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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.
PMID
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Authors

Mayor MeshTerms

Medical Audit

Keywords

Cautery

Epistaxis

Hematology

Surgery

Symptom Assessment

Journal Title the journal of laryngology and otology
Publication Year Start




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.