Epistaxis epidemiology and demographics: Difference between revisions
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{{Epistaxis}} | {{Epistaxis}} | ||
{{WikiDoc CMG}}; {{AE}} [[User:Amir Bagheri|Amir Behzad Bagheri, M.D.]] {{Jose}} | |||
==Overview== | |||
[[Epistaxis]] is a [[prevalent]] symptom [[worldwide]]. About 60 percent of people experience [[epistaxis]] at least once in their lifetime, and about 6 percent of these people seek [[medical attention]]. It is more [[common]] in [[children]] and [[elderly]] [[patients]]. | |||
==Epidemiology and demographics== | |||
===Incidence=== | |||
*The incidence of patients with [[epistaxis]], who required [[inpatient]] [[Treatmen|treatment]] to control [[bleeding]] was estimated to be 42 cases per 100,000 for men, 28 cases per 100,000 for women. For men over 85 years, the incidence is 222 per 100,000 in Thuringia, Germany.<ref name="KallenbachDittberner2020">{{cite journal|last1=Kallenbach|first1=Max|last2=Dittberner|first2=Andreas|last3=Boeger|first3=Daniel|last4=Buentzel|first4=Jens|last5=Kaftan|first5=Holger|last6=Hoffmann|first6=Kerstin|last7=Jecker|first7=Peter|last8=Mueller|first8=Andreas|last9=Radtke|first9=Gerald|last10=Guntinas-Lichius|first10=Orlando|title=Hospitalization for epistaxis: a population-based healthcare research study in Thuringia, Germany|journal=European Archives of Oto-Rhino-Laryngology|volume=277|issue=6|year=2020|pages=1659–1666|issn=0937-4477|doi=10.1007/s00405-020-05875-2}}</ref> | |||
*Only 6-10% of the patients who experience [[epistaxis]] seek medical help.<ref name="pmid29345234">{{cite journal| author=Beck R, Sorge M, Schneider A, Dietz A| title=Current Approaches to Epistaxis Treatment in Primary and Secondary Care. | journal=Dtsch Arztebl Int | year= 2018 | volume= 115 | issue= 1-02 | pages= 12-22 | pmid=29345234 | doi=10.3238/arztebl.2018.0012 | pmc=5778404 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29345234 }} </ref> | |||
*"About 1 in 200 visits to [[emergency departments]], is for [[epistaxis]] In the United States".<ref name="PallinChng2005">{{cite journal|last1=Pallin|first1=Daniel J.|last2=Chng|first2=Yi-Mei|last3=McKay|first3=Mary Patricia|last4=Emond|first4=Jennifer A.|last5=Pelletier|first5=Andrea J.|last6=Camargo|first6=Carlos A.|title=Epidemiology of Epistaxis in US Emergency Departments, 1992 to 2001|journal=Annals of Emergency Medicine|volume=46|issue=1|year=2005|pages=77–81|issn=01960644|doi=10.1016/j.annemergmed.2004.12.014}}</ref> | |||
===Prevalence=== | |||
*About 60 percent of Americans experienced [[epistaxis]] at least once, and about 6 percent of people seek [[medical]] attention. <ref name="TunkelAnne2020">{{cite journal|last1=Tunkel|first1=David E.|last2=Anne|first2=Samantha|last3=Payne|first3=Spencer C.|last4=Ishman|first4=Stacey L.|last5=Rosenfeld|first5=Richard M.|last6=Abramson|first6=Peter J.|last7=Alikhaani|first7=Jacqueline D.|last8=Benoit|first8=Margo McKenna|last9=Bercovitz|first9=Rachel S.|last10=Brown|first10=Michael D.|last11=Chernobilsky|first11=Boris|last12=Feldstein|first12=David A.|last13=Hackell|first13=Jesse M.|last14=Holbrook|first14=Eric H.|last15=Holdsworth|first15=Sarah M.|last16=Lin|first16=Kenneth W.|last17=Lind|first17=Meredith Merz|last18=Poetker|first18=David M.|last19=Riley|first19=Charles A.|last20=Schneider|first20=John S.|last21=Seidman|first21=Michael D.|last22=Vadlamudi|first22=Venu|last23=Valdez|first23=Tulio A.