Epistaxis cost-effectiveness of therapy
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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.
Overview
Most of the patients with epistaxis doesn't need any medical procedure. Nasal compression is the best first option to stop bleeding. 95.5% of patients with epistaxis who attend emergency departments were discharged, patients were charged on average $1146.21 per visit.
Cost-effectiveness of Therapy
- 95.5% of patients with epistaxis who attend emergency departments were discharged, patients were charged on average $1146.21 per visit($1473.29 for nasal packing vs $1048.22 otherwise).
- A study from Canada showed that when first procedures to stop epistaxis fail, and repeated nasal packing performed to stop bleeding, may increase charging patients up to CaD $4046.74
Costs for inpatient:
- About 2.24 days stay in hospital with an average cost of $6925 per admission.
- Renal diseases can increase costs of per admission by $1272.
- $30,000 for embolization (total charging of admission by $58,967)
- Surgical ligation ($28,611)
It is found that in posterior epistaxis, endoscopic sphenopalatine artery ligation(ESPAL) at first is cost-saving instead of preforming posterior nasal packing. [1]
References
- ↑ Dedhia, Raj C.; Desai, Shamit S.; Smith, Kenneth J.; Lee, Stella; Schaitkin, Barry M.; Snyderman, Carl H.; Wang, Eric W. (2013). "Cost-effectiveness of endoscopic sphenopalatine artery ligation versus nasal packing as first-line treatment for posterior epistaxis". International Forum of Allergy & Rhinology. 3 (7): 563–566. doi:10.1002/alr.21137. ISSN 2042-6976.