Bhamra Navdeep, Osborne Max S, Balai Edward, Jolly Karan, Barraclough James
Otolaryngology, The Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, GBR.
Cureus. 2021 Mar 18;13(3):e13980. doi: 10.7759/cureus.13980.
Introduction Risk of surgical intervention for post-adenoidectomy haemorrhage can be assessed with the analysis of the Hospital Episode Statistics (HES) data. Materials and methods HES data for England from 2012 to 2019 were analysed comparing the coded number of adenoidectomy procedures to the number of surgical arrests of post-adenoidectomy haemorrhage in adolescents/adults and children. Results Between April 2012 and April 2019, of 47,597 procedures, 52 (0.11%) patients required surgical arrest of post-adenoidectomy haemorrhage. In adults (n = 5,379), 11 patients returned to theatre for control of post-operative bleeding, whereas 41 children (n = 42,218) required this intervention. The total number of adenoidectomies was 3.7 times higher in children; however, adults were statistically two times more likely to require further surgical intervention for arrest of post-adenoidectomy haemorrhage (two-tailed p-value = 0.0031). Conclusion Children are more likely to return to theatre for surgical arrest of post-adenoidectomy haemorrhage, with p-values indicating the difference between the incidence of adults and children returning to theatre to be very statistically significant.
腺样体切除术后出血的手术干预风险可通过医院事件统计（HES）数据分析进行评估。
分析了2012年至2019年英格兰的HES数据，比较了腺样体切除术的编码数量与青少年/成人及儿童腺样体切除术后出血的手术止血数量。
在2012年4月至2019年4月期间，47597例手术中，有52例（0.11%）患者需要进行腺样体切除术后出血的手术止血。在成人（n = 5379）中，11例患者返回手术室控制术后出血，而41例儿童（n = 42218）需要这种干预。儿童腺样体切除术的总数是成人的3.7倍；然而，从统计学角度来看，成人因腺样体切除术后出血而需要进一步手术干预的可能性是儿童的两倍（双尾p值 = 0.0031）。
儿童更有可能返回手术室进行腺样体切除术后出血的手术止血，p值表明成人和儿童返回手术室的发生率差异具有非常显著的统计学意义。
