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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Frequency of post‐tonsillectomy hemorrhage relative to time of day
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Frequency of post‐tonsillectomy hemorrhage relative to time of day

机译：相对于一天中的扁桃体切除术出血的频率

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Objectives Postoperative hemorrhage is a serious complication of tonsillectomy, with secondary bleeding rates affecting up to 0.8% to 3% of patients. Although these bleeds are anecdotally perceived as occurring more frequently at night, the occurrence of hemorrhage relative to the time of day has not been investigated. We measured the frequency of post‐tonsillectomy hemorrhage onset relative to the time of day. Methods We reviewed electronic medical records of all patients who experienced postprocedural hemorrhage (International Classification of Disease, Ninth Edition [ICD‐9] 998.11, ICD‐10 J95.830 at two hospitals within a tertiary academic health system in a 10‐year period). Patient demographics, time of bleed onset, emergency room [ED] arrival time, and management (operating room vs. observation) were abstracted. Patients without a recorded bleeding time were excluded. Time of bleed onset was categorized as morning (6:01 am–12 pm), afternoon (12:01 pm–6 pm), evening (6:01 pm–12 am), or overnight (12:01 am–6 am). Chi‐square goodness of fit test was used to assess the distribution of hemorrhage timing ( P ?≤?0.05). Results A total of 7,396 patients underwent tonsillectomy May 2008 through May 2018, among whom 121 (2%) post‐tonsillectomy hemorrhage patients were identified. Among the 104 patients with ED arrival times, 29 (28%) arrived in the morning; 15 (14%) arrived in the afternoon; 40 (38%) arrived in the evening; and 20 (19%) arrived overnight ( P ?=?0.003). Sixty patients (mean age 17.1?years, standard deviation 16.6) had a recorded timing of bleed onset. Bleed onset occurred most commonly overnight (24, 40%), followed by evening (21, 35%), afternoon (11, 18%), and morning (4, 7%) ( P ?=?0.0007). Conclusion In this cohort, post‐tonsillectomy hemorrhage occurred most frequently between midnight and 6 am. Our findings confirm anecdotal experience and provide data in setting caregiver expectations. Level of Evidence 4 Laryngoscope , 130:1823–1827, 2020
机译：术后出血是扁桃体切除术的严重并发症，二次出血率影响患者的0.8％至3％。虽然这些出血在晚上发生了更频繁的情况，但尚未调查相对于日期时间的出血发生。我们测量了扁桃体切除术出血的频率相对于一天中的时间。方法审查了所有经历了后期出血的患者的电子病历（国际疾病，第九版[ICD-9] 998.11，ICD-10 J95.830在10年期间的第三学期卫生系统内的两家医院） 。患者人口统计数据，出血的时间，急诊室[ED]到达时间，管理（手术室与观察）被提出抽象。没有记录出血时间的患者被排除在外。出血的时间是早上（下午6:01至下午12点），下午（下午12:01），晚上（6:01 PM-12 AM），或过夜（12:01 AM-6 AM ）。使用拟合试验的Chi-Square良好测试来评估出血时序的分布（P？≤≤0.05）。结果共有7,396名患者接受了扁桃体切除术2008年5月至2018年5月，其中鉴定了121例（2％）的后切除术后出血患者。在ED到达时期的104名患者中，29（28％）抵达早晨; 15（14％）下午抵达; 40（38％）在晚上抵达;和20（19％）到达过夜（p？= 0.003）。六十名患者（平均年龄17.1？岁，标准差16.6）具有渗出发作的记录时间。出血发作最常发生过夜（24,40％），然后是晚上（21,35％），下午（11,18％）和早上（4,7％）（p？= 0.0007）。结论在这种队列中，在午夜和早上6点之间发生后滴乳出血。我们的调查结果确认了轶事经验，并在制定护理人员期望方面提供数据。证据水平4喉镜，130：1823-1827,2020

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