Retrospective Analysis of Patients Admitted to Otorhinolaryngology Outpatient Clinics of a Tertiary Hospital with Epistaxis

Abstract

Aim: In this study, it was aimed to make a general evaluation of patients who applied to our outpatient clinic with epistaxis. Methods: The files of approximately 300 patients who were admitted to the Otorhinolaryngology outpatient clinics of a tertiary hospital with the complaint of nasal bleeding between January 2009 and January 2019 were retrospectively evaluated. The patients were analyzed in terms of age, gender, month of epistaxis, etiological factors, concomitant diseases, whether blood transfusion was required, treatment methods applied and length of hospital stay. Results: Of the 300 evaluated patients, 128 were female (42.8%) and 172 (57.2%) were male. The mean age of the patients was determined as 34.38 ± 23.63 (min 1-max: 89). The patients applied most frequently in February (14%) and at least in July (2.6%). The number of patients detected idiopathically was 240 (80%). Among the identified reasons, the most frequent use of anticoagulants was 11% and hypertension was 4.6%. Conservative treatment was applied to 98.4% of the patients. Hospitalization periods ranged from 1 to 11 days. Only 2 patients needed blood transfusion. Conclusion: Considering the possible complications and mortality; Taking detailed anamnesis from patients and planning the necessary treatment as soon as possible constitute the basis of diagnosis and treatment management in patients with epistaxis.

Keywords

• Epistaxis
• Nasal packing
• Nasal cauterization.