Severity predictors in severe idiopathic epistaxis: A retrospective review of hospitalized patients
DOI:
https://doi.org/10.34631/sporl.767Keywords:
Epistaxis, Inpatients, Heart Disease, Type 2 Diabetes MellitusAbstract
Introduction: Studies have shown conflicting results about the risk factors of idiopathic epistaxis. The aim of this study is to identify predictors of severity in patients hospitalized with idiopathic epistaxis.
Study design: Observational, analytical, case-control, retrospective study.
Material and Methods: Data of 134 patients admitted over a period of 10 years, were collected. The sample was divided in two groups of severity. Univariate and multivariate analysis were performed to study the association between the severity of disease and potential predictors.
Results: “Very severe” disease occurred in 88 cases. The presence of heart disease was predictive of an increased risk of severe disease while diabetes was predictive of a decreased risk of severe disease.
Conclusions: Heart disease was predictive of increased severity of idiopathic epistaxis. In these patients, a premature evaluation by a Cardiologist should be considered. Curiously, type 2 diabetes mellitus was associated with decreased severity of idiopathic epistaxis.
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