Scott Samona1, Karen Hagglund1, Elango Edhayan1. 1. General Surgery Department, St. John Hospital and Medical Center, 22151 Moross Road, PB 1, Suite 212, Detroit, MI 48236, USA.
Abstract
BACKGROUND: Post-thyroidectomy hemorrhage is a potentially life-threatening complication of thyroid surgery. The goal of our study was to determine potential risk factors for development of post-thyroidectomy hemorrhage. METHODS: A retrospective case cohort study of patients with post-thyroidectomy hemorrhage between December 2008 and August 2014 was performed. This group of patients was compared with a stratified randomized control group, and several parameters were assessed for association with post-thyroidectomy hemorrhage. RESULTS: Sixteen patients were identified in this time period as developing post-thyroidectomy hemorrhage requiring reoperation. Postoperative hypertension, vomiting and/or straining, longer operative times, and extent of surgical dissection were found to be statistically significant risk factors. Postoperative hypertension was found to be the most significant risk factor, resulting in a 20.3 times increased likelihood of developing post-thyroidectomy hemorrhage. CONCLUSIONS: A number of risk factors for post-thyroidectomy hemorrhage were identified. The most significant was postoperative hypertension. Early control of modifiable risk factors could improve patient outcomes and satisfaction.
BACKGROUND: Post-thyroidectomy hemorrhage is a potentially life-threatening complication of thyroid surgery. The goal of our study was to determine potential risk factors for development of post-thyroidectomy hemorrhage. METHODS: A retrospective case cohort study of patients with post-thyroidectomy hemorrhage between December 2008 and August 2014 was performed. This group of patients was compared with a stratified randomized control group, and several parameters were assessed for association with post-thyroidectomy hemorrhage. RESULTS: Sixteen patients were identified in this time period as developing post-thyroidectomy hemorrhage requiring reoperation. Postoperative hypertension, vomiting and/or straining, longer operative times, and extent of surgical dissection were found to be statistically significant risk factors. Postoperative hypertension was found to be the most significant risk factor, resulting in a 20.3 times increased likelihood of developing post-thyroidectomy hemorrhage. CONCLUSIONS: A number of risk factors for post-thyroidectomy hemorrhage were identified. The most significant was postoperative hypertension. Early control of modifiable risk factors could improve patient outcomes and satisfaction.
Authors: Thomas von Ahnen; Martin von Ahnen; Sonja Militz; Dana Preußer; Ulrich Wirth; Hans Martin Schardey; Stefan Schopf Journal: World J Surg Date: 2017-09 Impact factor: 3.352
Authors: Andrea Polistena; Pierpaolo Di Lorenzo; Alessandro Sanguinetti; Claudio Buccelli; Giovanni Conzo; Adelaide Conti; Massimo Niola; Nicola Avenia Journal: Open Med (Wars) Date: 2016-08-02