Clinico-Aetiological Profile of Adult Epistaxis-Three Years’ Experience at a Tertiary Care Centre
Introduction Epistaxis is the commonest otorhinolaryngological emergency affecting upto 60% of population. The aetiology of epistaxis can be local or systemic. Often it may be difficult to categorize the epistaxis and no clear cause is found; then it is labelled as idiopathic. Materials and Met...
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2022-03-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
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| Online Access: | https://www.bjohns.in/journal3/index.php/bjohns/article/view/566 |
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| author | Jaykumar Patel Yojana Sharma Priyadarshini Govindarajalu Sohil Vadiya |
| author_facet | Jaykumar Patel Yojana Sharma Priyadarshini Govindarajalu Sohil Vadiya |
| author_sort | Jaykumar Patel |
| collection | DOAJ |
| description |
Introduction
Epistaxis is the commonest otorhinolaryngological emergency affecting upto 60% of population. The aetiology of epistaxis can be local or systemic. Often it may be difficult to categorize the epistaxis and no clear cause is found; then it is labelled as idiopathic.
Materials and Methods
It was a prospective observational study. All the patients of both gender, age ≥18 years with epistaxis without obvious cause coming to the ENT OPD/ Emergency were included in the study. The patient's vitals were recorded and hemodynamical stability was established first. All patients of epistaxis underwent thorough clinical examination and proper history was taken. Measures to stop bleeding included nasal packing, electro/chemical cautery of local area or ligation of sphenopalatine vessels etc. Efforts were made to establish a primal relationship of adult epistaxis with various factors.
Results
There were 97 patients in the study. Male to female ratio was 5.7:1. Majority were above 40 years. The commonest factor associated with epistaxis was Hypertension(38%) followed by idiopathic(21%). Anterior nasal bleeding was present in 71% patients whereas posterior nasal bleeding was there in 29% patients. Non-surgical measures like nasal packing and cauterization were the main intervention methods. Duration of hospital stay was more than 3 days in 73% patients.
Conclusion
Hypertension, blood thinners and trauma were the most common risk factors among the patients in whom aetiology was found although in 21% of the patients, aetiology could not be found. Most cases were successfully managed with conservative (non-surgical) treatment.
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| first_indexed | 2024-03-07T17:53:09Z |
| format | Article |
| id | doaj.art-d2c8ef26296a45df91a29fb8d823d7ae |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-03-07T17:53:09Z |
| publishDate | 2022-03-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-d2c8ef26296a45df91a29fb8d823d7ae2024-03-02T13:31:45ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072022-03-0129310.47210/bjohns.2021.v29i3.566Clinico-Aetiological Profile of Adult Epistaxis-Three Years’ Experience at a Tertiary Care CentreJaykumar Patel0Yojana Sharma1Priyadarshini Govindarajalu2Sohil Vadiya3Pramukhswami medical college and hospital,Bhaikaka UniversityPramukhswami medical college and hospital,Bhaikaka University"Pramukhswami medical college and hospital",Bhaikaka universityDr MK shah Medical college& research center ,chandkheda,Ahmedabad Introduction Epistaxis is the commonest otorhinolaryngological emergency affecting upto 60% of population. The aetiology of epistaxis can be local or systemic. Often it may be difficult to categorize the epistaxis and no clear cause is found; then it is labelled as idiopathic. Materials and Methods It was a prospective observational study. All the patients of both gender, age ≥18 years with epistaxis without obvious cause coming to the ENT OPD/ Emergency were included in the study. The patient's vitals were recorded and hemodynamical stability was established first. All patients of epistaxis underwent thorough clinical examination and proper history was taken. Measures to stop bleeding included nasal packing, electro/chemical cautery of local area or ligation of sphenopalatine vessels etc. Efforts were made to establish a primal relationship of adult epistaxis with various factors. Results There were 97 patients in the study. Male to female ratio was 5.7:1. Majority were above 40 years. The commonest factor associated with epistaxis was Hypertension(38%) followed by idiopathic(21%). Anterior nasal bleeding was present in 71% patients whereas posterior nasal bleeding was there in 29% patients. Non-surgical measures like nasal packing and cauterization were the main intervention methods. Duration of hospital stay was more than 3 days in 73% patients. Conclusion Hypertension, blood thinners and trauma were the most common risk factors among the patients in whom aetiology was found although in 21% of the patients, aetiology could not be found. Most cases were successfully managed with conservative (non-surgical) treatment. https://www.bjohns.in/journal3/index.php/bjohns/article/view/566EpistaxisRisk Factors |
| spellingShingle | Jaykumar Patel Yojana Sharma Priyadarshini Govindarajalu Sohil Vadiya Clinico-Aetiological Profile of Adult Epistaxis-Three Years’ Experience at a Tertiary Care Centre Bengal Journal of Otolaryngology and Head Neck Surgery Epistaxis Risk Factors |
| title | Clinico-Aetiological Profile of Adult Epistaxis-Three Years’ Experience at a Tertiary Care Centre |
| title_full | Clinico-Aetiological Profile of Adult Epistaxis-Three Years’ Experience at a Tertiary Care Centre |
| title_fullStr | Clinico-Aetiological Profile of Adult Epistaxis-Three Years’ Experience at a Tertiary Care Centre |
| title_full_unstemmed | Clinico-Aetiological Profile of Adult Epistaxis-Three Years’ Experience at a Tertiary Care Centre |
| title_short | Clinico-Aetiological Profile of Adult Epistaxis-Three Years’ Experience at a Tertiary Care Centre |
| title_sort | clinico aetiological profile of adult epistaxis three years experience at a tertiary care centre |
| topic | Epistaxis Risk Factors |
| url | https://www.bjohns.in/journal3/index.php/bjohns/article/view/566 |
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