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Risk Factors for Re-bleeding after the Treatment of Epistaxis
Nihon Jibiinkoka Gakkai Kaiho
|July 28, 2018
Summary
Nosebleeds (epistaxis) can be serious. Factors like hypertension and gauze packing increase hospitalization and re-bleeding risk. Identifying these risks aids patient management.
Area of Science:
- Otolaryngology
- Rhinology
- Emergency Medicine
Background:
- Epistaxis (nosebleeds) is a common emergency.
- While often treatable, severe cases may require hospitalization.
- Recurrence and treatment failure are significant concerns.
Purpose of the Study:
- To identify factors contributing to hospitalization for epistaxis.
- To determine risk factors for epistaxis re-bleeding after treatment.
Main Methods:
- Retrospective study of 1,096 epistaxis episodes in 923 patients (2006-2013).
- Analysis of patient demographics, medical history, treatment, and outcomes (hospitalization, recurrence).
Main Results:
- 6.0% of episodes required hospitalization; 12.3% recurred.
- Factors associated with hospitalization included non-septal bleeding, gauze packing, hypertension, heart disease, anticoagulation, and prior family doctor treatment.
- Non-septal bleeding, hypertension history, and gauze packing were significant risk factors for re-bleeding.
Conclusions:
- Certain factors predict the need for hospitalization and re-bleeding in epistaxis patients.
- Consider these risk factors during initial assessment and treatment planning for nosebleeds.
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