{"id":"https://openalex.org/W2005659303","doi":"https://doi.org/10.1016/j.otohns.2008.08.025","title":"Diathermy power settings as a risk factor for hemorrhage after tonsillectomy","display_name":"Diathermy power settings as a risk factor for hemorrhage after tonsillectomy","publication_year":2009,"publication_date":"2009-01-01","ids":{"openalex":"https://openalex.org/W2005659303","doi":"https://doi.org/10.1016/j.otohns.2008.08.025","mag":"2005659303","pmid":"https://pubmed.ncbi.nlm.nih.gov/19130956"},"language":"en","primary_location":{"id":"doi:10.1016/j.otohns.2008.08.025","doi":"https://doi.org/10.1016/j.otohns.2008.08.025","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.otohns.2008.08.025","pdf_url":null,"source":{"id":"https://openalex.org/S200877091","display_name":"Otolaryngology","issn_l":"0161-6439","issn":["0161-6439","0194-5998","1085-8679","1097-6817"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Otolaryngology\u2013Head and Neck Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5083915382","display_name":"David Lowe","orcid":"https://orcid.org/0000-0002-1441-0065","observed_orcids":["https://orcid.org/0000-0002-1441-0065"]},"institutions":[{"id":"https://openalex.org/I14746517","display_name":"Royal College of Surgeons of England","ror":"https://ror.org/02qrg5a24","country_code":"GB","type":"funder","lineage":["https://openalex.org/I14746517"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"David Lowe","raw_affiliation_strings":["Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, England, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, England, UK","institution_ids":["https://openalex.org/I14746517"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025440606","display_name":"David Alan Cromwell","orcid":"https://orcid.org/0000-0002-6516-8125","observed_orcids":["https://orcid.org/0000-0002-6516-8125"]},"institutions":[{"id":"https://openalex.org/I14746517","display_name":"Royal College of Surgeons of England","ror":"https://ror.org/02qrg5a24","country_code":"GB","type":"funder","lineage":["https://openalex.org/I14746517"]},{"id":"https://openalex.org/I4210089966","display_name":"London School of Hygiene & Tropical Medicine","ror":"https://ror.org/00a0jsq62","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I4210089966"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"David A. Cromwell","raw_affiliation_strings":["Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, England, UK","Public Health and Policy, London School of Hygiene and Tropical Medicine, London, England, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, England, UK","institution_ids":["https://openalex.org/I14746517"]},{"raw_affiliation_string":"Public Health and Policy, London School of Hygiene and Tropical Medicine, London, England, UK","institution_ids":["https://openalex.org/I4210089966"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006662436","display_name":"Jim Lewsey","orcid":"https://orcid.org/0000-0002-3811-8165","observed_orcids":["https://orcid.org/0000-0002-3811-8165"]},"institutions":[{"id":"https://openalex.org/I7882870","display_name":"University of Glasgow","ror":"https://ror.org/00vtgdb53","country_code":"GB","type":"education","lineage":["https://openalex.org/I7882870"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"James D. Lewsey","raw_affiliation_strings":["Division of Community Based Sciences, University of Glasgow, Glasgow, Scotland, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Community Based Sciences, University of Glasgow, Glasgow, Scotland, UK","institution_ids":["https://openalex.org/I7882870"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111731237","display_name":"Lynn P. Copley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I14746517","display_name":"Royal College of Surgeons of England","ror":"https://ror.org/02qrg5a24","country_code":"GB","type":"funder","lineage":["https://openalex.org/I14746517"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Lynn P. Copley","raw_affiliation_strings":["Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, England, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, England, UK","institution_ids":["https://openalex.org/I14746517"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Peter Brown","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801793805","display_name":"Milton Keynes Hospital","ror":"https://ror.org/05jt1df44","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801793805","https://openalex.org/I4210145072"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Peter Brown","raw_affiliation_strings":["ENT Department, Milton Keynes General NHS Trust, Milton