儿童扁桃体切除术术后出血：回顾性队列

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

{"title":"儿童扁桃体切除术术后出血：回顾性队列","authors":"Yan Liu, Jiayan Xu, Yamei Fan, Ying Zhou","doi":"10.1177/00099228241261203","DOIUrl":null,"url":null,"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.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"257-263"},"PeriodicalIF":1.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Postoperative Bleeding in Children With Tonsillectomy: A Retrospective Cohort.\",\"authors\":\"Yan Liu, Jiayan Xu, Yamei Fan, Ying Zhou\",\"doi\":\"10.1177/00099228241261203\",\"DOIUrl\":null,\"url\":null,\"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.\",\"PeriodicalId\":10363,\"journal\":{\"name\":\"Clinical Pediatrics\",\"volume\":\" \",\"pages\":\"257-263\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00099228241261203\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/16 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00099228241261203","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/16 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

摘要

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。

查看原文本刊更多论文

Postoperative Bleeding in Children With Tonsillectomy: A Retrospective Cohort.

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.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

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.