Published September 30, 2023 | Version http://impactfactor.org/PDF/IJTPR/13/IJTPR,Vol13,Issue9,Article30.pdf
Journal article Open

A Retrospective Clinico Etiological Study of Adult Epistaxis in a Tertiary Centre in Guwahati

  • 1. Associate Professor, Department of ENT, GMCH, Guwahati, Assam
  • 2. Senior Resident, Department of ENT, GMCH, Guwahati, Assam

Description

Background: Epistaxis (nosebleed) is one of the most common ear, nose, and throat (ENT) emergencies that present to the emergency room or primary care. The true prevalence of epistaxis is not known, because most episodes are self-limited and thus most of the time is not reported. When medical attention is needed, it is usually because of either recurrent or severe bleeding. Treatment depends on the clinical picture, the experience of the treating physician, and the availability of ancillary services. Materials And Methods: This retrospective observational study (based on hospital records) consists of 500 cases of epistaxis, due to various etiological factors studied between JAN.-2020 to DEC.-2022 in patients who attended emergency and OPD of ENT department of Gauhati Medical College and Hospital. A total of 501 cases were studied during this period and they constituted the subjects in this study. Conclusion: Most of the patients had acute onset of bleeding. Anterior epistaxis was found to be more common than posterior bleeds. Most cases could be successfully managed with conservative treatment alone, while some required packing and local cauterization.

Abstract (English)

Background: Epistaxis (nosebleed) is one of the most common ear, nose, and throat (ENT) emergencies that present to the emergency room or primary care. The true prevalence of epistaxis is not known, because most episodes are self-limited and thus most of the time is not reported. When medical attention is needed, it is usually because of either recurrent or severe bleeding. Treatment depends on the clinical picture, the experience of the treating physician, and the availability of ancillary services. Materials And Methods: This retrospective observational study (based on hospital records) consists of 500 cases of epistaxis, due to various etiological factors studied between JAN.-2020 to DEC.-2022 in patients who attended emergency and OPD of ENT department of Gauhati Medical College and Hospital. A total of 501 cases were studied during this period and they constituted the subjects in this study. Conclusion: Most of the patients had acute onset of bleeding. Anterior epistaxis was found to be more common than posterior bleeds. Most cases could be successfully managed with conservative treatment alone, while some required packing and local cauterization.

Files

IJTPR,Vol13,Issue9,Article30.pdf

Files (658.7 kB)

Name Size Download all
md5:441a553f04bac607d1e2df1eb76090ca
658.7 kB Preview Download

Additional details

Dates

Accepted
2023-08-26

References

  • 1. Petruson B, Rudin R. The frequency of epistaxis in a male population sample. Rhinology. 1975 Nov;13(3):129-33. 2. Gilyoma JM, Chalya PL. Etiological profile and treatment outcome of epistaxis at a tertiary care hospital in Northwestern Tanzania: a prospective review of 104 cases. BMC Ear Nose Throat Disord. 2011 Sep 5; 11:8. 3. Parajuli R. Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal. Int J Otolaryngol. 2015; 2015:283854. 4. Walker T. W. M., MacFarlane T. V., McGarry G. W. The epidemiology and chronobiology of epistaxis: an investigation of Scottish hospital admissions 1995–2004. Clinical Otolaryngology. 2007;32(5):361–365. 5. Shargorodsky J, Bleier BS, Holbrook EH, Cohen JM, Busaba N, Metson R, Gray ST. Outcomes analysis in epistaxis management: development of a therapeutic algorithm. Otolaryngol Head Neck Surg. 2013 Sep; 149(3):390-8. 6. McGarry GW. Epistaxis. In Michael Gleeson Ed. Scott Brown's otolaryngology 7th edition vol. 2. London: Hodder Arnold publication; 2008; 1603-1608. 7. Manickam, Ajay. An Aetiopathological Study on Epistaxis in Adults and its Management. 2014.