Keynes, Buckinghamshire, England, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ENT Department, Milton Keynes General NHS Trust, Milton Keynes, Buckinghamshire, England, UK","institution_ids":["https://openalex.org/I2801793805"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111412869","display_name":"Matthew Yung","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210160269","display_name":"Ipswich Hospital","ror":"https://ror.org/05m3qrs33","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210101239","https://openalex.org/I4210160269"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Matthew Yung","raw_affiliation_strings":["Department of Otolaryngology, Ipswich Hospital NHS Trust, Ipswich, Suffolk, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology, Ipswich Hospital NHS Trust, Ipswich, Suffolk, UK","institution_ids":["https://openalex.org/I4210160269"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017485109","display_name":"Jan van der Meulen","orcid":"https://orcid.org/0000-0002-9451-2335","observed_orcids":["https://orcid.org/0000-0002-9451-2335"]},"institutions":[{"id":"https://openalex.org/I14746517","display_name":"Royal College of Surgeons of England","ror":"https://ror.org/02qrg5a24","country_code":"GB","type":"funder","lineage":["https://openalex.org/I14746517"]},{"id":"https://openalex.org/I4210089966","display_name":"London School of Hygiene & Tropical Medicine","ror":"https://ror.org/00a0jsq62","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I4210089966"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jan H. van der Meulen","raw_affiliation_strings":["Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, England, UK","Public Health and Policy, London School of Hygiene and Tropical Medicine, London, England, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, England, UK","institution_ids":["https://openalex.org/I14746517"]},{"raw_affiliation_string":"Public Health and Policy, London School of Hygiene and Tropical Medicine, London, England, UK","institution_ids":["https://openalex.org/I4210089966"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5025440606"],"corresponding_institution_ids":["https://openalex.org/I14746517","https://openalex.org/I4210089966"],"apc_list":{"value":3600,"currency":"USD","value_usd":3600},"apc_paid":null,"fwci":1.7706,"has_fulltext":false,"cited_by_count":28,"citation_normalized_percentile":{"value":0.85777874,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"140","issue":"1","first_page":"23","last_page":"28"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12548","display_name":"Hemostasis and retained surgical items","score":0.8740000128746033,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12548","display_name":"Hemostasis and retained surgical items","score":0.8740000128746033,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12297","display_name":"Otolaryngology and Infectious Diseases","score":0.042899999767541885,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13543","display_name":"Oropharyngeal Anatomy and Pathologies","score":0.03869999945163727,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tonsillectomy","display_name":"tonsillectomy","score":0.9769999980926514},{"id":"https://openalex.org/keywords/postoperative-bleeding","display_name":"postoperative bleeding","score":0.9819999933242798},{"id":"https://openalex.org/keywords/bipolar-diathermy","display_name":"bipolar diathermy","score":0.984000027179718},{"id":"https://openalex.org/keywords/cold-steel-dissection","display_name":"cold steel dissection","score":0.8769999742507935},{"id":"https://openalex.org/keywords/hemostasis","display_name":"hemostasis","score":0.9259999990463257},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.7770000100135803},{"id":"https://openalex.org/keywords/bleeding-complications","display_name":"bleeding complications","score":0.35899999737739563}],"concepts":[{"id":"https://openalex.org/C2779073326","wikidata":"https://www.wikidata.org/wiki/Q170381","display_name":"Tonsillectomy","level":2,"score":0.9322776794433594},{"id":"https://openalex.org/C2781131426","wikidata":"https://www.wikidata.org/wiki/Q533734","display_name":"Diathermy","level":2,"score":0.8326960802078247},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8243896961212158},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.6897578239440918},{"id":"https://openalex.org/C2778589496","wikidata":"https://www.wikidata.org/wiki/Q487937","display_name":"Hemostasis","level":2,"score":0.6681246757507324},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5022034645080566},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.36972659826278687