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The Value of Routine Preoperative Testing in the Prediction of Operative Hemorrhage in Adenotonsillectomy

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Abstract

Medical records were reviewed to identify subjects who ranged in age from 1 to 18 years and who had undergone tonsillectomy with or without adenoidectomy. Data obtained included patient demographic information, relevant medical history, history of hemorrhage, family history of hemorrhagic disorders, and drug history. Laboratory data obtained included a baseline coagulation screening to determine prothrombin time, activated partial thromboplastin time, and platelet count. Values were classified as within normal limits or as abnormally prolonged according to the local laboratory reference values. The incidence of postoperative hemorrhage in healthy subjects was evaluated, and the correlation between having a medical history of hemorrhage and an abnormal coagulation screen was assessed. We found that the medical history of the patients studied had positive predictive value of 42.8%, and a negative predictive value of 99.1%. The preoperative coagulation screening had a positive predictive value of 50%, and a negative predictive value of 93.6%.

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Acknowledgments

We would like to express our gratitude to Dr. Soheir Adam for her invaluable guidance, and special thanks to Dr. Ali Algregry for his co-operation in data collection.

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Authors and Affiliations

  1. Departments of Hematology, King Abdulaziz University Hospital, 80205, Jeddah, 21589, Saudi Arabia

    Galila Zaher

  2. Department of Otolaryngology, Head and Neck Surgery, King Abdulaziz University Hospital, 80205, Jeddah, 21589, Saudi Arabia

    Khaled Al-Noury

  3. 35135, Jeddah, 21488, Saudi Arabia

    Khaled Al-Noury

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  1. Galila Zaher
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  2. Khaled Al-Noury
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Correspondence to Khaled Al-Noury.

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Zaher, G., Al-Noury, K. The Value of Routine Preoperative Testing in the Prediction of Operative Hemorrhage in Adenotonsillectomy. Indian J Otolaryngol Head Neck Surg 66 (Suppl 1), 30–36 (2014). https://doi.org/10.1007/s12070-011-0285-8

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  • DOI: https://doi.org/10.1007/s12070-011-0285-8

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