A Clinical Study of 203 Hospitalized Epistaxis Patients

Abstract

A clinical study of patients with epistaxis requiring hospitalization during the past years-is reported. Epistaxis occurred more frequently in males than in females male:female ratio, about :. The largest numbers of patients were in their s to s. Epistaxis occurred more frequently between winter and spring, and fewer patients were seen in the summer. The sites of bleeding were an unidentifiable site %, followed by Kiesselbach's area %, inferior meatus %, and middle meatus %. Overall, % of patients were treated with gauze packing, % of patients were treated with electrical coagulation, and % of patients were treated with balloon tamponade initially. Re-bleeding was observed in % of patients. Comparing re-bleeding and non-re-bleeding incidences, the percentage of patients with bleeding from Kiesselbach's area and treated with electrical coagulation was significantly lower and the percentage with bleeding from unidentifiable sites treated with gauze packing were significantly higher in patients with re-bleeding than in patients without re-bleeding. The percentages of patients with any systemic complications, including hypertension and anticoagulant therapy, were not higher in patients with re-bleeding than in patients without re-bleeding. Many patients required follow-up hospitalization, with % due to re-bleeding, % due to disturbance of consciousness, and % due to desire for hospitalization because of anxiety. Only % of