A retrospective study on etiology and management of epistaxis in elderly patients
Background: Epistaxis is a symptom which is often benign and nonspecific, but it may be a life threatening in elderly patients. Aim and Objective: The aim was to diagnose the underlying etiology of epistaxis in the elderly patients and identify definite management protocol to reduce the morbidity. M...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Archives of Medicine and Health Sciences |
| Subjects: | |
| Online Access: | http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=2;spage=234;epage=238;aulast=Sharma |
| _version_ | 1818898081659224064 |
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| author | Kalpana Sharma Siva Kumar Tafiqul Islam Manigreeva Krishnatreya |
| author_facet | Kalpana Sharma Siva Kumar Tafiqul Islam Manigreeva Krishnatreya |
| author_sort | Kalpana Sharma |
| collection | DOAJ |
| description | Background: Epistaxis is a symptom which is often benign and nonspecific, but it may be a life threatening in elderly patients. Aim and Objective: The aim was to diagnose the underlying etiology of epistaxis in the elderly patients and identify definite management protocol to reduce the morbidity. Materials and Methods: A retrospective study of admitted elderly patients with epistaxis was carried out for the period of January 2005 to January 2014 in the Department of ENT at a tertiary care referral center in North East India. All the patients with epistaxis were retrospectively analyzed for gender distribution, etiology, and their initial and consequent management. Results: M:F = 2.6:1, hypertension was seen as the most common etiology (59.2%), followed by local cause like trauma (16.4%). Initial management with merocele application (50%) and anterior nasal packing (36.2%) were done in most of the cases and anemia was an important associated sign in 73% of patients. Conclusion: Hypertension on irregular treatment is an important underlying etiology of epistaxis in the elderly patients and comprehensive systemic management with medications should be done, including initial local control measures by nasal packing. Coexisting anemia in epistaxis should be treated to reduce any future complications. |
| first_indexed | 2024-12-19T19:26:24Z |
| format | Article |
| id | doaj.art-7dddf38d85444b40a9daf28be0adc124 |
| institution | Directory Open Access Journal |
| issn | 2321-4848 |
| language | English |
| last_indexed | 2024-12-19T19:26:24Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Archives of Medicine and Health Sciences |
| spelling | doaj.art-7dddf38d85444b40a9daf28be0adc1242022-12-21T20:08:46ZengWolters Kluwer Medknow PublicationsArchives of Medicine and Health Sciences2321-48482015-01-013223423810.4103/2321-4848.171911A retrospective study on etiology and management of epistaxis in elderly patientsKalpana SharmaSiva KumarTafiqul IslamManigreeva KrishnatreyaBackground: Epistaxis is a symptom which is often benign and nonspecific, but it may be a life threatening in elderly patients. Aim and Objective: The aim was to diagnose the underlying etiology of epistaxis in the elderly patients and identify definite management protocol to reduce the morbidity. Materials and Methods: A retrospective study of admitted elderly patients with epistaxis was carried out for the period of January 2005 to January 2014 in the Department of ENT at a tertiary care referral center in North East India. All the patients with epistaxis were retrospectively analyzed for gender distribution, etiology, and their initial and consequent management. Results: M:F = 2.6:1, hypertension was seen as the most common etiology (59.2%), followed by local cause like trauma (16.4%). Initial management with merocele application (50%) and anterior nasal packing (36.2%) were done in most of the cases and anemia was an important associated sign in 73% of patients. Conclusion: Hypertension on irregular treatment is an important underlying etiology of epistaxis in the elderly patients and comprehensive systemic management with medications should be done, including initial local control measures by nasal packing. Coexisting anemia in epistaxis should be treated to reduce any future complications.http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=2;spage=234;epage=238;aulast=SharmaElderly patientsepistaxisetiologyhypertensionnasal packing |
| spellingShingle | Kalpana Sharma Siva Kumar Tafiqul Islam Manigreeva Krishnatreya A retrospective study on etiology and management of epistaxis in elderly patients Archives of Medicine and Health Sciences Elderly patients epistaxis etiology hypertension nasal packing |
| title | A retrospective study on etiology and management of epistaxis in elderly patients |
| title_full | A retrospective study on etiology and management of epistaxis in elderly patients |
| title_fullStr | A retrospective study on etiology and management of epistaxis in elderly patients |
| title_full_unstemmed | A retrospective study on etiology and management of epistaxis in elderly patients |
| title_short | A retrospective study on etiology and management of epistaxis in elderly patients |
| title_sort | retrospective study on etiology and management of epistaxis in elderly patients |
| topic | Elderly patients epistaxis etiology hypertension nasal packing |
| url | http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=2;spage=234;epage=238;aulast=Sharma |
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