Risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy: a systematic review and meta-analysis

In this systematic review and meta-analysis, we aimed to determine the risk factors associated with neck hematoma requiring surgical re-intervention after thyroidectomy. We systematically searched all articles available in the literature published in PubMed and CNKI databases through May 30, 2017. T...

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Published in:BMC surgery 2019-07, Vol.19 (1), p.98-98, Article 98
Main Authors: Fan, Chunlei, Zhou, Xin, Su, Guoqiang, Zhou, Yanming, Su, Jingjun, Luo, Mingxu, Li, Hui
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Language:English
Subjects:
Bleeding
Care and treatment
Complications and side effects
Graves' disease
Health aspects
Hematoma
Neck
Retirement benefits
Risk factor
Risk factors
Surgery
Surgical research
Thyroid surgery
Thyroidectomy
Tumors
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creator Fan, Chunlei
Zhou, Xin
Su, Guoqiang
Zhou, Yanming
Su, Jingjun
Luo, Mingxu
Li, Hui
description In this systematic review and meta-analysis, we aimed to determine the risk factors associated with neck hematoma requiring surgical re-intervention after thyroidectomy. We systematically searched all articles available in the literature published in PubMed and CNKI databases through May 30, 2017. The quality of these articles was assessed using the Newcastle-Ottawa Quality Assessment Scale, and data were extracted for classification and analysis by focusing on articles related with neck hematoma requiring surgical re-intervention after thyroidectomy. Our meta-analysis was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Of the 1028 screened articles, 26 met the inclusion criteria and were finally analyzed. The factors associated with a high risk of neck hematoma requiring surgical re-intervention after thyroidectomy included male gender (odds ratio [OR]: 1.86, 95% confidence interval [CI]: 1.60-2.17, P 
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We systematically searched all articles available in the literature published in PubMed and CNKI databases through May 30, 2017. The quality of these articles was assessed using the Newcastle-Ottawa Quality Assessment Scale, and data were extracted for classification and analysis by focusing on articles related with neck hematoma requiring surgical re-intervention after thyroidectomy. Our meta-analysis was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Of the 1028 screened articles, 26 met the inclusion criteria and were finally analyzed. The factors associated with a high risk of neck hematoma requiring surgical re-intervention after thyroidectomy included male gender (odds ratio [OR]: 1.86, 95% confidence interval [CI]: 1.60-2.17, P &lt; 0.00001), age (MD: 4.92, 95% CI: 4.28-5.56, P &lt; 0.00001), Graves disease (OR: 1.81, 95% CI: 1.60-2.05, P &lt; 0.00001), hypertension (OR: 2.27, 95% CI: 1.43-3.60, P = 0.0005), antithrombotic drug use (OR: 1.92, 95% CI: 1.51-2.44, P &lt; 0.00001), thyroid procedure in low-volume hospitals (OR: 1.32, 95% CI: 1.12-1.57, P = 0.001), prior thyroid surgery (OR: 1.93, 95% CI: 1.11-3.37, P = 0.02), bilateral thyroidectomy (OR: 1.19, 95% CI: 1.09-1.30, P &lt; 0.0001), and neck dissection (OR: 1.55, 95% CI: 1.23-1.94, P = 0.0002). Smoking status (OR: 1.19, 95% CI: 0.99-1.42, P = 0.06), malignant tumors (OR: 1.00, 95% CI: 0.83-1.20, P = 0.97), and drainage used (OR: 2.02, 95% CI: 0.69-5.89, P = 0.20) were not significantly associated with postoperative neck hematoma. We identified certain risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy, including male gender, age, Graves disease, hypertension, antithrombotic agent use, history of thyroid procedures in low-volume hospitals, previous thyroid surgery, bilateral thyroidectomy, and neck dissection. Appropriate intervention measures based on these risk factors may reduce the incidence of postoperative hematoma and yield greater benefits for the patients.</description><identifier>ISSN: 1471-2482</identifier><identifier>EISSN: 1471-2482</identifier><identifier>DOI: 10.1186/s12893-019-0559-8</identifier><identifier>PMID: 31340806</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Bleeding ; Care and treatment ; Complications and side effects ; Graves' disease ; Health aspects ; Hematoma ; Neck ; Retirement benefits ; Risk factor ; Risk factors ; Surgery ; Surgical research ; Thyroid surgery ; Thyroidectomy ; Tumors</subject><ispartof>BMC surgery, 2019-07, Vol.19 (1), p.98-98, Article 98</ispartof><rights>COPYRIGHT 2019 BioMed Central Ltd.