Skip to main content Accessibility help

One-year all-cause mortality for 338 patients admitted with epistaxis in a large tertiary ENT centre

  • M J Corr (a1), T Tikka (a2), C M Douglas (a2) and J Marshall (a2)



Epistaxis is the most common ENT emergency. This study aimed to assess one-year mortality rates in patients admitted to a large teaching hospital.


This study was a retrospective case note analysis of all patients admitted to the Queen Elizabeth University Hospital in Glasgow with epistaxis over a 12-month period.


The one-year overall mortality for a patient admitted with epistaxis was 9.8 per cent. The patients who died were older (mean age 77.2 vs 68.8 years; p = 0.002), had a higher Cumulative Illness Rating Scale-Geriatric score (9.9 vs 6.7; p < 0.001) and had a higher performance status score (2 or higher vs less than 2; p < 0.001). Other risk factors were a low admission haemoglobin level (less than 128 g/dl vs 128 g/dl or higher; p = 0.025), abnormal coagulation (p = 0.004), low albumin (less than 36 g/l vs more than 36 g/l; p < 0.001) and longer length of stay (p = 0.046).


There are a number of risk factors associated with increased mortality after admission with epistaxis. This information could help with risk stratification of patients at admission and enable the appropriate patient support to be arranged.


Corresponding author

Author for correspondence: Mr Matthew J Corr, Department of ENT, Royal Hospital for Children, Govan Rd, Glasgow G51 4TF, Scotland, UK E-mail:


Hide All

Dr M J Corr takes responsibility for the integrity of the content of the paper



Hide All
1Petruson, B, Rudin, R. The frequency of epistaxis in a male population sample. Rhinology 1975;13:129–33
2Walker, TW, Macfarlane, TV, McGarry, GW. The epidemiology and chronobiology of epistaxis: an investigation of Scottish hospital admissions 1995–2004. Clin Otolaryngol 2007;32:361–5
3Douglas, CM, Tikka, T, Broadbent, B, Calder, N, Montgomery, J. Patterns of hospital admission in 54 501 patients with epistaxis over a 20-year period in Scotland, UK. Clin Otolaryngol 2018;43:1465–70
4Schnell, S, Friedman, SM, Mendelson, DA, Bingham, KW, Kates, SL. The 1-year mortality of patients treated in a hip fracture program for elders. Geriatr Orthop Surg Rehabil 2010;1:614
5Neuburger, J, Currie, C, Wakeman, R. The impact of a national clinician-led audit initiative on care and mortality after hip fracture in England: an external evaluation using time trends in non-audit data. Med Care 2015;53:686–91
6National Institute for Health and Care Excellence (NICE). Hip fracture: management. 2011;CG124
7NHS Health Research Authority. Do I need NHS ERC approval? In: [9 October 2018]
8Department of Public Health, Scottish Government. Population of Greater Glasgow and Clyde, 2015. In: [3 July 2018]
9Miller, MD, Paradis, CF, Houck, PR, Mazumdar, S, Stack, JA, Rifai, AH et al. Rating chronic medical illness burden in geropsychiatric practice and research: application of the cumulative illness rating scale. Psychiatry Res 1992;41:237–48
10Moffitt Cancer Center. CIRS-G score calculator. In: [30 January 2018]
11National ENT Trainee Research Network. Epistaxis 2016: national audit of management. J Laryngol Otol 2017;131:1131–41
12Fishpool, SJ, Tomkinson, A. Patterns of hospital admission with epistaxis for 26,725 patients over an 18-year period in Wales, UK. Ann R Coll Surg Eng 2012;94:559–62
13Rainsbury, JW, Molony, NC. Clopidogrel versus low-dose aspirin as risk factors for epistaxis. Clin Otolaryngol 2009;34:232–5
14Yaneza, MM, Amiraraghi, N. Epistaxis. Surgery (Oxford) 2018;36:543–52
15Goldwasser, P, Feldman, J. Association of serum albumin and mortality risk. J Clin Epidemiol 1997;50:693703
16Scottish Index of Multiple Deprivation 2016. In: [25 February 2019]


Related content

Powered by UNSILO

One-year all-cause mortality for 338 patients admitted with epistaxis in a large tertiary ENT centre

  • M J Corr (a1), T Tikka (a2), C M Douglas (a2) and J Marshall (a2)


Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.