Mean Platelet Volume and Red Blood Cell Distribution Width as Predictors of Post-Tonsillectomy Hemorrhage

Authors : Yaşar Kemal DUYMAZ, Burak KARABULUT, Serap ŞAHİN ÖNDER, Mehmet SÜRMELİ, Arzu TARLANOVA, Fatih SAVRAN

Pages : 57-70

Doi:10.26650/Tr-ENT.2023.1250887

View : 24 | Download : 22

Publication Date : 2023-06-22

Article Type : Research Paper

Abstract :Objective: Post-tonsillectomy hemorrhage insert ignore into journalissuearticles values(PTH); is one of the most common sources of postoperative morbidity especially in children. Gender, age, tonsillectomy indication, surgical technique, surgeon’s skill level, INR insert ignore into journalissuearticles values(International Normalized Ratio); and aPTT insert ignore into journalissuearticles values(activated Partial Thromboplastin Time); values, localized and systemic conditions have been described as risk factors for PTH. This study focuses on determining the effect mean platelet volume insert ignore into journalissuearticles values(MPV); and red blood cell distribution width insert ignore into journalissuearticles values(RDW); levels have on PTH. Material and Methods: A retrospective, case-control study was conducted involving 40 patients with PTH and 40 patients without PTH. The patients who had diseases that might affect the levels of MPV or RDW, were excluded. Median MPV and RDW values were compared for the two groups. Results: The MPV median value was 7.73±0.93 fL in the hemorrhage group and 8.38±1.27 fL in the control group insert ignore into journalissuearticles values(p=0.038);. The RDW median value was 15.4%±1.61 in the hemorrhage group and 14.6%±1.21 in the control group insert ignore into journalissuearticles values(p=0.007);. It was determined that high RDW levels increased PTH and high MPV levels decreased PTH. Conclusion: Low MPV value and high RDW values can be useful in predicting the risk of PTH. However, more research is needed to better understand the association between RDW values, MPV values, and PTH.
Keywords : Posttonsillectomy hemorrhage, tonsillectomy, postoperative complications, RDW, MPV