</rights><rights>The Author(s). 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-72211f7c731b76263b5db45ddc5bb5c8fe52bc76d2f72882363db1cb4ace84a83</citedby><cites>FETCH-LOGICAL-c532t-72211f7c731b76263b5db45ddc5bb5c8fe52bc76d2f72882363db1cb4ace84a83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6657038/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6657038/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,37013,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31340806$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fan, Chunlei</creatorcontrib><creatorcontrib>Zhou, Xin</creatorcontrib><creatorcontrib>Su, Guoqiang</creatorcontrib><creatorcontrib>Zhou, Yanming</creatorcontrib><creatorcontrib>Su, Jingjun</creatorcontrib><creatorcontrib>Luo, Mingxu</creatorcontrib><creatorcontrib>Li, Hui</creatorcontrib><title>Risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy: a systematic review and meta-analysis</title><title>BMC surgery</title><addtitle>BMC Surg</addtitle><description>In this systematic review and meta-analysis, we aimed to determine the risk factors associated with neck hematoma requiring surgical re-intervention after thyroidectomy. We systematically searched all articles available in the literature published in PubMed and CNKI databases through May 30, 2017. The quality of these articles was assessed using the Newcastle-Ottawa Quality Assessment Scale, and data were extracted for classification and analysis by focusing on articles related with neck hematoma requiring surgical re-intervention after thyroidectomy. Our meta-analysis was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Of the 1028 screened articles, 26 met the inclusion criteria and were finally analyzed. The factors associated with a high risk of neck hematoma requiring surgical re-intervention after thyroidectomy included male gender (odds ratio [OR]: 1.86, 95% confidence interval [CI]: 1.60-2.17, P &lt; 0.00001), age (MD: 4.92, 95% CI: 4.28-5.56, P &lt; 0.00001), Graves disease (OR: 1.81, 95% CI: 1.60-2.05, P &lt; 0.00001), hypertension (OR: 2.27, 95% CI: 1.43-3.60, P = 0.0005), antithrombotic drug use (OR: 1.92, 95% CI: 1.51-2.44, P &lt; 0.00001), thyroid procedure in low-volume hospitals (OR: 1.32, 95% CI: 1.12-1.57, P = 0.001), prior thyroid surgery (OR: 1.93, 95% CI: 1.11-3.37, P = 0.02), bilateral thyroidectomy (OR: 1.19, 95% CI: 1.09-1.30, P &lt; 0.0001), and neck dissection (OR: 1.55, 95% CI: 1.23-1.94, P = 0.0002). Smoking status (OR: 1.19, 95% CI: 0.99-1.42, P = 0.06), malignant tumors (OR: 1.00, 95% CI: 0.83-1.20, P = 0.97), and drainage used (OR: 2.02, 95% CI: 0.69-5.89, P = 0.20) were not significantly associated with postoperative neck hematoma. We identified certain risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy, including male gender, age, Graves disease, hypertension, antithrombotic agent use, history of thyroid procedures in low-volume hospitals, previous thyroid surgery, bilateral thyroidectomy, and neck dissection. Appropriate intervention measures based on these risk factors may reduce the incidence of postoperative hematoma and yield greater benefits for the patients.</description><subject>Bleeding</subject><subject>Care and treatment</subject><subject>Complications and side effects</subject><subject>Graves' disease</subject><subject>Health aspects</subject><subject>Hematoma</subject><subject>Neck</subject><subject>Retirement benefits</subject><subject>Risk factor</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Surgical research</subject><subject>Thyroid surgery</subject><subject>Thyroidectomy</subject><subject>Tumors</subject><issn>1471-2482</issn><issn>1471-2482</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNptkl9rFDEUxQdRbK1-AF8k4IsvU_N_Mj4IpVgtFATR53CTSXbTziRtMruy4Idvxq2lC5KHJDfn_nISTtO8JfiUECU_FkJVz1pM-hYL0bfqWXNMeEdayhV9_mR91Lwq5Rpj0ikhXjZHjDCOFZbHzZ8fodwgD3ZOuSCfMorO3qC1m2BOE6Ds7jYhh7hCZZNXwcJYS22Is8tbF-eQIgJfN2he73IKg6ugafcJASq7Mi-UYGvHNrjfCOKAJjdDCxHGXQnldfPCw1jcm4f5pPl18eXn-bf26vvXy_Ozq9YKRue2o5QQ39mOEdNJKpkRg-FiGKwwRljlnaDGdnKgvqNKUSbZYIg1HKxTHBQ7aS733CHBtb7NYYK80wmC_ltIeaUhV6Oj032PQYLrBe8Jx0QaRo2q11EpvRVAKuvznnW7MZMbbP2EDOMB9PAkhrVepa2WUnSYLWY-PAByutu4MuspFOvGEaJLm6IplZxSXrVV-n4vXUG1FqJPlWgXuT4TPVeESMGr6vQ_qjoGNwWbovOh1g8ayL7B5lRKdv7RPcF6CZbeB0vXYOklWHpx_e7psx87_iWJ3QOXwssj</recordid><startdate>20190724</startdate><enddate>20190724</enddate><creator>Fan, Chunlei</creator><creator>Zhou, Xin</creator><creator>Su, Guoqiang</creator><creator>Zhou, Yanming</creator><creator>Su, Jingjun</creator><creator>Luo, Mingxu</creator><creator>Li, Hui</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20190724</creationdate><title>Risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy: