 35 (2.8%) returning to theatre. No differences in PTH were found between surgical techniques, month of tonsillectomy, same day discharge and surgeon experience. Multivariable analysis showed that patients receiving ibuprofen (OR =2.07; 95% CI =1.08, 3.99), as well as a 1-year increase in age (OR =1.03; 95%CI =1.01, 1.05) were associated with significantly increased odds of PTH.Conclusions: Tonsillectomy is a common procedure in otolaryngology and this study provides updated local data for a more accurate comparison of surgical outcome.Keywords: Tonsillectomy; hemorrhage; otolaryngology; Australia; emergencies; risk factors; analgesia; seasons;hospital; retrospective study

U2 - 10.21037/ajo.2018.01.06

DO - 10.21037/ajo.2018.01.06

M3 - Article

VL - 1

JO - Australian Journal of Otolaryngology

JF - Australian Journal of Otolaryngology

SN - 2616-2792

M1 - 2

ER -