Quality of Life Assessment of Patients Who Suffered From Bleeding Complications After Ear, Nose, and throat Operations

Postoperative bleeding ENT Sinus surgery Tonsillectomy Thyroidectomy Postoperative complications Quality of life

Authors

  • Dr. Wassan Abd Al Shaheed Abd Al-Razak M.B.Ch.B., H.D.F.M. \ (Family Medicine) Iraqi Ministry of Health, Al-Najaf Health Directorate, Department of Public Health, Al-Najaf, Iraq
  • Dr. Zahraa Abed Al-Wehaab Habeeb M.B.Ch.B., H. Dip. FM \ (Family Medicine) Iraqi Ministry of Health, Al-Najaf Health Directorate, Primary Health Care Center, Al-Najaf, Iraq
  • Dr. Firas Makki Ali M.B.Ch.B., F.I.C.M.S. \ (ENT-Otolaryngology) Iraqi Ministry of Health, Babil Health Directorate, Al-Hilla Teaching Hospital, Babylon, Iraq
  • Abbas AbdulWahhab Jumaah Al-Salihi M.Sc.\ (Sciences in Genetic Engineering and Biotechnology \ Molecular Biology) Department of Applied Embryology, High Institute for Infertility Diagnosis and Assisted Reproductive Technologies, Nahrain University, Kadhimiya, Baghdad, Iraq
  • Dr. Ali Qais Abdulkafi M.B.Ch.B., D.C.H. \ (Pediatrics) Iraqi Ministry of Health, Kirkuk Health Directorate, Kirkuk Teaching Hospital, Kirkuk, Iraq
October 16, 2024

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Background: Bleeding patients after ENT surgeries, more serious bleeding might complicate with presentation of poor quality of life due to anemia, infection, and breathing problems. Objective: This study was contributed to assess clinical findings on the quality of life of patients who developed into bleeding after ENT surgeries. Patients and methods: We included clinical data for 102 patients who underwent ear, nose, and throat operations, aged between 20 and 60 years, which were collected from different hospitals in Iraq for a period ranging from February 2022 to September 2023. This study was conducted by identifying medical examinations during surgery and measurements of the patient's health in terms of measuring both the patient's quality of life and pain. Results: Our study enrolled clinical findings of Ent operations, which include operative time (min) was 90.44 ± 60.52, blood loss (ml) was 370.24 ± 165.43, blood transfusion had 32 cases, hospital stays time was 5.68 ± 2.19 days, admission to the intensive care unit, n (%) had 9 cases, mortality rate, n (%) had 2 cases, NOV % had 7 cases, rate of complications was 30.39% of cases, where the most common factors were infection with 9 cases and scarring with 6 cases, most poor items in the quality of life were psychological function with 64.22 ± 7.13 and physical function with 69.39 ± 8.73. Conclusion: Significant bleeding has a detrimental impact on a patient's quality of life due to the prolonged recovery time, postoperative discomfort, and complications such as infection spread and increased scarring, which may affect safety and daily activities.

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