Evidence map›Paper›PMID 39936339›Full record

ArticleHead & neck2025

Factors Increasing the Likelihood of Postoperative Hematomas Following Thyroid Surgery.

Emily Ajit-Roger, Jessica Hier, Marco Mascarella, Koorosh Semsar-Kazerooni, Sabrina Daniela Silva Wurzba, Véronique-Isabelle Forest, Michael P Hier, Alex Mlynarek, Carmelina Mancini, Richard J Payne

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Head & neck, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Emily Ajit-RogerFaculty of Medicine and Health Sciences, McGill University, Montréal, Quebec, Canada.ORCID 0009-0004-7362-2633
Jessica HierDepartment of Otolaryngology - Head and Neck Surgery, Faculty of Medicine, McGill University, Montréal, Quebec, Canada.
Marco MascarellaDepartment of Otolaryngology - Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal, Quebec, Canada.
Koorosh Semsar-KazerooniDepartment of Otolaryngology - Head and Neck Surgery, Faculty of Medicine, McGill University, Montréal, Quebec, Canada.
Sabrina Daniela Silva WurzbaDepartment of Otolaryngology - Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal, Quebec, Canada.
Véronique-Isabelle ForestDepartment of Otolaryngology - Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal, Quebec, Canada.
Michael P HierDepartment of Otolaryngology - Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal, Quebec, Canada.
Alex MlynarekDepartment of Otolaryngology - Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal, Quebec, Canada.
Carmelina ManciniDepartment of Otolaryngology - Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal, Quebec, Canada.
Richard J PayneDepartment of Otolaryngology - Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal, Quebec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeck hematoma following thyroid surgery is a potentially life-threatening complication.

methodsThis retrospective case-control study reviewed neck hematoma reoperations following thyroid surgery (2009-2024), using 3:1 matching. Univariable analysis identified hematoma and delayed onset (≥ 6 h) risk factors, with odds ratios (ORs) and 95% confidence intervals (CIs).

resultsAmong 5502 surgeries, the hematoma incidence was 0.55% (n = 30). The mean age was 54 and the female-to-male ratio was 7:3. Key risk factors included pre-induction blood pressure > 160 mmHg (OR = 3.04 [95% CI = 1.25-7.39], p = 0.014) and limited blood pressure change postmedication (OR = 6.25 [95% CI = 1.03-38.08], p = 0.047). The hematoma group had higher rates of smoking, hypertension, diabetes, Graves' disease, and prior thyroid surgery, and, in delayed hematoma cases, larger nodules, total thyroidectomy, and central neck dissection, though not statistically significant.

conclusionPatients with poorly controlled blood pressure may not be candidates for outpatient thyroidectomy.

Indexed as

HematomaPostoperative ComplicationsThyroidectomyAdultAgedCase-Control StudiesFemaleHumansIncidenceMaleMiddle AgedReoperationRetrospective StudiesRisk Factorsneck hematomaoutpatient surgeryretrospective reviewsurgical complicationsthyroid surgery

Identifiers

PMID39936339
PMCPMC12146824

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.