|last24=Nnacheta|first24=Lorraine C.|last25=Monjur|first25=Taskin M.|title=Clinical Practice Guideline: Nosebleed (Epistaxis)|journal=Otolaryngology–Head and Neck Surgery|volume=162|issue=1_suppl|year=2020|pages=S1–S38|issn=0194-5998|doi=10.1177/0194599819890327}}</ref><ref name="pmid29345234">{{cite journal| author=Beck R, Sorge M, Schneider A, Dietz A| title=Current Approaches to Epistaxis Treatment in Primary and Secondary Care. | journal=Dtsch Arztebl Int | year= 2018 | volume= 115 | issue= 1-02 | pages= 12-22 | pmid=29345234 | doi=10.3238/arztebl.2018.0012 | pmc=5778404 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29345234 }} </ref> | |||
===Case-fatality rate/Mortality rate=== | |||
*Although [[epistaxis]] is the most [[common]] [[emergency]] in [[ENT]], [[mortality]] from [[epistaxis]] is rare. <ref name="pmid25705275">{{cite journal| author=Anghel AG, Soreanu CC, Dumitru M, Anghel I| title=Treatment Options for Severe Epistaxis, the Experience of Coltea ENT Clinic. | journal=Maedica (Buchar) | year= 2014 | volume= 9 | issue= 2 | pages= 179-82 | pmid=25705275 | doi= | pmc=4296762 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25705275 }} </ref> | |||
===Age=== | |||
*Patients of all age groups may experience [[epistaxis]], but it is more [[prevalent]] in children and [[elderly]] [[patients]].<ref name="PallinChng2005">{{cite journal|last1=Pallin|first1=Daniel J.|last2=Chng|first2=Yi-Mei|last3=McKay|first3=Mary Patricia|last4=Emond|first4=Jennifer A.|last5=Pelletier|first5=Andrea J.|last6=Camargo|first6=Carlos A.|title=Epidemiology of Epistaxis in US Emergency Departments, 1992 to 2001|journal=Annals of Emergency Medicine|volume=46|issue=1|year=2005|pages=77–81|issn=01960644|doi=10.1016/j.annemergmed.2004.12.014}}</ref> | |||
===Race=== | |||
*Based on some studies [[epistaxis]] is more common in Caucasian compared with African-Americans.<ref name="MauerKhazanov2011">{{cite journal|last1=Mauer|first1=A. C.|last2=Khazanov|first2=N. A.|last3=Levenkova|first3=N.|last4=Tian|first4=S.|last5=Barbour|first5=E. M.|last6=Khalida|first6=C.|last7=Tobin|first7=J. N.|last8=Coller|first8=B. S.|title=Impact of sex, age, race, ethnicity and aspirin use on bleeding symptoms in healthy adults|journal=Journal of Thrombosis and Haemostasis|volume=9|issue=1|year=2011|pages=100–108|issn=15387933|doi=10.1111/j.1538-7836.2010.04105.x}}</ref> | |||
===Gender=== | |||
*[[Epistaxis]] is more [[common]] in males than in females.<ref name="CôrteOrfao2018">{{cite journal|last1=Côrte|first1=Filipa Camacho|last2=Orfao|first2=Tiago|last3=Dias|first3=Cláudia Camila|last4=Moura|first4=Carla Pinto|last5=Santos|first5=Margarida|title=Risk factors for the occurrence of epistaxis: Prospective study|journal=Auris Nasus Larynx|volume=45|issue=3|year=2018|pages=471–475|issn=03858146|doi=10.1016/j.anl.2017.07.021}}</ref> | |||
<br /> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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Latest revision as of 21:02, 29 January 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amir Behzad Bagheri, M.D. José Eduardo Riceto Loyola Junior, M.D.[2]
Overview
Epistaxis is a prevalent symptom worldwide. About 60 percent of people experience epistaxis at least once in their lifetime, and about 6 percent of these people seek medical attention. It is more common in children and elderly patients.
