Severity factors of epistaxis: A retrospective study of 60 cases.

• Amal Samet

  Hopital universitaire de Gabes

• Firas Maalej

  ENT Department, Gabes University Hospital, Faculty of Medicine of Sfax.

• Zeineb Mlik

• Mohamed Ali Nbaya

• Imen Rejab

Abstract :

Objective: Studying the severity factors of epistaxis.

Methods: Retrospective study involving patients hospitalized in the emergency department and ENT (Ear, Nose, and Throat) department for epistaxis over a period of 5 years (2018-2022). Based on the recommendations of the French Society of Otorhinolaryngology in 2015, we considered epistaxis severe when there was a sudden blood loss leading to acute anemia or signs of hypovolemic shock.

Results: Our study included 60 patients. Epistaxis was considered severe in 12 patients (20%). We found that female sex, black race, and patients with heart failure are severity factors for epistaxis.

Conclusion: Epistaxis is a common condition often considered benign, but in some cases, it can be serious. It is essential for clinicians to recognize forms that are initially or subsequently severe and to initiate optimal management to improve prognosis.

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