Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-20T01:54:12.641Z Has data issue: false hasContentIssue false
  • English
  • Français

Epistaxis: prospective evaluation of bleeding site and its impact on patient outcome

Published online by Cambridge University Press:  20 April 2010

M Supriya ,
M Shakeel ,
D Veitch  and
K Wong Ah-See
M Supriya*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK
M Shakeel
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK
D Veitch
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK
K Wong Ah-See
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK
*
Address for correspondence: Mr Mrinal Supriya, 13/3 Valleyfield St, Edinburgh EH3 9LP, Scotland, UK. E-mail: mrinal.supriya@nhs.net
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

To assess impact of site of idiopathic epistaxis on adult patient management and its association with patient demographics and co-morbidities.

Method:

The site of epistaxis, patient data, their management and outcomes prior to discharge was recorded prospectively for 100 consecutive eligible adult patients.

Result:

Fifty three patients had anterior and 47 patients had a posterior site of bleeding. The site of epistaxis was not related to the patient s age, medical condition or medication.

Conclusion:

Most patients with epistaxis can be controlled with nasal cauterisation. However, patients with posterior epistaxis are more likely to need hospital admission, are twice as likely to require nasal packing, and stay in hospital longer. There appears to be no link between the site of epistaxis and patient factors.

Keywords

EpistaxisNasal SeptumNasal CavityPatient Demographics
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 7 , July 2010 , pp. 744 - 749
Copyright
Copyright © JLO (1984) Limited 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Viehwag, TL, Robertson, JB, Hudson, JW. Epistaxis: diagnosis and treatment. J Oral Maxillofac Surg 2006;64:511–18CrossRefGoogle Scholar
2McGarry, GW. Epistaxis. In: Gleeson, M, ed. Scott-Brown's Otolaryngology, Head and Neck Surgery, 7th edn. London: Hodder Arnold, 2008;2:1596–608Google Scholar
3Pearson, BW. Epistaxis: some observations on conservative management. J Laryngol Otol 1983;8(Suppl. 8);115–19Google ScholarPubMed
4McGarry, GW, Chiu, WT. Prospective clinical study of bleeding sites in idiopathic adult posterior epistaxis. Otolaryngol Head Neck Surg 2007;137:390–3Google Scholar
5Thornton, MA, Mahesh, BN, Lang, J. Posterior epistaxis: identification of common bleeding sites. Laryngoscope 2005;115:588–90CrossRefGoogle ScholarPubMed
6Philip, AP, Milton, GY. Epistaxis: a retrospective review of hospitalized patients. Otolaryngol Head Neck Surg 1997;117:49–53Google Scholar
7Ahmed, A, Woolford, TJ. Endoscopic bipolar diathermy in the management of epistaxis: an effective and cost-efficient treatment. Clin Otolaryngol 2003;28:273–5CrossRefGoogle ScholarPubMed
8Almedia, GSD, Diogenes, CA, Pinheiro, SD. Nasal endoscopy and localization of the bleeding source in epistaxis: last decade's revolution. Rev Bras Otorrinolaringol 2005;71:146–8Google Scholar
9Viducich, RA, Blanda, MP, Gerson, LW. Posterior epistaxis: clinical features and acute complications. Ann Emerg Med 1995;25:592–6CrossRefGoogle ScholarPubMed
10Peretta, LJ, Denslow, BL, Brown, CG. Emergency evaluation of epistaxis. Emerg Med Clin North Am 1987;5:265–77CrossRefGoogle Scholar
11Watkinson, JC. Epistaxis. In: Kerr, AJ, ed. Scott-Brown's Otolaryngology, 6th edn. Oxford: Butterworth-Heinemann, 1997;4:1–19Google Scholar
12Kotecha, B, Fowler, S, Harkness, P, Walmsley, J, Brown, P, Topham, J. Management of epistaxis: a national survey. Ann R Coll Surg Engl 1996;78:444–6Google ScholarPubMed
13Walker, TW, Macfarlane, TV, McGarry, GW. The epidemiology and chronobiology of epistaxis: an investigation of Scottish hospital admissions 1995-2004. Clin Otolaryngol 2007;32:361–5CrossRefGoogle ScholarPubMed
14Duvvi, S, Khattab, A, Khalil, HS, Nunez, DA. Short falls in epistaxis management. A nationwide survey in UK. Clin Otolaryngol 2006;31:556–7CrossRefGoogle ScholarPubMed