Univariate and multivariate analyses for postoperative bleeding after nasal endoscopic surgery

Acta Otolaryngol. 2014 May;134(5):520-4. doi: 10.3109/00016489.2013.879739. Epub 2014 Mar 3.

Abstract

Conclusions: Our study suggested that the major risk factors for postoperative bleeding after nasal endoscopic surgery (NES) included hypertension, long-term non-steroidal anti-inflammatory drugs (NSAIDs), and previous nasal surgery. The use of preoperative corticosteroids is a valuable measure for reducing postoperative bleeding after NES.

Objectives: To explore risk factors for postoperative bleeding after NES and find effective measures to reduce or prevent the condition.

Methods: A total of 641 patients who underwent NES were analyzed retrospectively. Univariate analysis and logistic regression were performed to find potential risk factors.

Results: The incidence of postoperative bleeding after NES was 8.4%. Multivariate logistic regression analysis revealed that the occurrence of postoperative bleeding after NES was positively associated with hypertension, long-term NSAIDs, previous NES, and modified submucosal septoplasty, but negatively associated with the use of preoperative corticosteroids.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Nasal Surgical Procedures / adverse effects*
  • Natural Orifice Endoscopic Surgery / adverse effects*
  • Postoperative Hemorrhage / etiology*
  • Postoperative Hemorrhage / prevention & control
  • Retrospective Studies
  • Young Adult