Postoperative Bleeding in Children With Tonsillectomy: A Retrospective Cohort.

IF 1 4区医学 Q3 PEDIATRICS

Clinical Pediatrics Pub Date : 2025-02-01 Epub Date: 2024-06-16 DOI:10.1177/00099228241261203

Yan Liu, Jiayan Xu, Yamei Fan, Ying Zhou

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引用次数: 0

Abstract

Background: It is necessary to evaluate the risk factors of secondary bleeding after tonsillectomy in children, to provide reference for clinical children management and care.

Methods: Children who underwent tonsillectomy from January 1, 2018, to December 31, 2022, in our hospital were retrospectively included. The characteristics of children with and without secondary bleeding were analyzed.

Results: A total of 1068 children undergoing tonsillectomy were included, and the incidence of secondary bleeding children undergoing tonsillectomy was 4.87%. Age ≥ 9 years old (odds ratio [OR] = 2.609, 95% confidence interval [CI] = 2.112-3.437), type of surgery (OR = 1.764, 95% CI = 1.148-2.291), and degree of tonsil embedding (OR = 2.116, 95% CI = 1.805-2.644) were the risk factors of secondary bleeding after tonsillectomy in children (all P < .05).

Conclusion: Medical staff should proactively monitor and address the identified risk factors by implementing timely warning systems and preventive strategies to reduce the postoperative bleeding following tonsillectomy.

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儿童扁桃体切除术术后出血：回顾性队列

背景：有必要评估儿童扁桃体切除术后继发性出血的风险因素，为临床儿童管理和护理提供参考：有必要对儿童扁桃体切除术后继发性出血的危险因素进行评估，为临床儿童管理和护理提供参考：回顾性纳入2018年1月1日至2022年12月31日在我院接受扁桃体切除术的患儿。分析有继发性出血和无继发性出血患儿的特征：共纳入1068名接受扁桃体切除术的患儿，接受扁桃体切除术的患儿继发性出血发生率为4.87%。年龄≥9岁（几率比[OR]=2.609，95%置信区间[CI]=2.112-3.437）、手术类型（OR=1.764，95%CI=1.148-2.291）和扁桃体嵌入程度（OR=2.116，95%CI=1.805-2.644）是儿童扁桃体切除术后继发性出血的风险因素（所有P<0.05）：医务人员应通过实施及时预警系统和预防策略，主动监测和应对已识别的风险因素，以减少扁桃体切除术后出血。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Pediatrics 医学-小儿科

CiteScore

2.10

自引率

6.20%

发文量

189

审稿时长

3-8 weeks

期刊介绍： Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.