Risk Factors for Recurrent Spontaneous Epistaxis

Abrich, Victor; Brozek, Annabelle; Boyle, Timothy R.; Chyou, Po‐Huang; Yale, Steven H.

doi:10.1016/j.mayocp.2014.09.009

Cited by 54 publications

(94 citation statements)

References 13 publications

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“…Several demographic and comorbid risk factors for single epistaxis events have been identified in the literature [8–10]; however, it remains unclear whether the same risk factors are involved in recurrent epistaxis. Two retrospective studies, Abrich et al [11] and Ando et al [12] that included included 461 and 299 patients, respectively, found that that accepted risk factors for initital epistaxis were not associated with recurrent epistaxis. In our previous study, we looked at risk factors associated with ED visits for new-onset epistaxis and found that older age, male gender, winter season and living in the northern U.S. were associated with an increased risk of an ED admission [6].…”

Section: Discussionmentioning

confidence: 99%

Factors influencing recurrent emergency department visits for epistaxis in the elderly

Chaaban¹,

Zhang

Resto

et al. 2018

Auris Nasus Larynx

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Objective Our objective is to determine the risk factors associated with recurrent epistaxis requiring emergency department (ED) visits in the elderly. Methods We used a 5% national sample of Medicare data from January 2012 through December 2013. Our cohort included patients with a new diagnosis of epistaxis in the ED, defined as no epistaxis in the prior 12 months. We assessed the rates of ED visits for recurrent epistaxis in the 12 months following the incident visit. Our variables included demographics, geographic location, procedures performed during the incident visit and comorbidities. Results Out of the 4120 patients with incident epistaxis, 775 were readmitted with recurrent epistaxis within 12 months. 60% presented in the first 30 days and 75% within 90 days. There was a significant increase in ED visits for patients over 75 years of age and in men compared to women. Recurrent ED visits for epistaxis was higher in patients with congestive heart failure, diabetes mellitus, and obstructive sleep apnea compared to those without these comorbidities. Conclusion Additional ED visits for epistaxis are more common in the elderly and in males. Congestive heart failure, diabetes mellitus and obstructive sleep apnea were found to be independent risk factors.

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Section: Discussionmentioning

confidence: 99%

Factors influencing recurrent emergency department visits for epistaxis in the elderly

Chaaban¹,

Zhang

Resto

et al. 2018

Auris Nasus Larynx

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“…In a retrospective study done by Victor Abrich et al, there were 461 cases with at least 2 episodes of spontaneous epistaxis within 3 years and 912 controls with only one episode in the same time frame [19]. Yuji Ando et al, in their study of 299 patients in Tokyo Japan found 32 (10.7%) patients with recurrent epistaxis [20].…”

Section: Discussionmentioning

confidence: 99%

Aetiology and Management of Epistaxis - A Prospective Clinical Study

SS¹,

Raghuvanshi²

2016

IJCEO

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“…The number of cases without detectable bleeding points was negligible. Our experience suggests that the management of epistaxis requires a good understanding of the vascular anatomy in the nasal cavity, careful and sufficient observation of the nasal cavity using an endoscope, and control of bleeding using suitable methods [15,16]. …”

Section: Discussionmentioning

confidence: 99%

Clinical Study of 1,515 Patients Presenting with Epistaxis Over the Last 6 Years

Yukitatsu

Tsuzuki

Takebayashi

et al. 2016

ORL

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Aim: This study reviews our clinical experience of patients with epistaxis and discusses proper management. Patients and Methods: We retrospectively investigated 1,515 patients with epistaxis treated in our department between 2005 and 2010. Results: Men over 50 years old predominated. More than half of the patients (n = 828) first visited after consultation hours, and 40% (n = 606) were brought by ambulance. The most common underlying diseases were circulatory diseases (69%, n = 1,047). Antithrombotics were being administered to 23% (n = 345). Kiesselbach's plexus was the most commonly observed bleeding site (51%, n = 769). In 20% (n = 297), no bleeding point was confirmed because hemostasis had been achieved on arrival. Anterior packing was the most common primary treatment, followed by electrocauterization. Hospitalization was required in 2% (n = 30). Re-bleeding occurred within 14 days after primary treatment in 14% (n = 206). Surgical treatment was performed for 5% (n = 11). Conclusions: Patients showing repeated pulsatile arterial bleeding require hospitalization for surgical therapy, although outpatient therapy is sufficient in most cases. A risk of re-bleeding should be considered if patients show unclarified bleeding points and circulatory diseases.

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Risk Factors for Recurrent Spontaneous Epistaxis

Cited by 54 publications

References 13 publications

Factors influencing recurrent emergency department visits for epistaxis in the elderly

Factors influencing recurrent emergency department visits for epistaxis in the elderly

Aetiology and Management of Epistaxis - A Prospective Clinical Study

Clinical Study of 1,515 Patients Presenting with Epistaxis Over the Last 6 Years

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