Hemorrhage Rates in Pediatric Patients Receiving Postoperative Steroids After Tonsillectomy
| Autor: | Kenneth C. Iverson, Bryce Noblitt, Fariha Siddiqui |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Referral Prednisolone medicine.medical_treatment Analgesic Postoperative Hemorrhage Risk Assessment Cohort Studies 03 medical and health sciences 0302 clinical medicine medicine Humans Child 030223 otorhinolaryngology Glucocorticoids Retrospective Studies Tonsillectomy Pain Postoperative business.industry Retrospective cohort study Surgery Regimen Otorhinolaryngology Child Preschool 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Cohort Female business medicine.drug |
| Zdroj: | Clinical Pediatrics. 60:20-24 |
| ISSN: | 1938-2707 0009-9228 |
| Popis: | Importance. Developing a safe postoperative pain regimen after tonsillectomy is important. While postoperative steroids may provide an analgesic benefit, it is not known whether steroids increase the bleeding risk after tonsillectomy. Objective. To determine whether postoperative steroids increase the risk of hemorrhage after tonsillectomy in children. Design. Retrospective cohort study. Setting. Tertiary referral academic medical center. Participants. An age- and indication-matched cohort was randomly selected from tonsillectomy patients ≤12 years old from 2012 to 2017. Intervention. Prednisolone, 0.5 mg/kg (maximum dose 20 mg/day) qAM × 3 days postoperatively. Main Outcome. Postoperative hemorrhage requiring operative intervention. Results. A total of 1358 patients were included in this study, 679 of which received postoperative steroids. The steroid group had a similar of operative intervention for post-tonsillectomy hemorrhage of 1.8% versus 2.2% in the nonsteroid group ( P = .560). Conclusion and Relevance. Post-tonsillectomy steroid use is not associated with an increase in operative intervention for postoperative hemorrhage. |
| Databáze: | OpenAIRE |
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