Epistaxis: Its Prevalence in IDPs of North Waziristan Agency

Iqbal, Mohammad; Ahmed, Wasim

doi:10.11648/j.ajcem.20150305.16

Cited by 5 publications

(10 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Epistaxis occurs more commonly in hypertensives, and some authors have ascribed this to the increased fragility of the blood vessel walls due to long-standing hypertensive disease. [15] Further research is required to establish the causal relationship between epistaxis and hypertension.…”

Section: Discussionmentioning

confidence: 99%

Epistaxis: The demographics, etiology, management, and predictors of outcome in Jos, North-Central Nigeria

et al. 2019

View full text Add to dashboard Cite

Background: Epistaxis, though a mere nuisance can have life-threatening consequences. This first study from Jos on epistaxis aims to determine its sociodemographic characteristics, causes, the treatment modalities and the predictors of patient outcome. Study Design: A retrospective chart review. Methods: Health records of patients that met the inclusion criteria for epistaxis at the Jos University Teaching Hospital, Jos, Nigeria, between February 2011 and December 2015 were retrieved manually using standardized codes in the International Classification of Diseases 10 th revision and studied for age, gender, associated comorbidities, treatment modalities offered, and outcome of treatment. Results: We managed 154 patients. Records of 92 patients were retrievable aged between 1 and 85 years (Mean = 37.7; standard deviation ± 16.2) with male to female ratio of 2.3:1. Patients in the third decade were the largest group. The most common cause was idiopathic. Anterior nasal bleeding occurred in 51.1%, posterior nasal bleeding in 34.8%. Conservative management was effective in 84.8%. Etiological factors other than chronic liver disease and otolaryngological malignancies showed statistically significant association with good patient outcomes ( P = 0.013, P = 0.044, and P = 0.026, respectively). A mortality rate of 5.4% was recorded. Conclusion: Epistaxis of idiopathic origin occurring mostly in young males is the most common with most resolving on conservative management. Early hospital presentation, normal blood pressure at presentation and all management modalities were positive predictors of outcome in our patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Epistaxis: The demographics, etiology, management, and predictors of outcome in Jos, North-Central Nigeria

et al. 2019

View full text Add to dashboard Cite

show abstract

“…It however appears to be second highest cause in some international works [31]. Hypertension has been documented a common cause of epistaxis in the elderly and it is thought to be due to the increased fragility of the blood vessels that could arise from long standing elevated blood pressure in these patients [32]. Malignancies of the nose and nasopharynx were all implicated in the aetiology of epistaxis but in the present study it represents only 3.1% of the cases.…”

Section: Discussionmentioning

confidence: 44%

Epistaxis in the University of Port Harcourt Teaching Hospital: Aetiological Profile and Management

Uju

Victor

2020

JAMMR

View full text Add to dashboard Cite

Background: Bleeding from the nose is one of the commonest emergencies that could present in a typical ear, nose and throat clinic. It is often a frightful experience for both the patient and relations, especially in severe cases. Aim: To determine the aetiological profile, the management and outcome in patients that presented with epistaxis in University of Port Harcourt teaching hospital. Patients and Methods: This was a retrospective study of patients with complaints of epistaxis that were managed within the period of January 2006 to January 2018 in the Ear, Nose and Throat (ENT) department, including referrals from the accident & emergency department and children emergency ward. Data on demographics, aetiology, associated clinical features, treatment modalities and outcome of such treatments were all collated. These were analyzed using IBM statistical package for social sciences SPSSversion 20and results presented in simple descriptive tables. Results: There were altogether 196 patients studied, 95 males and 101 females, giving a male to female ratio of 1:1.06. The age range was from 1 to 81 years. Age group 30-39 was the most affected with 22.29% Aetiological factors were; hypertension in 9.2% trauma in 11.2%, idiopathic in most; 58.2%, chronic rhinosinusitis in 18.4%. Conservative medical therapy was the commonest treatment modality; 68.38%. Anterior nasal packing in 26.5% while 4.1% had posterior packing. Anterior aspect of the nose was the commonest site of bleed recorded in 160 cases. All the patients had a favourable outcome. Conclusion: Epistaxis in this environment still presents as a common emergency and in the majority of the case, the cause is not known, however, trauma appears to be one of the commonest cause implicated in our setting. The young adults appear to be the ones mainly affected.

show abstract

“…However, their reported success rates for bleeding control are relatively low, ranging from 47% to 79%. [9][10][11] This indicates a frequent failure to achieve hemostasis in these patients. Gi Woon Kim, et al…”

Section: Discussionmentioning

confidence: 99%

“…This type of method uses a nasal tampon approach to compress the bleeding site directly with gauze packing, a urinary catheter, or Bellocq tamponade. However, their reported success rates for bleeding control are relatively low, ranging from 47% to 79% [ 9 - 11 ]. This indicates a frequent failure to achieve hemostasis in these patients.…”

Section: Discussionmentioning

confidence: 99%

Management of intractable oronasal bleeding using Sengstaken-Blakemore tubes in patients with facial trauma: a case series and technical notes

et al. 2021

View full text Add to dashboard Cite

Objective Intractable massive oronasal bleeding can become a life-threatening condition. The success rate of conventional bleeding control methods other than transarterial embolization (TAE) is not expected to be high. We investigated the efficacy of Sengstaken-Blakemore tube (SBT) balloon tamponade in patients with sustained and intractable oronasal bleeding secondary to facial injury. MethodsThis study is a retrospective chart review from traumatic patients with sustained and intractable oronasal bleeding who were admitted to the emergency center of Ajou University Hospital and Soonchunhyang University Bucheon Hospital from January 2014 to December 2016. ResultsTwelve patients were included in the study, of whom nine (75%) were male. The median age was 31 years (range, 20-73 years). Bleeding was controlled in 11 of the 12 patients (91.7%) either temporarily or definitively. One patient without hemostasis underwent TAE. TAE was performed in an additional three patients out of the 11 patients with hemostasis who experienced continued nasal bleeding after the removal of SBTs. There were no complications from performing the procedure. ConclusionUsing SBTs as a hemostatic tool will aid patients with life-threatening intractable oronasal bleeding. Furthermore, this method may be used in patients with continual and intractable oronasal bleeding after facial trauma as a bridging procedure from the emergency department or the intensive care unit to the interventional radiology.

show abstract

Epistaxis: Its Prevalence in IDPs of North Waziristan Agency

Cited by 5 publications

References 12 publications

Epistaxis: The demographics, etiology, management, and predictors of outcome in Jos, North-Central Nigeria

Epistaxis: The demographics, etiology, management, and predictors of outcome in Jos, North-Central Nigeria

Epistaxis in the University of Port Harcourt Teaching Hospital: Aetiological Profile and Management

Management of intractable oronasal bleeding using Sengstaken-Blakemore tubes in patients with facial trauma: a case series and technical notes

Contact Info

Product

Resources

About