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Risk of bleeding after thyroid surgery: matched pairs analysis

Published online by Cambridge University Press:  05 July 2011

R P Morton ,
V Mak ,
D Moss ,
Z Ahmad  and
J Sevao
R P Morton*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Counties Manukau District Health Board, Auckland, New Zealand
V Mak
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Counties Manukau District Health Board, Auckland, New Zealand
D Moss
Affiliation:
Department of Surgery, Counties Manukau District Health Board, Auckland, New Zealand
Z Ahmad
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Counties Manukau District Health Board, Auckland, New Zealand
J Sevao
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Counties Manukau District Health Board, Auckland, New Zealand
*
Address for correspondence: Dr Randall P Morton, PO Box 98743, South Auckland Mail Centre, Auckland, New Zealand E-mail: RPMorton@middlemore.co.nz
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Abstract

Objective:

To identify those patients most at risk of developing a compressive post-operative haematoma following thyroid surgery.

Method:

Retrospective analysis of patients undergoing thyroid surgery. Factors associated with the group of patients who developed a post-operative haematoma were examined using a matched pairs, case–control design.

Results:

Following 355 thyroid operations, seven patients developed a post-operative haematoma requiring return to the operating theatre for bleeding control. A post-operative systolic blood pressure of greater than 150 mmHg, in the post-anaesthetic care unit, was the major significant factor identified by regression analysis (p = 0.002). Current smoking status was also a significant factor (p = 0.04).

Conclusion:

In our facility, a post-anaesthetic systolic blood pressure in excess of 150 mmHg was associated with an increased risk of haemorrhage following thyroid surgery.

Keywords

ThyroidComplicationsHaemorrhageThyroid Surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 3 , March 2012 , pp. 285 - 288
Copyright
Copyright © JLO (1984) Limited 2011

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