Outpatient management of pediatric epistaxis: A cost analysis and clinical model

Autor: Joshua A. Lee, Christopher Puchi, Kathleen R. Billings, Jennifer M. Lavin, Inbal Hazkani, Carole Glennon, Dana M. Thompson, John Maddalozzo
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Laryngoscope Investigative Otolaryngology, Vol 9, Iss 5, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2378-8038
DOI: 10.1002/lio2.1310
Popis: Abstract Objective(s) Pediatric epistaxis is a common, often non‐operative condition encountered by Otolaryngologists. The present study seeks to (1) describe our outcomes of epistaxis management, (2) estimate the associated healthcare burden, and (3) propose a clinical model to optimize care coordination with primary care and advanced practice providers. Methods Retrospective case series of pediatric patients treated outpatient for epistaxis by a single otolaryngologist from 2021 to 2022. The primary outcome after treatment with nasal lubricants was defined as (1) refractory epistaxis, (2) improvement, or (3) complete resolution. Cost data for office versus operative nasal cautery were analyzed. Results In total, 122 patients were included for analysis. Over a follow‐up duration of 20.5 months (IQR 8–36), 24.6% of patients experienced refractory epistaxis, 41.8% of patients found improvement, and 33.6% had complete resolution (n = 122). Refractory epistaxis was associated with a family history of coagulopathy (p = .007), daily epistaxis episodes (p = .043), and anemia (p
Databáze: Directory of Open Access Journals
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje