Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

Risk Factors for Postoperative Bleeding after Adenoidectomy

M. Urík, M. Bartoš, S. Šikolová, J. Jančíková, K. Perceová, J. Jarkovský, E. Klabusayová, P. Štourač, P. Jabandžiev

. 2021 ; 8 (3) : . [pub] 20210321

Jazyk angličtina Země Švýcarsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc21018124

Grantová podpora
xxx University Hospital Brno

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 (p = 0.046), diastolic (p = 0.012), and mean arterial blood pressure (p = 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 (p < 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.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc21018124
003      
CZ-PrNML
005      
20210729104136.0
007      
ta
008      
210726s2021 sz f 000 0|eng||
009      
AR
024    7_
$a 10.3390/children8030242 $2 doi
035    __
$a (PubMed)33801025
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a sz
100    1_
$a Urík, Milan $u Department of Paediatric Otorhinolaryngology, University Hospital Brno and Faculty of Medicine, Masaryk University, 61300 Brno, Czech Republic
245    10
$a Risk Factors for Postoperative Bleeding after Adenoidectomy / $c M. Urík, M. Bartoš, S. Šikolová, J. Jančíková, K. Perceová, J. Jarkovský, E. Klabusayová, P. Štourač, P. Jabandžiev
520    9_
$a 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 (p = 0.046), diastolic (p = 0.012), and mean arterial blood pressure (p = 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 (p < 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.
655    _2
$a časopisecké články $7 D016428
700    1_
$a Bartoš, Michal $u Department of Paediatric Otorhinolaryngology, University Hospital Brno and Faculty of Medicine, Masaryk University, 61300 Brno, Czech Republic
700    1_
$a Šikolová, Soňa $u Department of Paediatric Otorhinolaryngology, University Hospital Brno and Faculty of Medicine, Masaryk University, 61300 Brno, Czech Republic
700    1_
$a Jančíková, Jana $u Department of Paediatric Otorhinolaryngology, University Hospital Brno and Faculty of Medicine, Masaryk University, 61300 Brno, Czech Republic
700    1_
$a Perceová, Klára $u Department of Paediatric Otorhinolaryngology, University Hospital Brno and Faculty of Medicine, Masaryk University, 61300 Brno, Czech Republic
700    1_
$a Jarkovský, Jiří $u Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, 61300 Brno, Czech Republic
700    1_
$a Klabusayová, Eva $u Department of Paediatric Anaesthesiology and Intensive Care Medicine, University Hospital Brno and Faculty of Medicine, Masaryk University, 61300, Brno, Czech Republic
700    1_
$a Štourač, Petr $u Department of Paediatric Anaesthesiology and Intensive Care Medicine, University Hospital Brno and Faculty of Medicine, Masaryk University, 61300, Brno, Czech Republic
700    1_
$a Jabandžiev, Petr $u Department of Pediatrics, University Hospital Brno and Faculty of Medicine, Masaryk University, Černopolní 9, 61300 Brno, Czech Republic $u Central European Institute of Technology, Masaryk University, 61300 Brno, Czech Republic
773    0_
$w MED00198716 $t Children (Basel, Switzerland) $x 2227-9067 $g Roč. 8, č. 3 (2021)
856    41
$u https://pubmed.ncbi.nlm.nih.gov/33801025 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20210726 $b ABA008
991    __
$a 20210729104135 $b ABA008
999    __
$a ind $b bmc $g 1676547 $s 1138568
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2021 $b 8 $c 3 $e 20210321 $i 2227-9067 $m Children $n Children (Basel) $x MED00198716
GRA    __
$a xxx $p University Hospital Brno
LZP    __
$a Pubmed-20210726

Najít záznam

Citační ukazatele

Možnosti archivace