Akademik Veri Yönetim Sistemi
Bozok Tıp Dergisi, cilt.15, sa.4, ss.484-490, 2025 (TRDizin)
ABSTRACT Objective: This study aimed to evaluate the etiology and treatment approaches of patients who presented to our clinic with nosebleeds, in accordance with the current literature. Material and Methods: Between January 2018 and March 2023, patients diagnosed with epistaxis who eit her presented to the otorhinolaryngology outpatient clinic of a tertiary university hospital or were referred from the emergency department, and whose data were accessible through the hospital information system, were retrospectively analyzed. Results: Among 2,169 patients diagnosed with epistaxis, 658 patients aged 0–95 years who met the inc lusion criteria were included in the study. The mean age was 38.4 years, and 54% were male. The highest number of admissions occurred in February. Among patients with available recurrence data, recurrent epis taxis was observed in 28.1% of cases, while a single episode occurred in 8.7%. Recurrence information was unavailable for the remaining patients. Single episodes were more frequent among females. Most patients were treated on an outpatient basis (78.9%) and received only medical therapy (90.4%). A history of surgery was present in 3.3% of cases, the majority following septorhinoplasty. Hospitalization was required in 2.6% of cases, most of whom had comorbid conditions. Recurrence rates were also higher among patients with comorbidities. Conclusion: Epistaxis is a common otorhinolaryngologic emergency that can generally be managed effecti vely with outpatient medical treatment. However, recurrence and hospitalization rates are higher in elderly patients and those with comorbidities. A thorough assessment of patients’ medical history and accompan ying conditions is crucial for selecting the most appropriate treatment approach. Keywords: Epistaxis; Cauterization; Surgery; Comorbidity; Recurrence