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Analysis of Care and Outcomes for Epistaxis Weekend Admissions
David Avery Cohen1, Laura Sofia Thomas Perez2, Maria Manuela Chemas-Velez3
1Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Summary
Weekend epistaxis admissions are more likely to be emergent and result in a longer hospital stay compared to weekday admissions. Treatment also differs, with increased use of packing on weekends.
Area of Science:
- Otolaryngology
- Health Services Research
- Emergency Medicine
Background:
- Epistaxis (nosebleeds) is a common condition requiring medical attention.
- Understanding variations in care based on admission timing (weekday vs. weekend) is crucial for optimizing patient management and resource allocation.
Purpose of the Study:
- To compare the characteristics, treatment, and outcomes of patients admitted for epistaxis during weekends versus weekdays.
- To identify potential disparities in care related to the day of admission.
Main Methods:
- Retrospective analysis of the National Inpatient Sample (NIS) database from 2003 to 2014.
- Inclusion of patients with a primary diagnosis of epistaxis.
- Univariate and multivariate analyses to compare weekday and weekend admissions regarding demographics, clinical factors, treatments, and outcomes.
Main Results:
- A total of 39,329 epistaxis admissions were analyzed.
- Weekend admissions were significantly more likely to be emergent (OR 1.41) and associated with a prolonged length of stay (OR 1.11).
- Nasal packing was more frequent on weekends (OR 1.14), while surgical ligation and endovascular embolization were less common.
Conclusions:
- Patients admitted for epistaxis on weekends face a higher likelihood of emergent presentation and extended hospital stays.
- Treatment patterns differ, with a greater reliance on nasal packing during weekend admissions.
- No significant differences were observed in insurance status, hospital ownership, in-hospital mortality, discharge disposition, or total hospital charges.
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