Post-thyroidectomy hemorrhage

a national study of patients treated at the Danish departments of ENT Head and Neck Surgery

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

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Udgivelsesdato: 2009-Mar-20
OriginalsprogEngelsk
TidsskriftEuropean Archives of Oto-Rhino-Laryngology
Vol/bind266
Udgave nummer12
Sider (fra-til)1945-52
Antal sider8
ISSN0937-4477
DOI
StatusUdgivet - 20. mar. 2009

Fingeraftryk

Length of Stay
Cohort Studies
Regression Analysis
Databases
Incidence

Citer dette

Godballe, Christian ; Madsen, Anders ; Pedersen, Henrik ; Sørensen, Christian Hjort ; Pedersen, Ulrik ; Frisch, Thomas ; Helweg-Larsen, Jens ; Barfoed, Lisa ; Mønsted, Jonas ; Illum, Peter ; Becker, Birgit ; Nielsen, Troels. / Post-thyroidectomy hemorrhage : a national study of patients treated at the Danish departments of ENT Head and Neck Surgery. I: European Archives of Oto-Rhino-Laryngology. 2009 ; Bind 266, Nr. 12. s. 1945-52.
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title = "Post-thyroidectomy hemorrhage: a national study of patients treated at the Danish departments of ENT Head and Neck Surgery",
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.",
author = "Christian Godballe and Anders Madsen and Henrik Pedersen and S{\o}rensen, {Christian Hjort} and Ulrik Pedersen and Thomas Frisch and Jens Helweg-Larsen and Lisa Barfoed and Jonas M{\o}nsted and Peter Illum and Birgit Becker and Troels Nielsen",
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month = "3",
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doi = "10.1007/s00405-009-0949-0",
language = "English",
volume = "266",
pages = "1945--52",
journal = "European Archives of Oto-Rhino-Laryngology",
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Godballe, C, Madsen, A, Pedersen, H, Sørensen, CH, Pedersen, U, Frisch, T, Helweg-Larsen, J, Barfoed, L, Mønsted, J, Illum, P, Becker, B & Nielsen, T 2009, 'Post-thyroidectomy hemorrhage: a national study of patients treated at the Danish departments of ENT Head and Neck Surgery', European Archives of Oto-Rhino-Laryngology, bind 266, nr. 12, s. 1945-52. https://doi.org/10.1007/s00405-009-0949-0

Post-thyroidectomy hemorrhage : a national study of patients treated at the Danish departments of ENT Head and Neck Surgery. / Godballe, Christian; Madsen, Anders; Pedersen, Henrik; Sørensen, Christian Hjort; Pedersen, Ulrik; Frisch, Thomas; Helweg-Larsen, Jens; Barfoed, Lisa; Mønsted, Jonas; Illum, Peter; Becker, Birgit; Nielsen, Troels.

I: European Archives of Oto-Rhino-Laryngology, Bind 266, Nr. 12, 20.03.2009, s. 1945-52.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Post-thyroidectomy hemorrhage

T2 - a national study of patients treated at the Danish departments of ENT Head and Neck Surgery

AU - Godballe, Christian

AU - Madsen, Anders

AU - Pedersen, Henrik

AU - Sørensen, Christian Hjort

AU - Pedersen, Ulrik

AU - Frisch, Thomas

AU - Helweg-Larsen, Jens

AU - Barfoed, Lisa

AU - Mønsted, Jonas

AU - Illum, Peter

AU - Becker, Birgit

AU - Nielsen, Troels

PY - 2009/3/20

Y1 - 2009/3/20

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.

U2 - 10.1007/s00405-009-0949-0

DO - 10.1007/s00405-009-0949-0

M3 - Journal article

VL - 266

SP - 1945

EP - 1952

JO - European Archives of Oto-Rhino-Laryngology

JF - European Archives of Oto-Rhino-Laryngology

SN - 0937-4477

IS - 12

ER -