Risk Factors for Postoperative Bleeding after Adenoidectomy

J 2021

Risk Factors for Postoperative Bleeding after Adenoidectomy

URÍK, Milan, Michal BARTOŠ, Soňa ŠIKOLOVÁ, Jana JANČÍKOVÁ, Klára PERCEOVÁ et. al.

Základní údaje

Originální název

Risk Factors for Postoperative Bleeding after Adenoidectomy

Autoři

URÍK, Milan (703 Slovensko, domácí), Michal BARTOŠ (203 Česká republika, domácí), Soňa ŠIKOLOVÁ (203 Česká republika, domácí), Jana JANČÍKOVÁ (203 Česká republika, domácí), Klára PERCEOVÁ (703 Slovensko, domácí), Jiří JARKOVSKÝ (203 Česká republika, domácí), Eva KLABUSAYOVÁ (203 Česká republika, domácí), Petr ŠTOURAČ (203 Česká republika, domácí) a Petr JABANDŽIEV (203 Česká republika, garant, domácí)

Vydání

Children-Basel, BASEL, SWITZERLAND, MDPI AG, 2021, 2227-9067

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30209 Paediatrics

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.835

Kód RIV

RIV/00216224:14110/21:00121374

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.3390/children8030242

UT WoS

000633458100001

Klíčová slova anglicky

bleeding; adenoidectomy; children; surgery; risk factors

Štítky

14110317, 14110319, 14110322, 14119612, podil, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 3. 11. 2022 13:18, Mgr. Tereza Miškechová

Anotace

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.

Návaznosti

MUNI/A/1118/2020, interní kód MU

Název: Ztráta sluchu v dětském věku - příčiny, diagnostika, možnosti rehabilitace V.

Investor: Masarykova univerzita, Ztráta sluchu v dětském věku - příčiny, diagnostika, možnosti rehabilitace V.

Citovat

URÍK, Milan, Michal BARTOŠ, Soňa ŠIKOLOVÁ, Jana JANČÍKOVÁ, Klára PERCEOVÁ, Jiří JARKOVSKÝ, Eva KLABUSAYOVÁ, Petr ŠTOURAČ a Petr JABANDŽIEV. Risk Factors for Postoperative Bleeding after Adenoidectomy. Children-Basel. BASEL, SWITZERLAND: MDPI AG, 2021, roč. 8, č. 3, s. 1-8. ISSN 2227-9067. Dostupné z: https://dx.doi.org/10.3390/children8030242.

@article{1758357,
   author = {Urík, Milan and Bartoš, Michal and Šikolová, Soňa and Jančíková, Jana and Perceová, Klára and Jarkovský, Jiří and Klabusayová, Eva and Štourač, Petr and Jabandžiev, Petr},
   article_location = {BASEL, SWITZERLAND},
   article_number = {3},
   doi = {http://dx.doi.org/10.3390/children8030242},
   keywords = {bleeding; adenoidectomy; children; surgery; risk factors},
   language = {eng},
   issn = {2227-9067},
   journal = {Children-Basel},
   title = {Risk Factors for Postoperative Bleeding after Adenoidectomy},
   url = {https://www.mdpi.com/2227-9067/8/3/242},
   volume = {8},
   year = {2021}
}

TY  - JOUR
ID  - 1758357
AU  - Urík, Milan - Bartoš, Michal - Šikolová, Soňa - Jančíková, Jana - Perceová, Klára - Jarkovský, Jiří - Klabusayová, Eva - Štourač, Petr - Jabandžiev, Petr
PY  - 2021
TI  - Risk Factors for Postoperative Bleeding after Adenoidectomy
JF  - Children-Basel
VL  - 8
IS  - 3
SP  - 1-8
EP  - 1-8
PB  - MDPI AG
SN  - 22279067
KW  - bleeding
KW  - adenoidectomy
KW  - children
KW  - surgery
KW  - risk factors
UR  - https://www.mdpi.com/2227-9067/8/3/242
N2  - 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.
ER  -

URÍK, Milan, Michal BARTOŠ, Soňa ŠIKOLOVÁ, Jana JANČÍKOVÁ, Klára PERCEOVÁ, Jiří JARKOVSKÝ, Eva KLABUSAYOVÁ, Petr ŠTOURAČ a Petr JABANDŽIEV. Risk Factors for Postoperative Bleeding after Adenoidectomy. \textit{Children-Basel}. BASEL, SWITZERLAND: MDPI AG, 2021, roč.~8, č.~3, s.~1-8. ISSN~2227-9067. Dostupné z: https://dx.doi.org/10.3390/children8030242.

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