Current Approaches to Epistaxis Treatment in Primary and Secondary Care

Beck, Rafael; Sorge, Martin; Schneider, Antonius; Dietz, Andreas

doi:10.3238/arztebl.2018.0012

Cited by 69 publications

(102 citation statements)

References 76 publications

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“…Considering the direct correlation of air temperature and incidence of respiratory tract infection of the upper airway (e.g. "common cold") it is not surprising that viral infections have already been linked to epistaxis [35][36][37][38]. Other factors that might lead to the higher incidence of epistaxis during the winter months which may overstrain the already stressed mucous membrane include: (i) changes at the cellular level, such as the disruption of the epithelial cell barrier, and (ii) the mechanical effect of increased sneezing or nose blowing when affected by cold [39].…”

Section: Discussionmentioning

confidence: 99%

Winter peaks in web-based public inquiry into epistaxis

Liu

Besser

Parzefall

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose Epistaxis represents the most frequent ear, nose, throat-related emergency symptom. Seasonal variation in epistaxis incidence, with peaks during winter months, is widely accepted, although the literature itself remains inconclusive. The objective of this study was to evaluate public inquiry into nose bleeding, by considering Google-based search query frequency on "Epistaxis"-related search terms and to assess possible seasonal variations globally. Results Graphical representation revealed seasonal variations with peaks during winter months in the majority of countries included. Subsequent cosinor analysis revealed these variations to be significant (all p < 0.001). Conclusion Public interest in seeking epistaxis-related information through the Internet displayed seasonal patterns in countries from both hemispheres, with the highest interest during winter months. Further studies exploring causality with environmental factors are warranted.Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Section: Discussionmentioning

confidence: 99%

Winter peaks in web-based public inquiry into epistaxis

Liu

Besser

Parzefall

et al. 2020

Eur Arch Otorhinolaryngol

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“…A causa mais frequente de epistaxe é o trauma devido à manipulação digital. Além do traumatismo, são considerados como causa da epistaxe, os de cunho neoplásico, hematológico como a trombocitopenia e a estrutural como a secura da mucosa (Beck, Sorge, Schneider, Dietz, 2018).…”

Section: Introductionunclassified

Telemonitoramento como tecnologia aliada ao cuidado de enfermagem ao paciente onco-hematológico

Sousa

Santo

Pinheiro

2020

RSD

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Objetivo: Discutir as intervenções de enfermagem aplicáveis durante o acompanhamento por telefone no pós-alta para pacientes com doença onco-hematológica. Método: Pesquisa exploratória com abordagem mista, do tipo estudo de caso único. A amostra foi composta por 21 participantes, sendo oito do grupo intervenção e 13 do controle. Aplicou-se intervenções de enfermagem segundo o padrão da NIC (Nursing Intervention Classification, 2010) para o “Acompanhamento por telefone” ao grupo intervenção. Foi realizada análise estatística descritiva simples. Resultados: as intervenções de enfermagem 100% aplicadas foram: escutar ativamente, aconselhamento, supervisão, supervisão da pele, controle da nutrição, proteção contra infecção; as 75%: controle de infecção, controle de medicamento e precauções contra sangramento; 50%: banho, controle do ambiente e redução do sangramento gastrintestinal. Conclusão: Trata-se de uma tecnologia que pode ser aliada ao cuidado de enfermagem ao paciente onco-hematológico, por favorecer a manutenção do vínculo do paciente com o enfermeiro, possibilitar auxílio para esclarecimento de dúvidas no pós alta além de incentivar a adesão ao tratamento e manejo do autocuidado.

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“…It is seen that 60% people experiences their life time to epistaxis and 6% population only went to take consultation. [1] There are various etiological & provoking factors as local, general and idiopathic. Among local most commonly seen to the trauma and in general most commonly seen to the hypertension.…”

Section: Introductionmentioning

confidence: 99%

Retrospective Clinical Study on Epistaxis

Alam

Thakur

2020

AJS

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Background: Epistaxis is bleeding through nose. It is most common emergency situation in ENT that is disastrous to the patient and troublesome to treat for doctors. It is seen that 60% population experiences epistaxis in their life time and only 6% went to take consultation. The study aims to evaluate incidence, etiology, provoking factors and cost effective management. Subjects and Methods: A 3 years retrospective study between September 2015 to August 2018 carried out in Anugarah Narayan Magadh Medical College & Hospital, Gaya on 98 admitted epistaxis patients. Results: Total 11,667 patients came in ENT department among them 2,723 patients with nasal complain. Incidence was0.84% among all cases and 3.6% among nasal problems. No obvious cause seen in 34 cases (34.23%) then cardiovascular cause in 32 cases (32.65%) then infection in19.32% and lastly by trauma in 5.68%. Maximum patients in 40-50 years age group 36% and minimum in 70-80 years 1%. Most patients belong to urban76 cases (77.27%) and middle age 36 cases (36.36%). Males are more prone 57 cases (57.95%) with ratio 1.39:1. Mostly in January-March months 45 cases (46.59%). Most patients came with unilateral epistaxis 86 cases (87.5%). About 26cases (26.14%)came with single episode whom urgent treatment required. Well managed with Nonsurgical method to 85 patients (86.73%) by anterior nasal packing (ANP) in 43 cases (43.87%) and chemical cauterization to 19 cases(19.30%) while surgical treatment given to 13 patients (13.26%).Some required electrocauterization 16 cases (16.32%) with bipolar. Mean hospital stay length 3.2 days. Blood transfusion required in 7cases (7.14%). Conclusion: Cost effectively anterior nasal packing is best conservative indirect method and electrocauterization is very effective direct method.

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Current Approaches to Epistaxis Treatment in Primary and Secondary Care

Abstract: SummaryBackground: The lifetime prevalence of epistaxis is approximately 60%, and 6-10% of the affected persons need medical care. In rare cases, severe bleeding calls for the rapid initiation of effective treatment.

Cited by 69 publications

References 76 publications

Winter peaks in web-based public inquiry into epistaxis

Winter peaks in web-based public inquiry into epistaxis

Telemonitoramento como tecnologia aliada ao cuidado de enfermagem ao paciente onco-hematológico

Retrospective Clinical Study on Epistaxis

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