Tonsillektomie bei Erwachsenen

Coordes, Annekatrin; Soudry, J.; Hofmann, VM; Lenarz, Minoo

doi:10.1007/s00106-015-0077-7

Cited by 3 publications

(2 citation statements)

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“…This study investigated the different risk factors for PTH after TE and abscess-TE. In accordance with the literature, no significant relationship was found between PTH and smoking [34], regular alcohol consumption, diabetes, hypertension [35], antihypertensive therapy, postoperative pain medication with NSAIDs (COX1 inhibitor) [8,36] or opioids [8], application of glucocorticoids [8,37], therapy with antibiotics [10,38], duration of hospital stay [24,39] and surgeon experience [15]. The only significant risk factor for PTH was being male, which is in line with other research groups [6][7][8][9][10][11][12][13], although others did not find a significant correlation [14][15][16][17][18].…”

Section: Discussionsupporting

confidence: 86%

See 1 more Smart Citation

Gender-specific risk factors in post-tonsillectomy hemorrhage

Coordes

Soudry

Hofmann

et al. 2016

Eur Arch Otorhinolaryngol

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There are gender-specific differences in the frequency and course of different diseases. Specifically, some studies have shown an increased risk of post-tonsillectomy hemorrhage (PTH). The aim of the study was to investigate gender-specific risk factors for hemorrhage after tonsillectomy (TE)/abscess-TE. We anonymously reviewed and recorded the relevant data of all patients (≥14 years) who underwent a TE/abscess-TE between 2011 and 2013 in the ENT Clinic of the Charité Universitätsmedizin Berlin, Campus Benjamin Franklin. A patient survey was used to complete missing data. We analyzed gender-specific risk factors for PTH. During the study period, 460 operations were performed and the data of 250 patients were analyzed (213 TE and 37 abscess-TE). The median patient age was 27 years (ranging from 14 to 83 years). The rate of primary PTH (<24 h after TE/abscess-TE) was 3 %, and the rate of secondary PTH (>24 h) was 23 %. A significantly higher PTH rate was associated with males (p = 0.037), which was still apparent in ages 21-30 after sub-classification. Multivariate analysis calculated diagnosis, regular alcohol consumption and administration of glucocorticoids to be independent risk factors associated with gender. In conclusion, the PTH rate is gender-specific, and male patients are at higher risk, especially in young adulthood. Therefore, doctors should advise male patients of the increased risk of bleeding and stress the importance of compliance. Also, close postoperative follow-up is desirable.

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Section: Discussionsupporting

confidence: 86%

“…Recently, we published our results investigating patients undergoing tonsillectomy (TE) for chronic tonsillitis [24], and we found an increased risk of PTH in males after TE. Therefore, we aimed to investigate whether there are gender-related differences regarding PTH in patients undergoing TE and abscess-TE.…”

Section: Introductionmentioning

confidence: 94%