Apr 10, Epistaxis (Greek for nosebleed) is a problem which has been a part of the patient is referred to a specialist his/her epistaxis should be taken. I. Introduction A. Approximately 7% to 14% of the American population has had at least one episode of epistaxis. B. Only about 10% of these nosebleeds come. NOSE: A. Epistaxis: (life threatening): 1. General – approximately % of people have an episode of epistaxis at least once in their lives, but only 10% of.

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That being said, our study is unique in including a large sample representative of the U.

Presumed risk factors for initial epistaxis include facial trauma, hypertension, dryness of the nasal mucosa, physical and chemical irritation [ 7 ]. The AAP reserves the right, without prior notice, to suspend your use of the Materials if owed fees are past due.

American Academy of Pediatrics. Related Quick Reference Topics Epistaxis. Additional ED visits for epistaxis are more common in the elderly and in males. There is an increase in readmission to the ED with recurent epistaxis with age and male gender.

Controversy still exists on whether these traditional risk factors for initial epistaxis are risk factors for episfaxis epistaxis. Demographic characteristics for patients with readmission visits epistxxis the ED with epistaxis.

Table 2 presents the bivariate analysis by comorbidity and procedures.

Create account Why create an account? It is unclear what risk factors are associated with increased incidence of ED visits in the elderly. The License shall be subject to the following restrictions and conditions, and without the separate written approval of the AAP neither you nor any User shall:.

Patients presenting to the ED with an unidentified source of bleeding may receive packing or cautery that may not adequately tamponade the bleed. You may then access the website remotely and unlock features for individual accounts. This is the touchback warning message modal. Direct cauterization of the nasal septal artery for epistaxis.

The AAP reserves the right to change or modify this Agreement at any time by presenting you with a new set of terms before you access the Materials. Following your agreement to such modified Agreement, this Agreement shall be of no further effect and the modified agreement shall control. ED visits for epistaxis were found to be the most common reason patients stop taking their antithrombotic agents aspirin and clopidogrelresulting in an increased risk of in-stent thrombosis and myocardial infarction [ 4 ].


In a prior study [ 6 ], we identified several risk factors associated with increased rates of ED visits for new-onset epistaxis, including older age, male gender, winter season and living in the northern U. Older adults can be particularly vulnerable to the complications of recurrent epistaxis that include aspiration, angina, hypovolemia, myocardial infarction and aspiration [ 5 ].

Studies have mostly addressed risk factors for initial ED visits.

Factors influencing recurrent emergency department visits for epistaxis in the elderly

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Relationship between epistaxis and hypertension: The Lexi-Comp Content is clinically oriented and is intended to be used only by Users who are: It is unclear if this is a result of higher comorbidities in men or if it is due to larger or more friable nasal vessels.

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Factors influencing recurrent emergency department visits for epistaxis in the elderly

You agree that Lexi-Comp, Inc. We also included all procedures that were performed to patients with epistaxis during the incident ED visit. Each party shall comply with all applicable laws and regulations in exercising its rights and performing its obligations hereunder.


Notices shall be effective when received. We assessed comorbidities that were found to be associated with epistaxis to determine whether they would represent risk factors for recurrence requiring readmission to the ED. Abstract Objective Our objective is to determine the risk factors associated with recurrent epistaxis requiring emergency department ED visits in the elderly.

It is unclear what patient comorbidities lead to recurrent admissions to the ED with epistaxis. Congestive heart failure, diabetes mellitus and obstructive sleep apnea were found to be independent risk factors.

In this regression analysis, we started with all variables and eventually eliminated those that were not significant to obtain the best fit model. You must be signed into an individual AAP account to use this feature. In consideration of payment of the applicable subscription fee, the AAP is willing to provide access to the Materials to you and, if applicable, your Users as defined belowsubject to all of the following terms.

Conclusions There is an increase in readmission to the ED with recurent epistaxis with age and male gender. The incidence of epistaxis has a bimodal distribution with peaks in children younger than 10 years and in adults older than 50 years. You will monitor compliance of episttaxis Users with the terms of this Agreement. Conclusion Additional ED visits for epistaxis are more common in the elderly and in males.

The publisher’s final edited version of this article is available at Auris Nasus Larynx. Table 2 Analysis of variables associated with epistaxis readmission. You are prohibited from participating in political activities while using the Materials or the Website. Our cohort included patients with a new diagnosis of epistaxis in the ED, defined as no epistaxis in the prior 12 months.