Post-tonsillectomy hemorrhage in children with hematological abnormalities

Naren N. Venkatesan, Regina E. Rodman, Shraddha S. Mukerji

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: Tonsillectomy is a common procedure performed in children with the main complication being post-operative hemorrhage. It is uncertain if patients with hematological abnormalities face a higher risk of post-operative hemorrhage. Study design: Retrospective chart review. Setting: Tertiary referral hospital. Patients selected: All patients with a known hematologic disorder as well as children without a hematologic abnormality undergoing tonsillectomy with or without adenoidectomy in the past two years at our institution were included in this study. Main outcome measure: We sought to determine whether children with hematologic disorders are at an increased risk of post-operative hemorrhage after surgery. Results: Four-hundred and sixty-two patients were identified who underwent a tonsillectomy during this time period. Fourteen patients with hematological abnormalities were identified with only one patient suffering a post-tonsillectomy hemorrhage. All patients with abnormal laboratory values prior surgery underwent medical treatment in conjunction with pediatric hematology and did not suffer a post-tonsillectomy hemorrhage. Despite a small study group, the low incidence (1/14) of post-tonsillectomy hemorrhage in patients with hematological abnormalities suggests that these patients may not be at an increased risk, especially if appropriately evaluated and treated pre-operatively. Conclusion: Despite small sample size the results of our study suggest that patients with coagulation disorders may not have an increased risk of post-tonsillectomy hemorrhage when evaluated and corrected pre-operatively.

Original languageEnglish (US)
Pages (from-to)959-963
Number of pages5
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume77
Issue number6
DOIs
StatePublished - Jun 2013

Fingerprint

Tonsillectomy
Hemorrhage
Adenoidectomy
Hematology
Tertiary Care Centers
Sample Size
Retrospective Studies
Outcome Assessment (Health Care)
Pediatrics

Keywords

  • Children
  • Coagulation factors
  • Coagulopathies
  • Hematological disease
  • Post-tonsillectomy hemorrhage
  • Sickle cell disease

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health

Cite this

Post-tonsillectomy hemorrhage in children with hematological abnormalities. / Venkatesan, Naren N.; Rodman, Regina E.; Mukerji, Shraddha S.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 77, No. 6, 06.2013, p. 959-963.

Research output: Contribution to journalArticle

Venkatesan, Naren N. ; Rodman, Regina E. ; Mukerji, Shraddha S. / Post-tonsillectomy hemorrhage in children with hematological abnormalities. In: International Journal of Pediatric Otorhinolaryngology. 2013 ; Vol. 77, No. 6. pp. 959-963.
@article{5a1deca788634379bce0920469f97be0,
title = "Post-tonsillectomy hemorrhage in children with hematological abnormalities",
abstract = "Objective: Tonsillectomy is a common procedure performed in children with the main complication being post-operative hemorrhage. It is uncertain if patients with hematological abnormalities face a higher risk of post-operative hemorrhage. Study design: Retrospective chart review. Setting: Tertiary referral hospital. Patients selected: All patients with a known hematologic disorder as well as children without a hematologic abnormality undergoing tonsillectomy with or without adenoidectomy in the past two years at our institution were included in this study. Main outcome measure: We sought to determine whether children with hematologic disorders are at an increased risk of post-operative hemorrhage after surgery. Results: Four-hundred and sixty-two patients were identified who underwent a tonsillectomy during this time period. Fourteen patients with hematological abnormalities were identified with only one patient suffering a post-tonsillectomy hemorrhage. All patients with abnormal laboratory values prior surgery underwent medical treatment in conjunction with pediatric hematology and did not suffer a post-tonsillectomy hemorrhage. Despite a small study group, the low incidence (1/14) of post-tonsillectomy hemorrhage in patients with hematological abnormalities suggests that these patients may not be at an increased risk, especially if appropriately evaluated and treated pre-operatively. Conclusion: Despite small sample size the results of our study suggest that patients with coagulation disorders may not have an increased risk of post-tonsillectomy hemorrhage when evaluated and corrected pre-operatively.",
keywords = "Children, Coagulation factors, Coagulopathies, Hematological disease, Post-tonsillectomy hemorrhage, Sickle cell disease",
author = "Venkatesan, {Naren N.} and Rodman, {Regina E.} and Mukerji, {Shraddha S.}",
year = "2013",
month = "6",
doi = "10.1016/j.ijporl.2013.03.017",
language = "English (US)",
volume = "77",
pages = "959--963",
journal = "International Journal of Pediatric Otorhinolaryngology",
issn = "0165-5876",
publisher = "Elsevier Ireland Ltd",
number = "6",

