Risk of post-tonsillectomy hemorrhage among COVID-19 positive pediatric patients.
Int J Pediatr Otorhinolaryngol
; 179: 111890, 2024 Apr.
Article
en En
| MEDLINE
| ID: mdl-38531270
ABSTRACT
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. STUDYDESIGN:
Retrospective cohort study.METHODS:
The TriNetX database was queried for pediatric patients who underwent tonsillectomy and evaluated for outcomes of primary and secondary post-tonsillectomy hemorrhage.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.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.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Tonsilectomía
/
COVID-19
Límite:
Child
/
Humans
Idioma:
En
Revista:
Int J Pediatr Otorhinolaryngol
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Irlanda