SynthesisBMC surgery2019
Risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy: a systematic review and meta-analysis.
Synthesis in BMC surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.
- Risk factors for symptomatic hematoma following cervical spine surgery: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- Impact of BMI on perioperative outcomes following total thyroidectomy: a systematic review and meta-analysis.Thyroid research · 2026Review
- Determinants of Postoperative Outcomes and Cost in Short-Stay Total Thyroidectomy Hospitalisations: A Retrospective Database Study.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2026Article
- Can't Intubate, Can't Oxygenate Airway Failure Due to Post-thyroidectomy Cervical Hematoma: A Case Report.Cureus · 2026Article
- Thyroidectomy: A Standardized Surgical Technique with a Hybrid Energy Device to Minimize the Risk of Post-Operative Hemorrhage.Journal of clinical medicine · 2026Article
- Predictors of Post-Thyroidectomy Cervical Hematoma: Does Operative Start Time Matter? A Retrospective Single-Center Study.Medicina (Kaunas, Lithuania) · 2026Article
- Risk Factors for Postoperative Hemorrhage Following Thyroid Surgery: Results of a Case-Control Study and Development of a Stratified Risk Model Using Random Forest Analysis.Journal of clinical medicine · 2026Article
- Bilateral superior and inferior thyroid artery embolization for massive thyroidectomy site bleeding: A case report.Radiology case reports · 2026Article
- Prognostic Value of the Systemic Immuno-Inflammation Index (SII) in the Formation of Seroma and Hematoma Following Thyroidectomy.International archives of otorhinolaryngology · 2026Article
- The Use of Microporous Polysaccharide Hemospheres in Thyroid Surgery: A Retrospective Study on Safety and Clinical Outcomes.Medicina (Kaunas, Lithuania) · 2025Article
- Safety of radiofrequency ablation in patients with hyperparathyroidism: a 10-year real-world multicenter experience.European radiology · 2025Article
- Factors Increasing the Likelihood of Postoperative Hematomas Following Thyroid Surgery.Head & neck · 2025Article
- Clinical features and nursing strategies of reexploration for hematomas after thyroid surgery: insights from a 7-year single-center study in China.BMC surgery · 2025Article
- Risk of Neck Hematoma Following Thyroidectomy in Patients Taking Direct Oral Anticoagulants: A Propensity Score Matching Analysis from Nine High-Volume European Centers (RAGNO Study).Journal of clinical medicine · 2025Article
- Optimizing Airway Management Strategies for Anterior Neck Hematoma Following Parotidectomy.Cureus · 2025Article
- Article
- Risk Factors for Cervical Hematoma After Thyroid Surgery at a Portuguese Hospital: A Retrospective Study.Cureus · 2024Article
- Impact of Drain Placement on Postoperative Complications after Thyroidectomy for Substernal Goiter.International archives of otorhinolaryngology · 2024Article
- Evaluation of Hematoma Formation after Thyroidectomy Surgery and Its Related Factors.World journal of plastic surgery · 2024Article
- Evaluation of Thyroidectomy Results Performed at a Tertiary Academic Center.Turkish archives of otorhinolaryngology · 2023Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIn this systematic review and meta-analysis, we aimed to determine the risk factors associated with neck hematoma requiring surgical re-intervention after thyroidectomy.
methodsWe systematically searched all articles available in the literature published in PubMed and CNKI databases through May 30, 2017. The quality of these articles was assessed using the Newcastle-Ottawa Quality Assessment Scale, and data were extracted for classification and analysis by focusing on articles related with neck hematoma requiring surgical re-intervention after thyroidectomy. Our meta-analysis was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines.
resultsOf the 1028 screened articles, 26 met the inclusion criteria and were finally analyzed. The factors associated with a high risk of neck hematoma requiring surgical re-intervention after thyroidectomy included male gender (odds ratio [OR]: 1.86, 95% confidence interval [CI]: 1.60-2.17, P < 0.00001), age (MD: 4.92, 95% CI: 4.28-5.56, P < 0.00001), Graves disease (OR: 1.81, 95% CI: 1.60-2.05, P < 0.00001), hypertension (OR: 2.27, 95% CI: 1.43-3.60, P = 0.0005), antithrombotic drug use (OR: 1.92, 95% CI: 1.51-2.44, P < 0.00001), thyroid procedure in low-volume hospitals (OR: 1.32, 95% CI: 1.12-1.57, P = 0.001), prior thyroid surgery (OR: 1.93, 95% CI: 1.11-3.37, P = 0.02), bilateral thyroidectomy (OR: 1.19, 95% CI: 1.09-1.30, P < 0.0001), and neck dissection (OR: 1.55, 95% CI: 1.23-1.94, P = 0.0002). Smoking status (OR: 1.19, 95% CI: 0.99-1.42, P = 0.06), malignant tumors (OR: 1.00, 95% CI: 0.83-1.20, P = 0.97), and drainage used (OR: 2.02, 95% CI: 0.69-5.89, P = 0.20) were not significantly associated with postoperative neck hematoma.
conclusionWe identified certain risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy, including male gender, age, Graves disease, hypertension, antithrombotic agent use, history of thyroid procedures in low-volume hospitals, previous thyroid surgery, bilateral thyroidectomy, and neck dissection. Appropriate intervention measures based on these risk factors may reduce the incidence of postoperative hematoma and yield greater benefits for the patients.
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