Effect of Body Mass Index on Posttonsillectomy Hemorrhage
Objective. Obesity affects adverse outcomes in patients undergoing various surgeries. Tonsillectomy is one of the most common surgical procedures and posttonsillectomy hemorrhage (PTH) is the major complication in patients with tonsillectomy. However, the effect of body mass index (BMI) on posttonsi...
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| creator | Ueda, Hiromi Murohara, Toyoaki Horibe, Yuichiro Murotani, Kenta Yanohara, Gen Tanigawa, Tohru Hoshino, Tetsuro Shibata, Rei |
| description | Objective. Obesity affects adverse outcomes in patients undergoing various surgeries. Tonsillectomy is one of the most common surgical procedures and posttonsillectomy hemorrhage (PTH) is the major complication in patients with tonsillectomy. However, the effect of body mass index (BMI) on posttonsillectomy bleeding episodes is not well known. This study aimed to assess the clinical association between obesity and PTH. Methods. A total of 98 tonsillectomies were retrospectively reviewed. Patient charts were analyzed regarding demographic data and the indication for surgery. Patients with PTH were compared with uneventful cases. Patients were divided into three groups based on BMI: normal weight (BMI < 25 kg/m2), overweight (BMI ≥ 25 and |
| doi_str_mv | 10.1155/2017/9610267 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5438846</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A557303179</galeid><sourcerecordid>A557303179</sourcerecordid><originalsourceid>FETCH-LOGICAL-c499t-f766e771a751bc302e0c4d5b21349638463257c791994eb53df07cd81ce5ffa13</originalsourceid><addsrcrecordid>eNqN0c1rFDEYBvAgii3b3jzLgBfBbpt38jW5CLVUW6joQc8hm3mzO2Umqclsdf_7ZtjttnoylwTy48nHQ8gboKcAQpzVFNSZlkBrqV6Qw5oBn0vg8HK_ZuyAHOd8S8toQFItX5ODuhFCgFaHRF96j26soq8-xXZTfbU5V9ehxT9VDNX3mMcxhtz1fUFx2FRXOMSUVnaJR-SVt33G4908Iz8_X_64uJrffPtyfXF-M3dc63HulZSoFFglYOEYrZE63opFDYxryRouWS2UUxq05rgQrPVUubYBh8J7C2xGPm5z79aLAVuHYUy2N3epG2zamGg78_dO6FZmGe-N4KyZ4mfk_S4gxV9rzKMZuuyw723AuM4GNGWaAzS60Hf_0Nu4TqE8b1JUCa6UeFJL26Ppgo_lXDeFmnMhFKMM1JR1slUuxZwT-v2VgZqpPDOVZ3blFf72-TP3-LGqAj5swaoLrf3d_WccFoPePmlg5dsFewB_3KhI</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1900754775</pqid></control><display><type>article</type><title>Effect of Body Mass Index on Posttonsillectomy Hemorrhage</title><source>MEDLINE</source><source>Wiley Online Library Open Access</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><source>PubMed Central Open Access</source><creator>Ueda, Hiromi ; Murohara, Toyoaki ; Horibe, Yuichiro ; Murotani, Kenta ; Yanohara, Gen ; Tanigawa, Tohru ; Hoshino, Tetsuro ; Shibata, Rei</creator><contributor>Matoba, Satoaki</contributor><creatorcontrib>Ueda, Hiromi ; Murohara, Toyoaki ; Horibe, Yuichiro ; Murotani, Kenta ; Yanohara, Gen ; Tanigawa, Tohru ; Hoshino, Tetsuro ; Shibata, Rei ; Matoba, Satoaki</creatorcontrib><description>Objective. Obesity affects adverse outcomes in patients undergoing various surgeries. Tonsillectomy is one of the most common surgical procedures and posttonsillectomy hemorrhage (PTH) is the major complication in patients with tonsillectomy. However, the effect of body mass index (BMI) on posttonsillectomy bleeding episodes is not well known. This study aimed to assess the clinical association between obesity and PTH. Methods. A total of 98 tonsillectomies were retrospectively reviewed. Patient charts were analyzed regarding demographic data and the indication for surgery. Patients with PTH were compared with uneventful cases. Patients were divided into three groups based on BMI: normal weight (BMI < 25 kg/m2), overweight (BMI ≥ 25 and <30 kg/m2), and obese (≥30 kg/m2). Results. PTH occurred in 13% of patients with normal weight, in 23.5% of patients with overweight, and in 50% patients with obesity. The occurrence of PTH was significantly higher in patients with obesity than in those with normal weight and overweight (p=0.008). Multivariate analysis showed that obesity was a significant factor affecting the incidence of PTH after adjusting for confounding factors. Conclusions. Our findings suggest that the obese condition is independently associated with the incidence of PTH.