| Autor: |
Alexander RJ; ENT Department, Dorset County Hospital, Dorchester, Dorset, UK. rodalalexander@doctors.org.uk, Kukreja R, Ford GR |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of laryngology and otology [J Laryngol Otol] 2004 Dec; Vol. 118 (12), pp. 937-40. |
| DOI: |
10.1258/0022215042790619 |
| Abstrakt: |
This is a prospective incidence study of 250 secondary post-tonsillectomy haemorrhages from a population of 2706 tonsillectomies performed over a seven-year period, which aims to ascertain the incidence and character of post-tonsillectomy secondary haemorrhage. Out of 250 post-tonsillectomy secondary bleeds (9.2 per cent of total; 95 per cent CI = 8.2 per cent - 10.4 per cent), 39 patients had a severe bleed (1.4 per cent; 95 per cent CI = 1.2 per cent - 2.1 per cent). The incidence of secondary tonsillectomy haemorrhage increased with age, peaking at 30-34 years in both men and women (p < 0.001), with no statistically significant difference between the two sexes (p = 0.23). The incidence of serious haemorrhage increases in the older age categories (p = 0.005) but is not influenced by gender (p = 0.50). The majority of secondary tonsillectomy haemorrhages presented between the fourth and seventh day post-operation (69.8 per cent). These results now provide the basis for informed consent for a tonsillectomy in our department. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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