Observational studyThe Laryngoscope2026
Analysis of an Observational Versus Surgical Approach for Pediatric Post-Tonsillectomy Hemorrhage.
Observational study in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Long-Term Outcomes After Intracapsular Tonsillectomy.The Laryngoscope · 2026Article
- Analysis of an Observational Versus Surgical Approach for Pediatric Post-Tonsillectomy Hemorrhage.The Laryngoscope · 2026Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPost-tonsillectomy hemorrhage (PTH) is a common complication in pediatric patients, yet management strategies vary due to limited outcome data. Historically, all patients at our institution with postoperative bleeding or visible clot were taken to the OR. In 2018, a new protocol was introduced in which patients with a visible clot but no active bleeding were managed conservatively. This study evaluates the efficacy and revisit outcomes of this observational approach versus immediate surgical intervention.
methodsA retrospective cohort study was conducted at a tertiary center over two 3-year periods. Pediatric patients (< 18 years) presenting to the ED (emergency department) with PTH were categorized into pre-protocol (n = 86, surgical) and post-protocol (n = 134, observational) cohorts. Outcomes included revisit rates, surgical intervention rates, and hospital length of stay. Statistical analysis was performed using two-sample t tests and Fisher's exact tests.
resultsThe post-protocol cohort had a higher proportion of patients presenting with PTH (3.86% vs. 5.88%, p = 0.0018), but fewer underwent surgery (54.65% vs. 26.87%, p < 0.0001). No significant differences were found in repeat visits leading to surgery or multiple surgical interventions. More patients with a visible clot avoided surgery post-protocol (3.49% vs. 29.85%, p < 0.0001). However, the average hospital stay was longer (9.25 vs. 13.13 h, p = 0.0774).
conclusionAn observational approach for pediatric PTH patients with clot-only presentation significantly reduced the need for surgical intervention. This strategy may minimize unnecessary procedures and improve care quality. LEVEL OF EVIDENCE: 3:
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