Risk Factors for Re-bleeding after the Treatment of Epistaxis
| Autor: | Yorihisa Orita, Misato Hirai, Kiyoko Nakai, Sayaka Fuji, Akiko Shigehara |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent 03 medical and health sciences Young Adult 0302 clinical medicine Recurrence Risk Factors Nasal septum Medicine Humans Medical history Significant risk Young adult General hospital 030223 otorhinolaryngology Child Aged Retrospective Studies Aged 80 and over business.industry Infant Retrospective cohort study Middle Aged Surgery Re bleeding medicine.anatomical_structure Epistaxis Otorhinolaryngology Child Preschool Female business 030217 neurology & neurosurgery After treatment |
| Zdroj: | Nihon Jibiinkoka Gakkai kaiho. 119(8) |
| ISSN: | 0030-6622 |
| Popis: | Epistaxis is the most frequent, but readily treatable rhinological emergency. However, epistaxis can be difficult to control and can require hospitalization. First-line treatments sometimes fail and episodes of epistaxis recur. The present study assesses factors involved in being hospitalized for epistaxis or re-bleeding after treatment. This retrospective study enrolled 923 patients (male, n=628 [57.3%]; female, n=468 [42.7%]; mean age, 58.3 [range, 1-98] years) who were treated for 1,096 episodes of epistaxis at Okayama Saiseikai General Hospital between January 2006 and December 2013. Among the 1,096 episodes, 66 (6.0%) required hospitalization and 135 (12.3%) recurred. Patients with bleeding points other than the nasal septum, who were treated with gauze packing, who had a history of hypertension or other heart diseases, who were receiving anticoagulant therapy and who were treated by a family doctor before the initial visit, tended to require treatment with hospitalization. Bleeding points other than the nasal septum, a medical history of hypertension, and treatment with gauze packing were significant risk factors for re-bleeding. In conclusion, these factors should be considered before treating and admitting epistaxis patients to hospital. |
| Databáze: | OpenAIRE |
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