a systematic review and meta-analysis</title><author>Fan, Chunlei ; Zhou, Xin ; Su, Guoqiang ; Zhou, Yanming ; Su, Jingjun ; Luo, Mingxu ; Li, Hui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-72211f7c731b76263b5db45ddc5bb5c8fe52bc76d2f72882363db1cb4ace84a83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Bleeding</topic><topic>Care and treatment</topic><topic>Complications and side effects</topic><topic>Graves' disease</topic><topic>Health aspects</topic><topic>Hematoma</topic><topic>Neck</topic><topic>Retirement benefits</topic><topic>Risk factor</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>Surgical research</topic><topic>Thyroid surgery</topic><topic>Thyroidectomy</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fan, Chunlei</creatorcontrib><creatorcontrib>Zhou, Xin</creatorcontrib><creatorcontrib>Su, Guoqiang</creatorcontrib><creatorcontrib>Zhou, Yanming</creatorcontrib><creatorcontrib>Su, Jingjun</creatorcontrib><creatorcontrib>Luo, Mingxu</creatorcontrib><creatorcontrib>Li, Hui</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fan, Chunlei</au><au>Zhou, Xin</au><au>Su, Guoqiang</au><au>Zhou, Yanming</au><au>Su, Jingjun</au><au>Luo, Mingxu</au><au>Li, Hui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy: a systematic review and meta-analysis</atitle><jtitle>BMC surgery</jtitle><addtitle>BMC Surg</addtitle><date>2019-07-24</date><risdate>2019</risdate><volume>19</volume><issue>1</issue><spage>98</spage><epage>98</epage><pages>98-98</pages><artnum>98</artnum><issn>1471-2482</issn><eissn>1471-2482</eissn><abstract>In this systematic review and meta-analysis, we aimed to determine the risk factors associated with neck hematoma requiring surgical re-intervention after thyroidectomy. We systematically searched all articles available in the literature published in PubMed and CNKI databases through May 30, 2017. The quality of these articles was assessed using the Newcastle-Ottawa Quality Assessment Scale, and data were extracted for classification and analysis by focusing on articles related with neck hematoma requiring surgical re-intervention after thyroidectomy. Our meta-analysis was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Of the 1028 screened articles, 26 met the inclusion criteria and were finally analyzed. The factors associated with a high risk of neck hematoma requiring surgical re-intervention after thyroidectomy included male gender (odds ratio [OR]: 1.86, 95% confidence interval [CI]: 1.60-2.17, P &lt; 0.00001), age (MD: 4.92, 95% CI: 4.28-5.56, P &lt; 0.00001), Graves disease (OR: 1.81, 95% CI: 1.60-2.05, P &lt; 0.00001), hypertension (OR: 2.27, 95% CI: 1.43-3.60, P = 0.0005), antithrombotic drug use (OR: 1.92, 95% CI: 1.51-2.44, P &lt; 0.00001), thyroid procedure in low-volume hospitals (OR: 1.32, 95% CI: 1.12-1.57, P = 0.001), prior thyroid surgery (OR: 1.93, 95% CI: 1.11-3.37, P = 0.02), bilateral thyroidectomy (OR: 1.19, 95% CI: 1.09-1.30, P &lt; 0.0001), and neck dissection (OR: 1.55, 95% CI: 1.23-1.94, P = 0.0002). Smoking status (OR: 1.19, 95% CI: 0.99-1.42, P = 0.06), malignant tumors (OR: 1.00, 95% CI: 0.83-1.20, P = 0.97), and drainage used (OR: 2.02, 95% CI: 0.69-5.89, P = 0.20) were not significantly associated with postoperative neck hematoma. We identified certain risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy, including male gender, age, Graves disease, hypertension, antithrombotic agent use, history of thyroid procedures in low-volume hospitals, previous thyroid surgery, bilateral thyroidectomy, and neck dissection. Appropriate intervention measures based on these risk factors may reduce the incidence of postoperative hematoma and yield greater benefits for the patients.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>31340806</pmid><doi>10.1186/s12893-019-0559-8</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Bleeding
Care and treatment
Complications and side effects
Graves' disease
Health aspects
Hematoma
Neck
Retirement benefits
Risk factor
Risk factors
Surgery
Surgical research
Thyroid surgery
Thyroidectomy
Tumors
title Risk factors for neck hematoma requiring surgical re-intervention after thyroidectomy: a systematic review and meta-analysis
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