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2017/9610267</identifier><identifier>PMID: 28555197</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adolescent ; Adult ; Biomedical research ; Body Mass Index ; Complications and side effects ; Female ; Health aspects ; Hemorrhage ; Humans ; Incidence ; Male ; Middle Aged ; Obesity ; Obesity - epidemiology ; Obesity - metabolism ; Obesity - pathology ; Otolaryngology ; Postoperative Hemorrhage - epidemiology ; Postoperative Hemorrhage - metabolism ; Postoperative Hemorrhage - pathology ; Risk factors ; Tonsillectomy ; Tonsillectomy - adverse effects</subject><ispartof>BioMed research international, 2017-01, Vol.2017 (2017), p.1-4</ispartof><rights>Copyright © 2017 Tetsuro Hoshino et al.</rights><rights>COPYRIGHT 2017 John Wiley & Sons, Inc.</rights><rights>Copyright © 2017 Tetsuro Hoshino et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2017 Tetsuro Hoshino et al. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-f766e771a751bc302e0c4d5b21349638463257c791994eb53df07cd81ce5ffa13</citedby><cites>FETCH-LOGICAL-c499t-f766e771a751bc302e0c4d5b21349638463257c791994eb53df07cd81ce5ffa13</cites><orcidid>0000-0002-9710-1478 ; 0000-0003-4179-8453 ; 0000-0003-0623-9365</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5438846/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5438846/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28555197$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Matoba, Satoaki</contributor><creatorcontrib>Ueda, Hiromi</creatorcontrib><creatorcontrib>Murohara, Toyoaki</creatorcontrib><creatorcontrib>Horibe, Yuichiro</creatorcontrib><creatorcontrib>Murotani, Kenta</creatorcontrib><creatorcontrib>Yanohara, Gen</creatorcontrib><creatorcontrib>Tanigawa, Tohru</creatorcontrib><creatorcontrib>Hoshino, Tetsuro</creatorcontrib><creatorcontrib>Shibata, Rei</creatorcontrib><title>Effect of Body Mass Index on Posttonsillectomy Hemorrhage</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Objective. Obesity affects adverse outcomes in patients undergoing various surgeries. Tonsillectomy is one of the most common surgical procedures and posttonsillectomy hemorrhage (PTH) is the major complication in patients with tonsillectomy. However, the effect of body mass index (BMI) on posttonsillectomy bleeding episodes is not well known. This study aimed to assess the clinical association between obesity and PTH. Methods. A total of 98 tonsillectomies were retrospectively reviewed. Patient charts were analyzed regarding demographic data and the indication for surgery. Patients with PTH were compared with uneventful cases. Patients were divided into three groups based on BMI: normal weight (BMI < 25 kg/m2), overweight (BMI ≥ 25 and <30 kg/m2), and obese (≥30 kg/m2). Results. PTH occurred in 13% of patients with normal weight, in 23.5% of patients with overweight, and in 50% patients with obesity. The occurrence of PTH was significantly higher in patients with obesity than in those with normal weight and overweight (p=0.008). Multivariate analysis showed that obesity was a significant factor affecting the incidence of PTH after adjusting for confounding factors. Conclusions. Our findings suggest that the obese condition is independently associated with the incidence of PTH.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biomedical research</subject><subject>Body Mass Index</subject><subject>Complications and side effects</subject><subject>Female</subject><subject>Health aspects</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Obesity - metabolism</subject><subject>Obesity - pathology</subject><subject>Otolaryngology</subject><subject>Postoperative Hemorrhage - epidemiology</subject><subject>Postoperative Hemorrhage - metabolism</subject><subject>Postoperative Hemorrhage - pathology</subject><subject>Risk factors</subject><subject>Tonsillectomy</subject><subject>Tonsillectomy - adverse effects</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqN0c1rFDEYBvAgii3b3jzLgBfBbpt38jW5CLVUW6joQc8hm3mzO2Umqclsdf_7ZtjttnoylwTy48nHQ8gboKcAQpzVFNSZlkBrqV6Qw5oBn0vg8HK_ZuyAHOd8S8toQFItX5ODuhFCgFaHRF96j26soq8-xXZTfbU5V9ehxT9VDNX3mMcxhtz1fUFx2FRXOMSUVnaJR-SVt33G4908Iz8_X_64uJrffPtyfXF-M3dc63HulZSoFFglYOEYrZE63opFDYxryRouWS2UUxq05rgQrPVUubYBh8J7C2xGPm5z79aLAVuHYUy2N3epG2zamGg78_dO6FZmGe-N4KyZ4mfk_S4gxV9rzKMZuuyw723AuM4GNGWaAzS60Hf_0Nu4TqE8b1JUCa6UeFJL26Ppgo_lXDeFmnMhFKMM1JR1slUuxZwT-v2VgZqpPDOVZ3blFf72-TP3-LGqAj5swaoLrf3d_WccFoPePmlg5dsFewB_3KhI</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Ueda, Hiromi</creator><creator>Murohara, Toyoaki</creator><creator>Horibe, Yuichiro</creator><creator>Murotani, Kenta</creator><creator>Yanohara, Gen</creator><creator>Tanigawa, Tohru</creator><creator>Hoshino, Tetsuro</creator><creator>Shibata, Rei</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9710-1478</orcidid><orcidid>https://orcid.org/0000-0003-4179-8453</orcidid><orcidid>https://orcid.org/0000-0003-0623-9365</orcidid></search><sort><creationdate>20170101</creationdate><title>Effect