Abstract | BACKGROUND: The initial assessment of epistaxis patients commonly includes: first aid measures, observations, focused history taking, and clinical examinations and investigations. This systematic review aimed to identify evidence that informs how the initial assessment of these patients should be conducted. METHOD: A systematic review of the literature was performed using a standardised methodology and search strategy. RESULTS: Seventeen articles were included. Factors identified were: co-morbidity, intrinsic patient factors, coagulation screening and ice pack use. Hypertension and anticoagulant use were demonstrated to adversely affect outcomes. Coagulation screening is useful in patients on anticoagulant medication. Four studies could not be accessed. Retrospective methodology and insufficient statistical analysis limit several studies. CONCLUSION:
|
Authors | M Khan, K Conroy, K Ubayasiri, J Constable, M E Smith, R J Williams, I Kuhn, M Smith, C Philpott |
Journal | The Journal of laryngology and otology
(J Laryngol Otol)
Vol. 131
Issue 12
Pg. 1035-1055
(Dec 2017)
ISSN: 1748-5460 [Electronic] England |
PMID | 29280694
(Publication Type: Journal Article, Review, Systematic Review)
|
Topics |
- Adult
- Comorbidity
- Diagnostic Tests, Routine
- Epistaxis
(etiology, therapy)
- Evidence-Based Medicine
- First Aid
- Humans
- Injury Severity Score
- Medical History Taking
- Randomized Controlled Trials as Topic
- Treatment Outcome
|