Post-thyroidectomy hemorrhage: a national study of patients treated at the Danish departments of ENT Head and Neck Surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-12

AUTHORS

Christian Godballe, Anders Rørbæk Madsen, Henrik Baymler Pedersen, Christian Hjort Sørensen, Ulrik Pedersen, Thomas Frisch, Jens Helweg-Larsen, Lisa Barfoed, Peter Illum, Jonas Elmose Mønsted, Birgit Becker, Troels Nielsen

ABSTRACT

As bleeding in the neck region is a potentially life-threatening complication, we found it imperative to concretize the frequency and to identify possible reasons for this complication. A national database of all thyroid surgery performed inside the specialty of ENT Head and Neck Surgery (THYKIR) was established in January 2001. This nationwide cohort study represents 5,490 patients included until December 2007. Overall hemorrhage frequency was 4.2% with a wide variation among departments. Multiple regression analysis identified age, male gender, malignant histology and extent of surgery as independent risk factors for hemorrhage. Increased hospital stay and infection rates were found in patients treated with drainage. The median time for onset of postoperative hemorrhage was 3 h (range 0-105). Compared with international literature our incidence of post-thyroidectomy hemorrhage is relatively high. Improvement might be reached by the exchange of experience between departments with focus on adequate surgical technique and careful hemostasis. More... »

PAGES

1945

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00405-009-0949-0

DOI

http://dx.doi.org/10.1007/s00405-009-0949-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1032677715

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19301027


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