TY - BOOK AU - Leonard, James TI - Risk of post-tonsillectomy hemorrhage among COVID-19 positive pediatric patients SN - 0165-5876 PY - 2024/// KW - *COVID-19 KW - *Tonsillectomy KW - Child KW - COVID-19/co [Complications] KW - Humans KW - Postoperative Hemorrhage/ep [Epidemiology] KW - Postoperative Hemorrhage/et [Etiology] KW - Postoperative Period KW - Retrospective Studies KW - Tonsillectomy/ae [Adverse Effects] KW - Tonsillectomy/mt [Methods] KW - Automated KW - MedStar Georgetown University Hospital/MedStar Washington Hospital Center KW - Otolaryngology Residency KW - Journal Article N2 - 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 UR - https://dx.doi.org/10.1016/j.ijporl.2024.111890 ER -