Dataset Information

Hospitalization for epistaxis: a population-based healthcare research study in Thuringia, Germany.

ABSTRACT:

Purpose

Epistaxis is the most common ENT emergency. The aim was to determine population-based data on severe epistaxis needing inpatient treatment.

Methods

Retrospective population-based cohort study in the federal state Thuringia in 2016 performed on all 840 inpatients treated for epistaxis in otolaryngology departments (60.1% male, median age: 73 years; 63.9% under anticoagulation). The association between patients' and treatment characteristics and longer inpatient stay (??4 days) as well as readmission for recurrent epistaxis was analyzed using univariable and multivariable statistics.

Results

The overall incidence of epistaxis needing inpatient treatment was higher for men (42 per 100,000) than for women (28 per 100,000). The highest incidence was reached for men?>?85 years (222 per 100,000). Most important independent predictors for longer inpatient stay were localization of the bleeding not in the anterior nose (OR?=?2.045; CI?=?1.534-2.726), recurrent bleeding during inpatient treatment (OR?=?2.142; CI?=?1.508-3.042), no electrocoagulation (OR?=?2.810; CI?=?2.047-3.858), and blood transfusion (OR?=?2.731; CI?=?1.324-5.635). Independent predictors for later readmission because of recurrent epistaxis were male gender (OR?=?1.756; CI?=?1.155-2.668), oral anticoagulant use (OR?=?1.731; CI?=?1.046-2.865), and hereditary hemorrhagic telangiectasia (OR?=?13.216; CI 5.102-34.231).

Conclusions

Inpatient treatment of epistaxis seems to be variable in daily routine needing standardization by clinical guidelines and strategies to shorten inpatient treatment and to reduce the risk of readmission.

SUBMITTER: Kallenbach M

PROVIDER: S-EPMC7198635 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Publications

Hospitalization for epistaxis: a population-based healthcare research study in Thuringia, Germany.

Kallenbach Max M Dittberner Andreas A Boeger Daniel D Buentzel Jens J Kaftan Holger H Hoffmann Kerstin K Jecker Peter P Mueller Andreas A Radtke Gerald G Guntinas-Lichius Orlando O

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery 20200302 6

<h4>Purpose</h4>Epistaxis is the most common ENT emergency. The aim was to determine population-based data on severe epistaxis needing inpatient treatment.<h4>Methods</h4>Retrospective population-based cohort study in the federal state Thuringia in 2016 performed on all 840 inpatients treated for epistaxis in otolaryngology departments (60.1% male, median age: 73 years; 63.9% under anticoagulation). The association between patients' and treatment characteristics and longer inpatient stay (≥ 4 da ...[more]

PMID: 32124006

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Dataset Information

Hospitalization for epistaxis: a population-based healthcare research study in Thuringia, Germany.

Purpose

Methods

Results

Conclusions

Publications

Hospitalization for epistaxis: a population-based healthcare research study in Thuringia, Germany.

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