Blood Loss during the Surgical Procedure in Tonsillectomy in Iraqi Children and Logistic Regression Evaluation of Risk Factors

Abstract

Background: Tonsillectomy is one of the most common surgical procedures performed in children. The surgery of the tonsils has undergone a certain change in recent years, especially in childhood. Objective: This study aimed to analyze and assess clinical outcomes related to blood loss throughout the surgical procedure of tonsillectomy for Iraqi children, as well as determine findings related to a logistic regression evaluation of risk factors. Patients and methods: This study recruited 96 children who underwent various surgical procedures related to tonsillectomy. All data were collected from different hospitals in Iraq for a period between April 4, 2022, and August 19, 2023. These clinical data included the duration of the surgical procedure for tonsillectomy, the recovery rate, bleeding rates in patients, the mortality rate, the duration of follow-up of patients, the mortality rate during and after the operation, the rate of specific complications, and pain rates. Furthermore, this study evaluated the logistic regression of risk factors affecting pediatric patients after long-term tonsillectomy. Results: This study recorded the surgical and clinical outcomes of patients, which included a higher percentage of females (60.42%) compared to males. The most common reasons for admission for surgery were acute or chronic tonsillitis (52 patients) and tonsillitis (29 patients). Types of surgical procedures included cold methods in 67 children and hot methods in 29 children. Some of the patients were exposed to primary bleeding, including two cases, and three cases were exposed to secondary bleeding; the complication rate was 9 cases. The follow-up period was nine days. The quality-of-life rates showed the most significant improvement in children, including physical function (81.21). ± 9.5) and daily activity (86.78 ± 7.72). Conclusion: This study indicated the effect of tonsillectomy as the most effective and high-quality surgical procedure in improving and developing the recovery rate in children after surgery