Reduced Risk of Primary Postoperative Hemorrhage After Tonsil Surgery in Sweden: Results from the National Tonsil Surgery Register in Sweden Covering More Than 10 Years and 54,696 Operations
2011 (English)In: The Laryngoscope, ISSN 0023-852X, E-ISSN 1531-4995, Vol. 121, no 11, 2322-2326 p.Article in journal (Refereed) Published
Objectives/Hypothesis: To analyze the incidence of primary bleeding following tonsil surgery and to evaluate risk factors. less thanbrgreater than less thanbrgreater thanStudy Design: Register study of the results from the National Tonsil Surgery Register in Sweden covering the period 1997 to 2008 and 54,696 operations. less thanbrgreater than less thanbrgreater thanMethods: Data were collected by means of three questionnaires, two filled in by professionals and one 6 months post-operatively by the patient/parent. less thanbrgreater than less thanbrgreater thanResults: A total of 719 patients experienced primary postoperative bleeding during the hospital stay (1.3%). A number of independent factors were correlated with decreased risk of post-tonsillectomy hemorrhage: younger age (P andlt; .0001), female sex (P andlt; .0001), type of surgery (tonsillotomy) (P = .0006), and surgery performed on a day-surgery basis (P andlt; .0001). Indication for surgery and number of operations performed at the department did not correlate with postoperative bleeding risk. A significant decrease in primary postoperative hemorrhage rate from 2% to 0.96% was found during the study period. less thanbrgreater than less thanbrgreater thanConclusions: Primary hemorrhage following tonsil surgery is rare. During the study period, a significant decrease in primary bleeding rates occurred. The changes in practice with an increasing proportion of day-surgery cases and tonsillotomy have contributed to the reduced risk, but cannot completely explain the reduction.
Place, publisher, year, edition, pages
Wiley-Blackwell , 2011. Vol. 121, no 11, 2322-2326 p.
Tonsillectomy, tonsillotomy, postoperative hemorrhage, ambulatory surgery, outcome assessment (healthcare), quality assurance (healthcare)
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-72260DOI: 10.1002/lary.22179ISI: 000296714800009OAI: oai:DiVA.org:liu-72260DiVA: diva2:458808