Retrospective study on hospitalized patients with epistaxis: Insights and implications

Asude Unal; Ayşe Çeçen; Hande Arslan; Seda Nur Cihan

Research Article

Retrospective study on hospitalized patients with epistaxis: Insights and implications

Year 2023, Volume: 40 Issue: 3, 568 - 571, 30.09.2023

Asude Unal Ayşe Çeçen Hande Arslan Seda Nur Cihan

Abstract

Epistaxis, commonly encountered in the Otolaryngology practice, refers to bleeding that occurs as a result of vascular pathologies and coagulation disorders. It can develop due to traumatic, iatrogenic, or spontaneous etiologies. In our study, we aim to retrospectively examine the epistaxis patients treated in our clinic to investigate the etiology causing epistaxis, associated diseases, and the use of anticoagulants-antiplatelets. Additionally, we plan to evaluate hemogram and coagulation parameters. The study included patients diagnosed with epistaxis and admitted for treatment at Samsun Education and Research Hospital ENT Clinic between 2019 and 2022. A retrospective analysis of the patients' medical records was conducted to gather data on demographic characteristics, comorbidities, medications used regularly, laboratory values, and clinical findings. A total of 130 patients were included in the study. No statistically significant difference was observed between the location of the bleeding focus and gender, presence of hypertension, use of antihypertensive medication, or anticoagulant use. When comparing patients with and without antiplatelet-anticoagulant use, a significantly longer nasal packing duration was found in patients who used these medications. In terms of the need for electrocauterization, statistically significant higher intervention rates were observed in patients who did not use anticoagulant medication. Our study identified a higher rate of surgical intervention in hospitalized epistaxis patients, potentially due to the inclusion of more severe cases requiring specialized care. Further research is needed to investigate the factors influencing the need for surgical management and to develop appropriate guidelines for the management of different severities of epistaxis.

Keywords

epistaxis, anticoagulant drug, nasal packing, electrocauterization

References

1. Yavuz R., Yavuz HB. (2021). Epistaksis şiddetine göre hastaların retrospektif karşılaştırması. Kulak Burun Boğaz Uygulamaları. 2021; 9(2), 53-59.
2. Send T., Bertlich M., Eichhorn KW., Ganschow R., Schafigh D., Horlbeck F., et al. Etiology, management, and outcome of pediatric epistaxis. Pediatr Emerg Care. 2021 Sep 1;37(9):466-470. doi: 10.1097/PEC.0000000000001698
3. Özgür A., Birinci M., Coşkun Z., Terzi S., Erdivanlı Ö., Demirci M., et al. A cross-sectional study of epistaxis: Etiologic and clinical characteristics. Journal of Clinical and Analytical Medicine. 2016; vol.7, no.6, pp.804-806. Doi: 10.4328/jcam.4336
4. Kaygusuz İ., Karlıdağ T., Keleş E., Yalçın Ş., Alpay HC.,Sakallıoğlu Ö. Hastaneye yatırılarak tedavi edilen 68 epistaksisli hastanın retrospektif analizi. Fırat Tıp Dergisi. 2004; 9(3), 82-85.
5. Page C., Biet A., Liabeuf S., Strunski V.,Fournier A. Serious spontaneous epistaxis and hypertension in hospitalized patients. Eur Arch Otorhinolaryngol. 2011 Dec;268(12):1749-53. doi: 10.1007/s00405-011-1659-y.
6. André N., Klopp-Dutote N., Biet-Hornstein A., Strunski V., Page C. (2018). Cardiovascular risk and severity factors in patients admitted to hospital for spontaneous epistaxis. Eur Ann Otorhinolaryngol Head Neck Dis. 2018 Apr;135(2):119-122. doi: 10.1016/j.anorl.2017.11.004.
7. Koksal O., Durak VA. Yeni Kuşak Oral Antikoagülanlara Bağlı Kanamalarda Acil Servis Yönetimi. Anatolian Journal of Emergency Medicine. 2020;3(2); 62-65.
8. Ağırbaşlı M., Güvenç H., Çinçin A. Antitrombosit tedavide yeni ilaçlar. Türk Kardiyoloji Derneği Arşivi. 2010;38(5), 369-378.
9. Pollice PA, Yoder MG. Epistaxis: A retrospective review of hospitalized patients. Otolaryngology–Head and Neck Surgery. 1997;117(1):49-53. doi:10.1016/S0194-59989770205-5
10. Womack JP., Kropa J., Jimenez Stabile M. Epistaxis: Outpatient Management. American family physician. 2018;98(4), 240–245.
11. Tabassom A., Cho JJ. Epistaxis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan.2022 Sep 12.PMID: 28613768 Bookshelf ID: NBK435997

Epistaksis Nedeniyle Hastanede Yatarak Tedavi Edilen Hastaların Retrospektif Analizi: Öngörüler ve Çıkarımlar

