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The British Rhinological Society multidisciplinary consensus recommendations on the hospital management of epistaxis.

Abstract Epistaxis is a common ENT emergency in the UK; however, despite the high incidence, there are currently no nationally accepted guidelines for its management. This paper seeks to recommend evidence-based best practice for the hospital management of epistaxis in adults.
PMID
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Authors

Mayor MeshTerms

Hospitalization

Interdisciplinary Communication

Intersectoral Collaboration

Otolaryngology

Patient Care Team

Societies, Medical

Keywords

Assessment

Cautery

Epistaxis

Hematology

Packing

Surgery

Journal Title the journal of laryngology and otology
Publication Year Start




PMID- 29280691
OWN - NLM
STAT- MEDLINE
DCOM- 20180102
LR  - 20180102
IS  - 1748-5460 (Electronic)
IS  - 0022-2151 (Linking)
VI  - 131
IP  - 12
DP  - 2017 Dec
TI  - The British Rhinological Society multidisciplinary consensus recommendations on
      the hospital management of epistaxis.
PG  - 1142-1156
LID - 10.1017/S0022215117002018 [doi]
AB  - OBJECTIVE: Epistaxis is a common ENT emergency in the UK; however, despite the
      high incidence, there are currently no nationally accepted guidelines for its
      management. This paper seeks to recommend evidence-based best practice for the
      hospital management of epistaxis in adults. METHODS: Recommendations were
      developed using an Appraisal of Guidelines for Research and Evaluation ('AGREE
      II') framework. A multifaceted systematic review of the relevant literature was
      performed and a multidisciplinary consensus event held. Management
      recommendations were generated that linked the level of supporting evidence and a
      Grading of Recommendations Assessment, Development and Evaluation ('GRADE') score
      explaining the strength of recommendation. RECOMMENDATIONS: Despite a paucity of 
      high-level evidence, management recommendations were formed across five
      management domains (initial assessment, cautery, intranasal agents,
      haematological factors, and surgery and radiological intervention). CONCLUSION:
      These consensus recommendations combine a wide-ranging review of the relevant
      literature with established and rigorous methods of guideline generation. Given
      the lack of high-level evidence supporting the recommendations, an element of
      caution should be used when implementing these findings.
CN  - INTEGRATE (The National ENT Trainee Research Network)
LA  - eng
PT  - Consensus Development Conference
PT  - Journal Article
PL  - England
TA  - J Laryngol Otol
JT  - The Journal of laryngology and otology
JID - 8706896
SB  - AIM
SB  - IM
MH  - Epistaxis/*therapy
MH  - Evidence-Based Medicine
MH  - *Hospitalization
MH  - *Interdisciplinary Communication
MH  - *Intersectoral Collaboration
MH  - Medical Audit
MH  - *Otolaryngology
MH  - *Patient Care Team
MH  - Quality Assurance, Health Care
MH  - *Societies, Medical
MH  - United Kingdom
OTO - NOTNLM
OT  - Assessment
OT  - Cautery
OT  - Epistaxis
OT  - Hematology
OT  - Packing
OT  - Surgery
EDAT- 2017/12/28 06:00
MHDA- 2018/01/03 06:00
CRDT- 2017/12/28 06:00
PHST- 2017/12/28 06:00 [entrez]
PHST- 2017/12/28 06:00 [pubmed]
PHST- 2018/01/03 06:00 [medline]
AID - S0022215117002018 [pii]
AID - 10.1017/S0022215117002018 [doi]
PST - ppublish
SO  - J Laryngol Otol. 2017 Dec;131(12):1142-1156. doi: 10.1017/S0022215117002018.