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10.1017/S0022215121001456

http://scihub22266oqcxt.onion/10.1017/S0022215121001456
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34002682!8245333!34002682
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suck abstract from ncbi


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pmid34002682      J+Laryngol+Otol 2021 ; 135 (8): 675-679
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  • Coronavirus disease 2019: changing the future of emergency epistaxis management #MMPMID34002682
  • Devabalan Y; Cereceda-Monteoliva N; Lorenz H; Magill JC; Unadkat S; Ferguson M; Rennie C
  • J Laryngol Otol 2021[Aug]; 135 (8): 675-679 PMID34002682show ga
  • BACKGROUND: Acute epistaxis can be a life-threatening airway emergency, requiring in-patient admission. The coronavirus disease 2019 pandemic placed significant strain on hospital resources, and management has shifted towards an out-patient-centred approach. METHODS: A five-month single-centre retrospective study was undertaken of all epistaxis patients managed by the ENT department. A pre-coronavirus disease 2019 pandemic group was managed with pre-existing guidelines, compared to new guidelines for the coronavirus disease 2019 pandemic group. A telephone survey was performed on out-patients with non-dissolvable packs to assess patient comfort and satisfaction. RESULTS: A total of 142 patients were seen. The coronavirus disease 2019 pandemic group had significantly more patients aged over 65 years (p = 0.004), an increased use of absorbable dressings and local haemostatic agents (Nasopore and Surgiflo), and fewer admissions (all p < 0.0005). Rates of re-presentation and morbidity, and length of hospital stay were similar. The telephone survey revealed out-patient management to be efficacious and feasible. CONCLUSION: The coronavirus disease 2019 pandemic has shifted epistaxis management towards local haemostatic agents and out-patient management; this approach is as safe and effective as previously well-established regimens.
  • |Adult[MESH]
  • |Age Factors[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Emergency Service, Hospital/statistics & numerical data[MESH]
  • |Epistaxis/*therapy[MESH]
  • |Female[MESH]
  • |Forecasting[MESH]
  • |Hemostatic Techniques[MESH]
  • |Hospital Departments[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Otolaryngology[MESH]
  • |Practice Guidelines as Topic[MESH]
  • |Retrospective Studies[MESH]


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