},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.32366669178009033}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003972","descriptor_name":"Diathermy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006470","descriptor_name":"Hemorrhage","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014068","descriptor_name":"Tonsillectomy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D014068","descriptor_name":"Tonsillectomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.otohns.2008.08.025","doi":"https://doi.org/10.1016/j.otohns.2008.08.025","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.otohns.2008.08.025","pdf_url":null,"source":{"id":"https://openalex.org/S200877091","display_name":"Otolaryngology","issn_l":"0161-6439","issn":["0161-6439","0194-5998","1085-8679","1097-6817"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Otolaryngology\u2013Head and Neck Surgery","raw_type":"journal-article"},{"id":"pmid:19130956","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19130956","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery","raw_type":"Journal Article"},{"id":"pmh:oai:eprints.gla.ac.uk:5480","doi":null,"is_oa":false,"landing_page_url":"http://eprints.gla.ac.uk/5480/","pdf_url":null,"source":{"id":"https://openalex.org/S4210235606","display_name":"ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam)","issn_l":"2622-8912","issn":["2622-8912","2622-8920"],"is_oa":false,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/I4405259220","host_organization_name":"Institut Agama Islam Negeri Langsa","host_organization_lineage":["https://openalex.org/I4405259220"],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Articles"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320320374","display_name":"Department of Social Services, Australian Government","ror":"https://ror.org/04vctsm14"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W1530910181","https://openalex.org/W1666346190","https://openalex.org/W2006291030","https://openalex.org/W2007956050","https://openalex.org/W2046524056","https://openalex.org/W2052297458","https://openalex.org/W2057268318","https://openalex.org/W2089433694","https://openalex.org/W2103351438","https://openalex.org/W2105759366","https://openalex.org/W2121968499","https://openalex.org/W2127163275","https://openalex.org/W2139623645","https://openalex.org/W2141659719","https://openalex.org/W2142589250","https://openalex.org/W2153721616","https://openalex.org/W2169947275","https://openalex.org/W2797597138","https://openalex.org/W4205244863"],"related_works":["https://openalex.org/W2398365021","https://openalex.org/W2007500248","https://openalex.org/W1974288015","https://openalex.org/W4321600425","https://openalex.org/W2561806798","https://openalex.org/W2081929277","https://openalex.org/W129732283","https://openalex.org/W4400237430","https://openalex.org/W2105759366","https://openalex.org/W2183533271"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"investigate":[2],"bipolar":[3,72,110,154],"diathermy":[4,73,95,111,155,166],"power":[5,96,125,167],"settings":[6,126,136],"as":[7,165],"a":[8,68],"risk":[9,87,159],"factor":[10],"for":[11,142,156],"postoperative":[12,54,161],"hemorrhage":[13,55,81,89,116,162],"following":[14],"tonsillectomy.":[15],"STUDY":[16],"DESIGN":[17],"AND":[18],"SETTING:":[19],"A":[20],"prospective":[21],"cohort":[22],"study":[23],"was":[24,82,90],"undertaken":[25],"between":[26],"July":[27],"2003":[28],"and":[29,37,42,53,75,85,109,153],"September":[30],"2004":[31],"in":[32,40,120,133],"National":[33],"Health":[34],"Service":[35],"(NHS)":[36],"independent":[38],"hospitals":[39],"England":[41],"Northern":[43],"Ireland.":[44],"Data":[45],"were":[46],"collected":[47],"on":[48],"patient":[49],"characteristics,":[50],"tonsillectomy":[51,69,104],"technique,":[52],"within":[56],"28":[57],"days":[58],"of":[59,80,88,115,160],"surgery.":[60],"RESULTS:":[61],"Among":[62,98],"the":[63,77,86,94,99,113,123,158],"9572":[64],"patients":[65,101,121],"who":[66,102],"had":[67,103],"performed":[70],"with":[71,93,105,122,135],"dissection":[74,108,152],"hemostasis,":[76,112,157],"overall":[78],"rate":[79,114],"4.6":[83],"percent":[84],"not":[91],"associated":[92],"setting.":[97],"8465":[100],"cold":[106,150],"steel":[107,151],"increased":[117],"from":[118],"1.8%":[119],"lowest":[124],"(6":[127],"to":[128,131],"8":[129],"watts)":[130],"3.7%":[132],"those":[134],"above":[137],"18":[138],"watts":[139],"(P":[140],"value":[141],"trend":[143],"=":[144],"0.005).":[145],"CONCLUSION:":[146],"In":[147],"tonsillectomies":[148],"using":[149],"becomes":[163],"greater":[164],"increases.":[168]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}