Association of ibuprofen use with post-tonsillectomy bleeding in older children

American Journal of Otolaryngology
Robert T SwansonMichele M Carr

Abstract

Evaluate post-tonsillectomy outcomes in children discharged with ibuprofen versus those without. This was a retrospective review of children who underwent tonsillectomy ± adenoidectomy from 2012 to 2016 at a tertiary care children's hospital. Main outcome measures included bleed rates, ER visits, and nurse phone calls. Seven hundred and seventy-three patients were included; 504 had ibuprofen at discharge (ID) and 269 did not (NID). There were significant differences in mean age, 6.7 years in the ID group years versus 8.6 for the NID group (P < 0.001). Indication for surgery was sleep apnea in 70.5% of ID patients and 44.0% of NID patients (P < 0.001). Post-tonsillectomy bleeds occurred in 8.7% in the ID group and 5.9% of the NID group (P = 0.168). Other outcome measures revealed no significant differences between the two groups. There was no significant difference in the outcome measures between patients with sleep apnea or recurrent tonsillitis. Age was important; 12.1% of children 9-18 years versus 4.8% in children 3.1-6 years (P = 0.006) had post-tonsillectomy bleeding. For children 9-18 years old, 16.7% in the ID group bled versus 7.5% in the NID group (P = 0.039). Logistical regression revealed that age contributed to post...Continue Reading

Citations

May 31, 2019·The Laryngoscope·Kathleen McClainKathleen Yaremchuk
Jun 5, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·William StokesMichele M Carr
Jun 18, 2020·The Annals of Otology, Rhinology, and Laryngology·Grayson MastMichele M Carr
Aug 5, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Daniel C O'BrienBrian Kellermeyer
Aug 19, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·John D CramerMichael J Brenner
Dec 12, 2018·The Laryngoscope·Mallory McKeonKaren Watters
Dec 6, 2019·The Annals of Otology, Rhinology, and Laryngology·Christopher RobertsMichele M Carr
Aug 25, 2020·Ear, Nose, & Throat Journal·Turki AldreesYazeed Aloqaili
Oct 7, 2020·The Laryngoscope·Yusuf M AgamawiJennifer V Brinkmeier
Dec 10, 2020·The Annals of Otology, Rhinology, and Laryngology·Jennifer H GrossJudith E C Lieu
Jun 16, 2019·International Journal of Pediatric Otorhinolaryngology·Reena RazdanMichele M Carr
Feb 15, 2020·Brazilian Journal of Otorhinolaryngology·Ji-Sun KimSe Hwan Hwang
Sep 25, 2021·The Laryngoscope·Steven D LosorelliMai Thy Truong

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