Risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients

Abstract The aim of this study was to analyse postoperative haemorrhage (POH) after a total thyroidectomy and explore the possible risk factors. Records of patients receiving a total thyroidectomy were reviewed and analysed for risk factors of POH. From the 2,678 patients in this study, a total of 3...

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Autores principales:	Xu Zhang, Wei Du, Qigen Fang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4399c44a00554b9b96c445c985162fb7
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spelling	oai:doaj.org-article:4399c44a00554b9b96c445c985162fb72021-12-02T16:06:21ZRisk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients10.1038/s41598-017-07334-12045-2322https://doaj.org/article/4399c44a00554b9b96c445c985162fb72017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-07334-1https://doaj.org/toc/2045-2322Abstract The aim of this study was to analyse postoperative haemorrhage (POH) after a total thyroidectomy and explore the possible risk factors. Records of patients receiving a total thyroidectomy were reviewed and analysed for risk factors of POH. From the 2,678 patients in this study, a total of 39 patients had POH, representing an incidence of 1.5%. The majority (59.0%) of POH events occurred within four hours after surgery. Arterial haemorrhage was the primary cause of POH and was identifiable prior to venous bleeding, making it the first sign of POH. A univariate analysis revealed an association between POH, certain disease factors and BMI, but only a BMI greater than 30 was found to significantly increase the risk of POH (almost 6-fold). At the first sign of POH, all patients showed an obvious red drainage, and 92.3% of the patients had neck swelling. In summary, arterial bleeding is the main cause and first sign of postoperative haemorrhage, as it starts earlier than venous bleeding. A BMI greater than 30 significantly increases the risk of neck haematoma.Xu ZhangWei DuQigen FangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-5 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Xu Zhang Wei Du Qigen Fang Risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients
description	Abstract The aim of this study was to analyse postoperative haemorrhage (POH) after a total thyroidectomy and explore the possible risk factors. Records of patients receiving a total thyroidectomy were reviewed and analysed for risk factors of POH. From the 2,678 patients in this study, a total of 39 patients had POH, representing an incidence of 1.5%. The majority (59.0%) of POH events occurred within four hours after surgery. Arterial haemorrhage was the primary cause of POH and was identifiable prior to venous bleeding, making it the first sign of POH. A univariate analysis revealed an association between POH, certain disease factors and BMI, but only a BMI greater than 30 was found to significantly increase the risk of POH (almost 6-fold). At the first sign of POH, all patients showed an obvious red drainage, and 92.3% of the patients had neck swelling. In summary, arterial bleeding is the main cause and first sign of postoperative haemorrhage, as it starts earlier than venous bleeding. A BMI greater than 30 significantly increases the risk of neck haematoma.
format	article
author	Xu Zhang Wei Du Qigen Fang
author_facet	Xu Zhang Wei Du Qigen Fang
author_sort	Xu Zhang
title	Risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients
title_short	Risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients
title_full	Risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients
title_fullStr	Risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients
title_full_unstemmed	Risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients
title_sort	risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/4399c44a00554b9b96c445c985162fb7
work_keys_str_mv	AT xuzhang riskfactorsforpostoperativehaemorrhageaftertotalthyroidectomyclinicalresultsbasedon2678patients AT weidu riskfactorsforpostoperativehaemorrhageaftertotalthyroidectomyclinicalresultsbasedon2678patients AT qigenfang riskfactorsforpostoperativehaemorrhageaftertotalthyroidectomyclinicalresultsbasedon2678patients
_version_	1718385019009892352

Risk factors for postoperative haemorrhage after total thyroidectomy: clinical results based on 2,678 patients

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