Epistaxis 2016: national audit of management.
|Abstract||Epistaxis is a common condition that can be associated with significant morbidity, and it places a considerable burden on our healthcare system. This national audit of management sought to assess current practice against newly created consensus recommendations and to expand our current evidence base.|
|Journal Title||the journal of laryngology and otology|
|Publication Year Start||2018-01-01|
PMID- 29280693 OWN - NLM STAT- MEDLINE DCOM- 20180102 LR - 20180102 IS - 1748-5460 (Electronic) IS - 0022-2151 (Linking) VI - 131 IP - 12 DP - 2017 Dec TI - Epistaxis 2016: national audit of management. PG - 1131-1141 LID - 10.1017/S002221511700202X [doi] AB - BACKGROUND: Epistaxis is a common condition that can be associated with significant morbidity, and it places a considerable burden on our healthcare system. This national audit of management sought to assess current practice against newly created consensus recommendations and to expand our current evidence base. METHODS: The management of epistaxis patients who met the inclusion criteria, at 113 registered sites across the UK, was compared with audit standards during a 30-day window. Data were further utilised for explorative analysis. RESULTS: Data for 1826 cases were uploaded to the database, representing 94 per cent of all cases that met the inclusion criteria at participating sites. Sixty-two per cent of patients were successfully treated by ENT clinicians within 24 hours. The 30-day recurrent presentation rate across the dataset was 13.9 per cent. Significant event analysis revealed an all-cause 30-day mortality rate of 3.4 per cent. CONCLUSION: Audit findings demonstrate a varying alignment with consensus guidance, with explorative analysis countering some previously well-established tenets of management. CN - INTEGRATE (The National ENT Trainee Research Network) LA - eng PT - Comparative Study PT - Journal Article PL - England TA - J Laryngol Otol JT - The Journal of laryngology and otology JID - 8706896 SB - AIM SB - IM MH - Adult MH - Epistaxis/mortality/*therapy MH - Evidence-Based Medicine MH - Humans MH - *Medical Audit MH - Recurrence MH - Survival Rate MH - Treatment Outcome MH - United Kingdom OTO - NOTNLM OT - Cautery OT - Epistaxis OT - Hematology OT - Surgery OT - Symptom Assessment 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 - S002221511700202X [pii] AID - 10.1017/S002221511700202X [doi] PST - ppublish SO - J Laryngol Otol. 2017 Dec;131(12):1131-1141. doi: 10.1017/S002221511700202X.