of Body Mass Index on Posttonsillectomy Hemorrhage</title><author>Ueda, Hiromi ; Murohara, Toyoaki ; Horibe, Yuichiro ; Murotani, Kenta ; Yanohara, Gen ; Tanigawa, Tohru ; Hoshino, Tetsuro ; Shibata, Rei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-f766e771a751bc302e0c4d5b21349638463257c791994eb53df07cd81ce5ffa13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biomedical research</topic><topic>Body Mass Index</topic><topic>Complications and side effects</topic><topic>Female</topic><topic>Health aspects</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Obesity - metabolism</topic><topic>Obesity - pathology</topic><topic>Otolaryngology</topic><topic>Postoperative Hemorrhage - epidemiology</topic><topic>Postoperative Hemorrhage - metabolism</topic><topic>Postoperative Hemorrhage - pathology</topic><topic>Risk factors</topic><topic>Tonsillectomy</topic><topic>Tonsillectomy - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ueda, Hiromi</creatorcontrib><creatorcontrib>Murohara, Toyoaki</creatorcontrib><creatorcontrib>Horibe, Yuichiro</creatorcontrib><creatorcontrib>Murotani, Kenta</creatorcontrib><creatorcontrib>Yanohara, Gen</creatorcontrib><creatorcontrib>Tanigawa, Tohru</creatorcontrib><creatorcontrib>Hoshino, Tetsuro</creatorcontrib><creatorcontrib>Shibata, Rei</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ueda, Hiromi</au><au>Murohara, Toyoaki</au><au>Horibe, Yuichiro</au><au>Murotani, Kenta</au><au>Yanohara, Gen</au><au>Tanigawa, Tohru</au><au>Hoshino, Tetsuro</au><au>Shibata, Rei</au><au>Matoba, Satoaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Body Mass Index on Posttonsillectomy Hemorrhage</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>2017</volume><issue>2017</issue><spage>1</spage><epage>4</epage><pages>1-4</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Objective. Obesity affects adverse outcomes in patients undergoing various surgeries. Tonsillectomy is one of the most common surgical procedures and posttonsillectomy hemorrhage (PTH) is the major complication in patients with tonsillectomy. However, the effect of body mass index (BMI) on posttonsillectomy bleeding episodes is not well known. This study aimed to assess the clinical association between obesity and PTH. Methods. A total of 98 tonsillectomies were retrospectively reviewed. Patient charts were analyzed regarding demographic data and the indication for surgery. Patients with PTH were compared with uneventful cases. Patients were divided into three groups based on BMI: normal weight (BMI < 25 kg/m2), overweight (BMI ≥ 25 and <30 kg/m2), and obese (≥30 kg/m2). Results. PTH occurred in 13% of patients with normal weight, in 23.5% of patients with overweight, and in 50% patients with obesity. The occurrence of PTH was significantly higher in patients with obesity than in those with normal weight and overweight (p=0.008). Multivariate analysis showed that obesity was a significant factor affecting the incidence of PTH after adjusting for confounding factors. Conclusions. Our findings suggest that the obese condition is independently associated with the incidence of PTH.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>28555197</pmid><doi>10.1155/2017/9610267</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-9710-1478</orcidid><orcidid>https://orcid.org/0000-0003-4179-8453</orcidid><orcidid>https://orcid.org/0000-0003-0623-9365</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Biomedical research Body Mass Index Complications and side effects Female Health aspects Hemorrhage Humans Incidence Male Middle Aged Obesity Obesity - epidemiology Obesity - metabolism Obesity - pathology Otolaryngology Postoperative Hemorrhage - epidemiology Postoperative Hemorrhage - metabolism Postoperative Hemorrhage - pathology Risk factors Tonsillectomy Tonsillectomy - adverse effects |
| title | Effect of Body Mass Index on Posttonsillectomy Hemorrhage |
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