Case cohort study of risk factors for post-thyroidectomy hemorrhage

American Journal of Surgery
Scott SamonaElango Edhayan

Abstract

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. 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. 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. 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.

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Citations

Mar 28, 2017·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Cagla DemirciBernhard Floerchinger
Oct 27, 2018·Revista do Colégio Brasileiro de Cirurgiões·Ricardo Mai RochaGustavo Peixoto Soares Miguel
Sep 27, 2019·The Journal of Dermatology·Yasuaki Harabuchi, Miki Takahara
Apr 27, 2017·World Journal of Surgery·Thomas von AhnenStefan Schopf
May 20, 2021·Risk Management and Healthcare Policy·Jia-Yu ZhangZhi-Ying Yang
Jun 16, 2021·Annals of Surgical Oncology·Ujas S ShahKelly L McCoy

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