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Collins, R., Addison, A., Paul, C., Clark, A. 
ORCID: https://orcid.org/0000-0003-2965-8941 and Philpott, C. ORCID: https://orcid.org/0000-0002-1125-3236
(2021)
Nasal packing duration in the management of epistaxis: A cohort study.
British Journal of Surgery, 108 (Supplement_6).
p. 151.
ISSN 0007-1323
Abstract
Aim: Nasal packing is one of the mainstays of inpatient treatment for epistaxis. However, no current guidelines exist on optimal duration of nasal packing. This paper seeks to determine the optimal duration of nasal packing in terms of re-bleeding. Method: A retrospective cohort study was conducted on patients admitted over a two-year period. Data collected included re-bleeding events following pack removal, age, gender, site of epistaxis, hypertension, trauma and anticoagulation medication. Results: The rate of re-bleeding increased with length of pack duration; over 12 hours was associated with greater re-bleeding rates (p = <0.001) and continued to be statistically significant when controlling for co-founders (p = 0.01). Those packed over 24 hours were over five times more likely to re-bleed than those packed less than 12 hours (p = 0.01. OR 5.34). Conclusions: A packing duration of less than 12 hours is associated with lower rates of re-bleeding. Admitting teams should therefore aim to ensure that patient pathways involve early pack removal.
| Item Type: | Article |
|---|---|
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Centres > Population Health Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health |
| Depositing User: | LivePure Connector |
| Date Deposited: | 24 May 2022 14:57 |
| Last Modified: | 19 Oct 2023 03:20 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/85072 |
| DOI: | 10.1093/bjs/znab259.556 |
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