Nosebleed recurrence prognostic factors

• Autor(a) principal: Laffont, João
• Data de Publicação: 2017
• Outros Autores: Melo, Ana Sofia, Caiado, Ricardo, Casalta, João, Ribeiro, João Carlos, Ribeiro, Carlos, Paiva, António Diogo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• DOI: 10.34631/sporl.387
• Texto Completo: https://doi.org/10.34631/sporl.387
• topic: Nosebleed; recurrence; prognostic factors; Epistáxis; recidiva; factores prognósticos

Objectives: To evaluate nosebleed recurrence prognostic factors.Study Design: Retrospective observational studyMaterial e Methods: Inclusion criteria was nosebleed in ENT emergency department in 2013. Correlation with recurrence was tested for pathologic factors, nosebleed characteristics, treatment methods, seasonality, climacteric conditions, demographic factors, recommendations and hospital admittance need.Results: We observed 549 nosebleed episodes from 396 patients with 27.9% recurrence episodes. In 17.3% patients were prescribed anticoagulants; 39.3% the nosebleed was active in the ED and hospital admittance was necessary in 9.8%. Recurrence prognostic factors included, anticoagulant medication, active nosebleed, coagulation disorders and smoking. Hospital admittance was a recurrence protective factor. No association between recurrence and any of the used techniques was identified.Conclusions: Nosebleed recurrence negative prognostic factors included anticoagulant use, previous coagulation disorders, active nosebleed and active smoking. Hospital admittance was a positive prognostic factor. It’s of utmost importance to have them in consideration during nosebleed management.