Analysis of risk factors of admitted patients with epistaxis

Introduction Epistaxis is a disease well known to ENT specialists in the outpatient sector as well as in hospitals. The aim of this study was to analyze data of patients that were treated as inpatients at the ENT university hospital Freiburg between 2014 – 2018 with regard to etiology, risk factors and treatment.

Materials and methods This retrospective study analyzes data of admitted patients with epistaxis regarding age, medication, bleeding site, underlying health conditions, radiological imaging and treatment. Risk factors for longer inpatient length of stay and readmission were identified.

Results Median length of stay was 3.5 days. 55% of the patients suffered from posterior epistaxis. 72.3% of patients were treated with anticoagulants at the time of admission. The most prevalent medical conditions were hypertension (66%) and arrhythmia due to atrial fibrillation (36.1%). 63.5% of the patients were treated by nasal packing. 97 patients (14.6%) had to be treated surgically. Surgical treatment, transfusion, nasal packing, posterior epistaxis each p>0,001) and anticoagulant treatment (p=0,044) were risk factors for longer length of inpatient stay. Preexisting hypertension, posterior bleeding and single anticoagulant treatment increased the risk of readmission.

Conclusions Determination and consideration of risk factors for longer inpatient length of stay and readmission can identify patients at risk early in the treatment process. Adequate management accounting for risk profiles of patients could help reduce morbidity.

Poster-PDF A-1335.pdf

Conflict of interest

Der Erstautor gibt keinen Interessenskonflikt an.

Publication History

Article published online:
13 May 2021