Epistaxis and mortality

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Abstract

<jats:title>Abstract</jats:title><jats:sec id="S0022215118002013_sec_a1"><jats:title>Background</jats:title><jats:p>Epistaxis is a common emergency presentation to ENT. The ‘Epistaxis 2016: national audit of management’ collected prospective data over a 30-day audit window in 113 centres. A 30-day all-cause mortality rate of 3.4 per cent was identified. This study examines in more detail the subgroup of patients who died during the audit period.</jats:p></jats:sec><jats:sec id="S0022215118002013_sec_a2" sec-type="methods"><jats:title>Methods</jats:title><jats:p>There were 985 eligible patients identified. Of these, 33 patients died within the audit period. World Health Organization bleeding score, Modified Early Warning System score, haemostasis time, source of referral, co-morbidities and cause of death were investigated from the dataset.</jats:p></jats:sec><jats:sec id="S0022215118002013_sec_a3" sec-type="results"><jats:title>Results</jats:title><jats:p>Patients who died were more likely to come from a ward environment, have co-existing cardiovascular disease, diabetes or a bleeding diathesis, be on antithrombotic medication, or have received a blood transfusion. Patients did not die from exsanguination.</jats:p></jats:sec><jats:sec id="S0022215118002013_sec_a4" sec-type="conclusion"><jats:title>Conclusion</jats:title><jats:p>Epistaxis may be seen as a general marker of poor health and a poor prognostic sign.</jats:p></jats:sec>
Original languageEnglish
Pages (from-to)1061-1066
Number of pages0
JournalThe Journal of Laryngology & Otology
Volume132
Issue number12
Early online date20 Nov 2018
DOIs
Publication statusPublished - Dec 2018
Externally publishedYes

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