Epidemiology and demographics
Incidence
- The incidence of patients with epistaxis, who required inpatient treatment to control bleeding was estimated to be 42 cases per 100,000 for men, 28 cases per 100,000 for women. For men over 85 years, the incidence is 222 per 100,000 in Thuringia, Germany.[1]
- Only 6-10% of the patients who experience epistaxis seek medical help.[2]
- "About 1 in 200 visits to emergency departments, is for epistaxis In the United States".[3]
Prevalence
- About 60 percent of Americans experienced epistaxis at least once, and about 6 percent of people seek medical attention. [4][2]
Case-fatality rate/Mortality rate
Age
- Patients of all age groups may experience epistaxis, but it is more prevalent in children and elderly patients.[3]
Race
Gender
References
- ↑ Kallenbach, Max; Dittberner, Andreas; Boeger, Daniel; Buentzel, Jens; Kaftan, Holger; Hoffmann, Kerstin; Jecker, Peter; Mueller, Andreas; Radtke, Gerald; Guntinas-Lichius, Orlando (2020). "Hospitalization for epistaxis: a population-based healthcare research study in Thuringia, Germany". European Archives of Oto-Rhino-Laryngology. 277 (6): 1659–1666. doi:10.1007/s00405-020-05875-2. ISSN 0937-4477.
- ↑ 2.0 2.1 Beck R, Sorge M, Schneider A, Dietz A (2018). "Current Approaches to Epistaxis Treatment in Primary and Secondary Care". Dtsch Arztebl Int. 115 (1–02): 12–22. doi:10.3238/arztebl.2018.0012. PMC 5778404. PMID 29345234.
- ↑ 3.0 3.1 Pallin, Daniel J.; Chng, Yi-Mei; McKay, Mary Patricia; Emond, Jennifer A.; Pelletier, Andrea J.; Camargo, Carlos A. (2005). "Epidemiology of Epistaxis in US Emergency Departments, 1992 to 2001". Annals of Emergency Medicine. 46 (1): 77–81. doi:10.1016/j.annemergmed.2004.12.014. ISSN 0196-0644.
- ↑ Tunkel, David E.; Anne, Samantha; Payne, Spencer C.; Ishman, Stacey L.; Rosenfeld, Richard M.; Abramson, Peter J.; Alikhaani, Jacqueline D.; Benoit, Margo McKenna; Bercovitz, Rachel S.; Brown, Michael D.; Chernobilsky, Boris; Feldstein, David A.; Hackell, Jesse M.; Holbrook, Eric H.; Holdsworth, Sarah M.; Lin, Kenneth W.; Lind, Meredith Merz; Poetker, David M.; Riley, Charles A.; Schneider, John S.; Seidman, Michael D.; Vadlamudi, Venu; Valdez, Tulio A.; Nnacheta, Lorraine C.; Monjur, Taskin M. (2020). "Clinical Practice Guideline: Nosebleed (Epistaxis)". Otolaryngology–Head and Neck Surgery. 162 (1_suppl): S1–S38. doi:10.1177/0194599819890327. ISSN 0194-5998.
- ↑ Anghel AG, Soreanu CC, Dumitru M, Anghel I (2014). "Treatment Options for Severe Epistaxis, the Experience of Coltea ENT Clinic". Maedica (Buchar). 9 (2): 179–82. PMC 4296762. PMID 25705275.
- ↑ Mauer, A. C.; Khazanov, N. A.; Levenkova, N.; Tian, S.; Barbour, E. M.; Khalida, C.; Tobin, J. N.; Coller, B. S. (2011). "Impact of sex, age, race, ethnicity and aspirin use on bleeding symptoms in healthy adults". Journal of Thrombosis and Haemostasis. 9 (1): 100–108. doi:10.1111/j.1538-7836.2010.04105.x. ISSN 1538-7933.
- ↑ Côrte, Filipa Camacho; Orfao, Tiago; Dias, Cláudia Camila; Moura, Carla Pinto; Santos, Margarida (2018). "Risk factors for the occurrence of epistaxis: Prospective study". Auris Nasus Larynx. 45 (3): 471–475. doi:10.1016/j.anl.2017.07.021. ISSN 0385-8146.