EPISTAXIS- CONTRIBUTORY AND ASSOCIATED FACTORS AND MANAGEMENT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 10
Abstract
BACKGROUND Epistaxis is the most common otolaryngologic emergency and affects up to 60% of the population in their lifetime, and 6% require medical attention. The variability of severity can range from outpatient management to admission to the intensive care unit from conservative treatment. The management of a patient with epistaxis ranges from the replacement of blood loss, direct visualisation and cautery, nasal packing and surgical (endoscopic or external) and embolisation. The objective of this study is to measure the contributory and associated factors for patients presenting to the ENT emergency with Epistaxis. It is considered as the second most common condition, in which patient presents to ER. In the present study, a total of 42 patients presenting with epistaxis to the ENT Casualty at Govt. ENT Hospital has been studied retrospectively. The aim of this study is to study the factors associated and contributing to the Epistaxis. MATERIALS AND METHODS This is a retrospective descriptive study of Epistaxis cases, which presented to ENT casualty from January 2015 to December 2015. The study included a total of 42 cases above 7 years and below 80 years. Consent was taken for the study. The cases were evaluated with appropriate investigations. Diagnostic Endoscopic Examination was done whenever required. RESULTS Out of 42, 31 patients were males and 11 were females with M: F ratio of 2.81: 1, M (73.28%), F (26.1%). Min Blood pressure of the patient at presentation was 90 systolic/ 60 diastolic mmHg, max BP was 170 systolic/ 110 diastolic mmHg. With mean BP being 126 systolic/ 82 diastolic mmHg, haemoglobin on admission was min: 6 gm% and max: 15.3 gm% with mean Hb% being 11.52%. 7 patients (16.66%) had history of alcohol consumption, 6 (40%) patients were known hypertensives, 28 (66.67%) patients were managed conservatively with bilateral anterior nasal packing with BIPP, 9 (21.4%) were managed with postnasal packing and ANP, 3 (7.1%) were managed with silver nitrate cautery and 2 (4.7%) with bipolar cautery under local anaesthesia. CONCLUSION Epistaxis is more common in elderly age group, B+ve blood group, most commonly managed with Bilateral Anterior Nasal Packing, most common reason being hypertension.
Authors and Affiliations
Sreenivas K, Achyuth P
Keywords
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- EP ID EP411254
- DOI 10.14260/jemds/2018/267
- Views 93
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