Maicon Fernando Lobato de MORAIS, Lucas Demetrio SPARAGA, Cainã MATUCHESKI, Guilherme Simas do Amaral CATANI
Introduction: Epistaxis is considered one of the main emergencies within the specialty of otorhinolaryngology. It is estimated that 60% of the population has gone through or will go through at least 1 episode of epistaxis during their lifetime. Only 6%, however, require medical intervention. Still, in some cases the severity is such that patients require emergency intervention at risk of death. Objectives: Evaluate the main risk factors and identify the epidemiological profile – age, sex, comorbidities of patients with epistaxis who have required intervention in a surgical center. Methodology: This is a retrospective analytical study with a quantitative approach of patients treated in the emergency department of IPO Hospital, who required surgical intervention between January 1, 2020 and December 31, 2020. Results: A total of 58 medical records were reviewed according to inclusion and exclusion criteria, with 38 male patients (65.5%) and 20 female patients (34.5%). The age group of patients ranged from 10 to 88 years, the most prevalent being from 21 to 30 years, 22.4%. The predisposing factors were: recent nasal surgery (74.1%), systemic arterial hypertension (13.7%), coagulopathies (1.7%). The main procedures were: cauterization of the precise bleeding site (84.4%), cauterization of the sphenopalatine artery (10.3%) and cauterization of the anterior ethmoidal artery (5.3%). Conclusion: The main predisposing factors associated with epistaxis were nasal surgeries, systemic arterial hypertension and coagulopathies. Early intervention in a surgical center is indicated for patients with severe epistaxis and predisposing factors, while avoiding prolonged hospitalization and morbidities associated with nasal packing.
Morais MFL, Sparaga LD, Matucheski C, Catani GSA. Main risk factors for the treatment of epistaxis at ipo hospital surgical center. J Contemp Dis Adv Med. 2022 Sep-Dec;1(3):15-20.