ArticleLaryngoscope investigative otolaryngology2020
Risk factors of post-tonsillectomy hemorrhage in adults.
Article in Laryngoscope investigative otolaryngology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05206799 (A Multi-centre Clinical Study of Hemorrhage Rate After Coblation Tonsillectomy in Children), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Multi-centre Clinical Study of Hemorrhage Rate After Coblation Tonsillectomy in Children
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Tie or do not tie: comparing knot tying hemostasis in tonsillectomy with other methods of hemostasis. A systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025Pooled it
- Can probiotic gargles reduce post-tonsillectomy morbidity in adult patients? A pilot, triple-blind, randomised, controlled trial and feasibility study.The Journal of laryngology and otology · 2023Trial
- Risk Factors for Post-Tonsillectomy Hemorrhage: A 10-Year Retrospective Cohort Study at a Tertiary Military Hospital in Thailand.Turkish archives of otorhinolaryngology · 2026Article
- Postoperative Effects of Celecoxib on Opioid Use and Pain Control After Benign Oropharyngeal Surgery.The Laryngoscope · 2026Article
- Is the Risk of Clinically Significant Hemorrhage Following Tonsillectomy Greater in Adults Than Children?The Laryngoscope · 2026Article
- Adult BiZact Tonsillectomy: A Prospective Multicenter Study of Outcomes and Patient-Reported Recovery.Laryngoscope investigative otolaryngology · 2026Article
- Evaluation of Factors Associated with Post-Tonsillectomy Bleeding in Adults.Iranian journal of otorhinolaryngology · 2026Article
- Post-tonsillectomy hemorrhage: Incidence and predictors from a two-year retrospective study.Bioinformation · 2026Article
- Late posttonsillectomy haemorrhage, differences in unilateral versus bilateral tonsillectomy, a retrospective epidemiological multicentric study.Scientific reports · 2025Article
- Epidemiology of late postoperative bleeding in OSA-related tonsil surgery: a multicentric retrospective study.Journal of applied biomedicine · 2025Article
- A single-centre case-control study comparing readmission rates for robotic and traditional tonsillectomy.Journal of robotic surgery · 2025Article
- Comparison of Post-Tonsillectomy Hemorrhage Rate After Different Tonsillectomy Techniques: Systematic Review and Meta Analysis.Clinics and practice · 2025Review
- Effect of Body Mass Index on Post Tonsillectomy Hemorrhages.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023Article
- Multicentre clinical study of haemorrhage after coblation tonsillectomy in children: a prospective study protocol.BMJ open · 2023Article
- Development and validation of a machine learning-based predictive model for secondary post-tonsillectomy hemorrhage.Frontiers in surgery · 2023Article
- Post-tonsillectomy Hemorrhage: A Seven-year Retrospective Study.Iranian journal of otorhinolaryngology · 2021Article
- Risk factors of post-tonsillectomy hemorrhage in adults.Laryngoscope investigative otolaryngology · 2020Article
- Ninety-Day Emergency Department Rebound Following Adult Tonsillectomy: A Retrospective Cohort Study.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-facialeArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTonsillectomy is an essential surgery and is conducted on both children and adults. However, the risk factors of post-tonsillectomy hemorrhage for adult patients remain unclear. In this study, we analyzed post-tonsillectomy hemorrhage in adult patients.
methodsWe retrospectively analyzed 325 adult patients who underwent a tonsillectomy between 2014 and 2018 in our facilities.
resultsThe average age of this study's population was 31.7 ± 10.5 years (range: 19-70 years), and 250 (76.9%) patients were male. Overall, post-tonsillectomy hemorrhage occurred in 71 (21.8%) patients and 5 (1.5%) patients required a second surgery for hemostasis. Post-tonsillectomy hemorrhage often occurred on postoperative day zero or six. Using multiple logistic regression analysis, current smoking status (odds ratio 3.491; 95% confidence interval 1.813-6.723), male sex (odds ratio 3.924; 95% confidence interval 1.548-9.944), and perioperative non-steroidal anti-inflammatory drug administration (odds ratio 7.930; 95% confidence interval 1.004-62.64) were revealed as overall post-tonsillectomy hemorrhage risk factors. To analyze the hemorrhage period after tonsillectomy, we categorized the post-tonsillectomy hemorrhage patients into the primary (bleeding within postoperative day one) and secondary hemorrhage (bleeding on or after postoperative day two) groups. The current smoking status and older age were risk factors for primary hemorrhage and the current smoking status and sex (male) were risk factors for secondary hemorrhage.
conclusionsIn this study, smoking status, sex, and perioperative non-steroidal anti-inflammatory drug administration were the clinical risk factors for adult post-tonsillectomy hemorrhage. Thus, smoking cessation is, at least, mandatory for patients who receive tonsillectomy to avoid post-tonsillectomy hemorrhage. LEVEL OF EVIDENCE: 4.
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