Year 2023, Volume: 40 Issue: 3, 568 - 571, 30.09.2023

Asude Unal Ayşe Çeçen Hande Arslan Seda Nur Cihan

Abstract

References

1. Yavuz R., Yavuz HB. (2021). Epistaksis şiddetine göre hastaların retrospektif karşılaştırması. Kulak Burun Boğaz Uygulamaları. 2021; 9(2), 53-59.
2. Send T., Bertlich M., Eichhorn KW., Ganschow R., Schafigh D., Horlbeck F., et al. Etiology, management, and outcome of pediatric epistaxis. Pediatr Emerg Care. 2021 Sep 1;37(9):466-470. doi: 10.1097/PEC.0000000000001698
3. Özgür A., Birinci M., Coşkun Z., Terzi S., Erdivanlı Ö., Demirci M., et al. A cross-sectional study of epistaxis: Etiologic and clinical characteristics. Journal of Clinical and Analytical Medicine. 2016; vol.7, no.6, pp.804-806. Doi: 10.4328/jcam.4336
4. Kaygusuz İ., Karlıdağ T., Keleş E., Yalçın Ş., Alpay HC.,Sakallıoğlu Ö. Hastaneye yatırılarak tedavi edilen 68 epistaksisli hastanın retrospektif analizi. Fırat Tıp Dergisi. 2004; 9(3), 82-85.
5. Page C., Biet A., Liabeuf S., Strunski V.,Fournier A. Serious spontaneous epistaxis and hypertension in hospitalized patients. Eur Arch Otorhinolaryngol. 2011 Dec;268(12):1749-53. doi: 10.1007/s00405-011-1659-y.
6. André N., Klopp-Dutote N., Biet-Hornstein A., Strunski V., Page C. (2018). Cardiovascular risk and severity factors in patients admitted to hospital for spontaneous epistaxis. Eur Ann Otorhinolaryngol Head Neck Dis. 2018 Apr;135(2):119-122. doi: 10.1016/j.anorl.2017.11.004.
7. Koksal O., Durak VA. Yeni Kuşak Oral Antikoagülanlara Bağlı Kanamalarda Acil Servis Yönetimi. Anatolian Journal of Emergency Medicine. 2020;3(2); 62-65.
8. Ağırbaşlı M., Güvenç H., Çinçin A. Antitrombosit tedavide yeni ilaçlar. Türk Kardiyoloji Derneği Arşivi. 2010;38(5), 369-378.
9. Pollice PA, Yoder MG. Epistaxis: A retrospective review of hospitalized patients. Otolaryngology–Head and Neck Surgery. 1997;117(1):49-53. doi:10.1016/S0194-59989770205-5
10. Womack JP., Kropa J., Jimenez Stabile M. Epistaxis: Outpatient Management. American family physician. 2018;98(4), 240–245.
11. Tabassom A., Cho JJ. Epistaxis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan.2022 Sep 12.PMID: 28613768 Bookshelf ID: NBK435997

There are 11 citations in total.

Details

Primary Language	English
Subjects	Otorhinolaryngology
Journal Section	Research Article
Authors	Asude Unal 0000-0003-0282-8277 Ayşe Çeçen 0000-0001-6255-6125 Hande Arslan 0000-0003-0344-2712 Seda Nur Cihan 0000-0001-6255-6125
Early Pub Date	October 6, 2023
Publication Date	September 30, 2023
Submission Date	June 16, 2023
Acceptance Date	September 5, 2023
Published in Issue	Year 2023 Volume: 40 Issue: 3

Cite

APA	Unal, A., Çeçen, A., Arslan, H., Cihan, S. N. (2023). Retrospective study on hospitalized patients with epistaxis: Insights and implications. Journal of Experimental and Clinical Medicine, 40(3), 568-571.
AMA	Unal A, Çeçen A, Arslan H, Cihan SN. Retrospective study on hospitalized patients with epistaxis: Insights and implications. J. Exp. Clin. Med. September 2023;40(3):568-571.
Chicago	Unal, Asude, Ayşe Çeçen, Hande Arslan, and Seda Nur Cihan. “Retrospective Study on Hospitalized Patients With Epistaxis: Insights and Implications”. Journal of Experimental and Clinical Medicine 40, no. 3 (September 2023): 568-71.
EndNote	Unal A, Çeçen A, Arslan H, Cihan SN (September 1, 2023) Retrospective study on hospitalized patients with epistaxis: Insights and implications. Journal of Experimental and Clinical Medicine 40 3 568–571.
IEEE	A. Unal, A. Çeçen, H. Arslan, and S. N. Cihan, “Retrospective study on hospitalized patients with epistaxis: Insights and implications”, J. Exp. Clin. Med., vol. 40, no. 3, pp. 568–571, 2023.
ISNAD	Unal, Asude et al. “Retrospective Study on Hospitalized Patients With Epistaxis: Insights and Implications”. Journal of Experimental and Clinical Medicine 40/3 (September 2023), 568-571.
JAMA	Unal A, Çeçen A, Arslan H, Cihan SN. Retrospective study on hospitalized patients with epistaxis: Insights and implications. J. Exp. Clin. Med. 2023;40:568–571.
MLA	Unal, Asude et al. “Retrospective Study on Hospitalized Patients With Epistaxis: Insights and Implications”. Journal of Experimental and Clinical Medicine, vol. 40, no. 3, 2023, pp. 568-71.
Vancouver	Unal A, Çeçen A, Arslan H, Cihan SN. Retrospective study on hospitalized patients with epistaxis: Insights and implications. J. Exp. Clin. Med. 2023;40(3):568-71.

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