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Original Article

IJMDC. 2020; 4(1): 201-205


The incidence, risk factors and management of epistaxis in elderly in Madina, Saudi Arabia

Khalid Abdullah Abualnassr, Saeed Saleh Alammari, Burooj Ahmed Abuessa, Sarah Mohammed Aljohani, Raneem Ahmed Faidh, Rayan Kamal Alhussini.




Abstract

Background: Epistaxis is classified as an acute bleeding of nose, nasal cavity, or nasopharynx. Notably, the large number of epistaxis cases attribute to the nasal septum bleeding. This study aimed to determine the incidence of Epistaxis in Al Madina, Saudi Arabia.
Methodology: This is a retrospective cross-sectional study design conducted at Al Madina, Saudi Arabia. We reviewed the files of Epistaxis patients in Ohud and National Guard Hospital in Al Madina for a 1-year period (2018-2019). A structural questionnaire was used to determine the incidence of epistaxis, the common risk factors associated with epistaxis patients, and the different ways of management of epistaxis. All data analyses were carried using the Statistical Package for Social Sciences, version 21 (SPSS, Chicago, IL).
Results: The incidence of epistaxis was higher in elderly patients (36.5%) having 65 years of age and above. The most common comorbidities attributed to epistaxis was hypertension (43.2%). Most Epistaxis cases were being managed at the Emergency Room (ER) (84.5%). In 1-year period (2018-2019), higher incidence of epistaxis was recorded during April 2019 (15.5%) and March 2019 (14.9%).
Conclusion: The incidence of epistaxis among elderly people was moderately high, while hypertension was the most common risk factor among these patients. Additionally, the ER was the most common location to manage the epistaxis.

Key words: Incidence, risk factor, epistaxis, elderly






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