Coronavirus disease 2019 : changing the future of emergency epistaxis management
BACKGROUND: Acute epistaxis can be a life-threatening airway emergency, requiring in-patient admission. The coronavirus disease 2019 pandemic placed significant strain on hospital resources, and management has shifted towards an out-patient-centred approach.
METHODS: A five-month single-centre retrospective study was undertaken of all epistaxis patients managed by the ENT department. A pre-coronavirus disease 2019 pandemic group was managed with pre-existing guidelines, compared to new guidelines for the coronavirus disease 2019 pandemic group. A telephone survey was performed on out-patients with non-dissolvable packs to assess patient comfort and satisfaction.
RESULTS: A total of 142 patients were seen. The coronavirus disease 2019 pandemic group had significantly more patients aged over 65 years (p = 0.004), an increased use of absorbable dressings and local haemostatic agents (Nasopore and Surgiflo), and fewer admissions (all p < 0.0005). Rates of re-presentation and morbidity, and length of hospital stay were similar. The telephone survey revealed out-patient management to be efficacious and feasible.
CONCLUSION: The coronavirus disease 2019 pandemic has shifted epistaxis management towards local haemostatic agents and out-patient management; this approach is as safe and effective as previously well-established regimens.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:135 |
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| Enthalten in: |
The Journal of laryngology and otology - 135(2021), 8 vom: 18. Aug., Seite 675-679 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Devabalan, Y [VerfasserIn] |
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| Links: |
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| Themen: |
Epistaxis |
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| Anmerkungen: |
Date Completed 09.08.2021 Date Revised 09.08.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1017/S0022215121001456 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM325538611 |
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| 245 | 1 | 0 | |a Coronavirus disease 2019 |b changing the future of emergency epistaxis management |
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| 500 | |a Date Completed 09.08.2021 | ||
| 500 | |a Date Revised 09.08.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Acute epistaxis can be a life-threatening airway emergency, requiring in-patient admission. The coronavirus disease 2019 pandemic placed significant strain on hospital resources, and management has shifted towards an out-patient-centred approach | ||
| 520 | |a METHODS: A five-month single-centre retrospective study was undertaken of all epistaxis patients managed by the ENT department. A pre-coronavirus disease 2019 pandemic group was managed with pre-existing guidelines, compared to new guidelines for the coronavirus disease 2019 pandemic group. A telephone survey was performed on out-patients with non-dissolvable packs to assess patient comfort and satisfaction | ||
| 520 | |a RESULTS: A total of 142 patients were seen. The coronavirus disease 2019 pandemic group had significantly more patients aged over 65 years (p = 0.004), an increased use of absorbable dressings and local haemostatic agents (Nasopore and Surgiflo), and fewer admissions (all p < 0.0005). Rates of re-presentation and morbidity, and length of hospital stay were similar. The telephone survey revealed out-patient management to be efficacious and feasible | ||
| 520 | |a CONCLUSION: The coronavirus disease 2019 pandemic has shifted epistaxis management towards local haemostatic agents and out-patient management; this approach is as safe and effective as previously well-established regimens | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Epistaxis | |
| 650 | 4 | |a Hemostasis | |
| 650 | 4 | |a Patient Reported Outcome Measures | |
| 700 | 1 | |a Cereceda-Monteoliva, N |e verfasserin |4 aut | |
| 700 | 1 | |a Lorenz, H |e verfasserin |4 aut | |
| 700 | 1 | |a Magill, J C |e verfasserin |4 aut | |
| 700 | 1 | |a Unadkat, S |e verfasserin |4 aut | |
| 700 | 1 | |a Ferguson, M |e verfasserin |4 aut | |
| 700 | 1 | |a Rennie, C |e verfasserin |4 aut | |
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