Association Between Postoperative NSAID Use and Bleeding Following Transoral Robotic Surgery.
| Title: | Association Between Postoperative NSAID Use and Bleeding Following Transoral Robotic Surgery. |
|---|---|
| Authors: | Seliger B; Department of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.; Beiriger J; Department of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.; Berry M; Department of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.; Patel N; Department of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.; Cannon RB; Department of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.; Monroe MM; Department of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.; McCrary HC; Department of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA. |
| Source: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2026 Apr 30. Date of Electronic Publication: 2026 Apr 30. |
| Publication Model: | Ahead of Print |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Wiley Country of Publication: England NLM ID: 8508176 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6817 (Electronic) Linking ISSN: 01945998 NLM ISO Abbreviation: Otolaryngol Head Neck Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2023- : [Oxford] : Wiley; Original Publication: [Rochester, Minn.] : The Academy, [c1981- |
| Abstract: | Objective: To evaluate the safety and outcomes of NSAID use following transoral robotic surgery (TORS).; Study Design: Retrospective cohort study using propensity score matching.; Setting: Multi-institutional database (TriNetX).; Methods: Patients undergoing TORS were identified using ICD-10 codes. Two propensity-matched cohorts were compared: (1) patients receiving NSAIDs (ketorolac, celecoxib, ibuprofen) within 14 days postsurgery (n = 3639) versus controls (n = 3639) and (2) patients receiving ketorolac day-of-surgery (n = 1901) versus controls (n = 1901). Primary outcome was postoperative hemorrhage. Secondary outcomes included critical care admission, emergency department visit, and feeding device placement within 14 days.; Results: Postoperative bleeding rates were similar between NSAID and control groups (P = .150). Patients treated with NSAIDs had lower rates of critical care admission (P |
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| Contributed Indexing: | Keywords: NSAIDs; enhanced recovery after surgery; pain management; postoperative hemorrhage; transoral robotic surgery |
| Entry Date(s): | Date Created: 20260430 Latest Revision: 20260430 |
| Update Code: | 20260430 |
| DOI: | 10.1002/ohn.70279 |
| PMID: | 42059270 |
| Database: | MEDLINE |
Journal Article