Detailed Information on Publication Record
2021
Risk Factors for Postoperative Bleeding after Adenoidectomy
URÍK, Milan, Michal BARTOŠ, Soňa ŠIKOLOVÁ, Jana JANČÍKOVÁ, Klára PERCEOVÁ et. al.Basic information
Original name
Risk Factors for Postoperative Bleeding after Adenoidectomy
Authors
URÍK, Milan (703 Slovakia, belonging to the institution), Michal BARTOŠ (203 Czech Republic, belonging to the institution), Soňa ŠIKOLOVÁ (203 Czech Republic, belonging to the institution), Jana JANČÍKOVÁ (203 Czech Republic, belonging to the institution), Klára PERCEOVÁ (703 Slovakia, belonging to the institution), Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution), Eva KLABUSAYOVÁ (203 Czech Republic, belonging to the institution), Petr ŠTOURAČ (203 Czech Republic, belonging to the institution) and Petr JABANDŽIEV (203 Czech Republic, guarantor, belonging to the institution)
Edition
Children-Basel, BASEL, SWITZERLAND, MDPI AG, 2021, 2227-9067
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30209 Paediatrics
Country of publisher
Switzerland
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
Impact factor
Impact factor: 2.835
RIV identification code
RIV/00216224:14110/21:00121374
Organization unit
Faculty of Medicine
UT WoS
000633458100001
Keywords in English
bleeding; adenoidectomy; children; surgery; risk factors
Tags
International impact, Reviewed
Změněno: 3/11/2022 13:18, Mgr. Tereza Miškechová
Abstract
V originále
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.
Links
| MUNI/A/1118/2020, interní kód MU |
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