Risk of post-tonsillectomy hemorrhage among COVID-19 positive pediatric patients.
Risk of post-tonsillectomy hemorrhage among COVID-19 positive pediatric patients.
- 2024
CONCLUSION: The results of this investigation suggest that the presence of COVID-19 in the perioperative period may pose an increased risk for acute or delayed post tonsillectomy hemorrhage. This study employed a large, diverse population and is the first to address this clinical question. Copyright © 2024. Published by Elsevier B.V. METHODS: The TriNetX database was queried for pediatric patients who underwent tonsillectomy and evaluated for outcomes of primary and secondary post-tonsillectomy hemorrhage. OBJECTIVE: COVID-19 infection has been demonstrated to increase risk for post-operative bleeding. This study investigated the impact of COVID-19 infection on post-tonsillectomy hemorrhage in pediatric patients, a potentially devastating complication. RESULTS: Among subjects 18 years and younger, 1226 were COVID-19 positive and 38,241 were COVID-19 negative in the perioperative period. There was statistically significant increased risk of bleeding with perioperative COVID-19 infection at postoperative days 1, 5, and 10. Additionally, when assessing the role of COVID-19 infection before or after surgery, the risk of bleeding remained statistically significant at all three time points, however these results did not suggest that infection before surgery confers more/less risk compared to infection after. STUDY DESIGN: Retrospective cohort study.
English
0165-5876
S0165-5876(24)00044-2 [pii]
*COVID-19
*Tonsillectomy
Child
COVID-19/co [Complications]
Humans
Postoperative Hemorrhage/ep [Epidemiology]
Postoperative Hemorrhage/et [Etiology]
Postoperative Period
Retrospective Studies
Tonsillectomy/ae [Adverse Effects]
Tonsillectomy/mt [Methods]--Automated
MedStar Georgetown University Hospital/MedStar Washington Hospital Center
Otolaryngology Residency
Journal Article
CONCLUSION: The results of this investigation suggest that the presence of COVID-19 in the perioperative period may pose an increased risk for acute or delayed post tonsillectomy hemorrhage. This study employed a large, diverse population and is the first to address this clinical question. Copyright © 2024. Published by Elsevier B.V. METHODS: The TriNetX database was queried for pediatric patients who underwent tonsillectomy and evaluated for outcomes of primary and secondary post-tonsillectomy hemorrhage. OBJECTIVE: COVID-19 infection has been demonstrated to increase risk for post-operative bleeding. This study investigated the impact of COVID-19 infection on post-tonsillectomy hemorrhage in pediatric patients, a potentially devastating complication. RESULTS: Among subjects 18 years and younger, 1226 were COVID-19 positive and 38,241 were COVID-19 negative in the perioperative period. There was statistically significant increased risk of bleeding with perioperative COVID-19 infection at postoperative days 1, 5, and 10. Additionally, when assessing the role of COVID-19 infection before or after surgery, the risk of bleeding remained statistically significant at all three time points, however these results did not suggest that infection before surgery confers more/less risk compared to infection after. STUDY DESIGN: Retrospective cohort study.
English
0165-5876
S0165-5876(24)00044-2 [pii]
*COVID-19
*Tonsillectomy
Child
COVID-19/co [Complications]
Humans
Postoperative Hemorrhage/ep [Epidemiology]
Postoperative Hemorrhage/et [Etiology]
Postoperative Period
Retrospective Studies
Tonsillectomy/ae [Adverse Effects]
Tonsillectomy/mt [Methods]--Automated
MedStar Georgetown University Hospital/MedStar Washington Hospital Center
Otolaryngology Residency
Journal Article