}

TY - JOUR

T1 - Post-tonsillectomy hemorrhage in children with hematological abnormalities

AU - Venkatesan, Naren N.

AU - Rodman, Regina E.

AU - Mukerji, Shraddha S.

PY - 2013/6

Y1 - 2013/6

N2 - Objective: Tonsillectomy is a common procedure performed in children with the main complication being post-operative hemorrhage. It is uncertain if patients with hematological abnormalities face a higher risk of post-operative hemorrhage. Study design: Retrospective chart review. Setting: Tertiary referral hospital. Patients selected: All patients with a known hematologic disorder as well as children without a hematologic abnormality undergoing tonsillectomy with or without adenoidectomy in the past two years at our institution were included in this study. Main outcome measure: We sought to determine whether children with hematologic disorders are at an increased risk of post-operative hemorrhage after surgery. Results: Four-hundred and sixty-two patients were identified who underwent a tonsillectomy during this time period. Fourteen patients with hematological abnormalities were identified with only one patient suffering a post-tonsillectomy hemorrhage. All patients with abnormal laboratory values prior surgery underwent medical treatment in conjunction with pediatric hematology and did not suffer a post-tonsillectomy hemorrhage. Despite a small study group, the low incidence (1/14) of post-tonsillectomy hemorrhage in patients with hematological abnormalities suggests that these patients may not be at an increased risk, especially if appropriately evaluated and treated pre-operatively. Conclusion: Despite small sample size the results of our study suggest that patients with coagulation disorders may not have an increased risk of post-tonsillectomy hemorrhage when evaluated and corrected pre-operatively.

AB - Objective: Tonsillectomy is a common procedure performed in children with the main complication being post-operative hemorrhage. It is uncertain if patients with hematological abnormalities face a higher risk of post-operative hemorrhage. Study design: Retrospective chart review. Setting: Tertiary referral hospital. Patients selected: All patients with a known hematologic disorder as well as children without a hematologic abnormality undergoing tonsillectomy with or without adenoidectomy in the past two years at our institution were included in this study. Main outcome measure: We sought to determine whether children with hematologic disorders are at an increased risk of post-operative hemorrhage after surgery. Results: Four-hundred and sixty-two patients were identified who underwent a tonsillectomy during this time period. Fourteen patients with hematological abnormalities were identified with only one patient suffering a post-tonsillectomy hemorrhage. All patients with abnormal laboratory values prior surgery underwent medical treatment in conjunction with pediatric hematology and did not suffer a post-tonsillectomy hemorrhage. Despite a small study group, the low incidence (1/14) of post-tonsillectomy hemorrhage in patients with hematological abnormalities suggests that these patients may not be at an increased risk, especially if appropriately evaluated and treated pre-operatively. Conclusion: Despite small sample size the results of our study suggest that patients with coagulation disorders may not have an increased risk of post-tonsillectomy hemorrhage when evaluated and corrected pre-operatively.

KW - Children

KW - Coagulation factors

KW - Coagulopathies

KW - Hematological disease

KW - Post-tonsillectomy hemorrhage

KW - Sickle cell disease

UR - http://www.scopus.com/inward/record.url?scp=84877795242&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84877795242&partnerID=8YFLogxK

U2 - 10.1016/j.ijporl.2013.03.017

DO - 10.1016/j.ijporl.2013.03.017

M3 - Article

C2 - 23582539

AN - SCOPUS:84877795242

VL - 77

SP - 959

EP - 963

JO - International Journal of Pediatric Otorhinolaryngology

JF - International Journal of Pediatric Otorhinolaryngology

SN - 0165-5876

IS - 6

ER -