TY - JOUR
T1 - Post-thyroidectomy hemorrhage: a national study of patients treated at the Danish departments of ENT Head and Neck Surgery
AU - Godballe, Christian
AU - Madsen, Anders Rørbaek
AU - Pedersen, Henrik Baymler
AU - Frisch, Thomas
AU - Sørensen, Christian Hjort
AU - Pedersen, Ulrik
AU - Helweg-Larsen, Jens
AU - Barfoed, Lisa
AU - Illum, Peter
AU - Mønsted, Jonas Elmose
AU - Becker, Birgit
AU - Nielsen, Troels
N1 - Keywords: Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Denmark; Female; Follow-Up Studies; Humans; Incidence; Infant; Infant, Newborn; Male; Middle Aged; Postoperative Hemorrhage; Prognosis; Retrospective Studies; Risk Factors; Surgicenters; Thyroid Diseases; Thyroidectomy; Time Factors; Young Adult
PY - 2009
Y1 - 2009
N2 - 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.
AB - 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.
UR - https://www.scopus.com/pages/publications/70350572848
U2 - 10.1007/s00405-009-0949-0
DO - 10.1007/s00405-009-0949-0
M3 - Journal article
C2 - 19301027
SN - 0937-4477
VL - 266
SP - 1945
EP - 1952
JO - European Archives of Oto-Rhino-Laryngology
JF - European Archives of Oto-Rhino-Laryngology
IS - 12
ER -