Epistaxis is the commonest ENT emergency (1). A recent study showed 10% 1-year mortality in patients admitted with epistaxis (2). Our aim was to study the 1-year mortality rate of epistaxis in our unit and identify causes.
Retrospective analysis of patients admitted to our unit with epistaxis over twelve months..
Of 338 patients, 33 (9.8%) died within one year of admission. These were older (77.2 years vs. 68.8, p=0.002) and had a higher co-morbidity score (CIRS-G score 9.9 vs. 6.7, p <0 .001). The mortality rate for patients over 77 was 14.3% compared with 6.8% under 77 (p value 0.024). Leading causes of death were pneumonia (30.3%) & metastatic malignancy (15.1%).
Our figures are consistent with the previous study suggesting that admission with epistaxis is associated with a one-year mortality of around 10%. Significant risk factors were age > 77 yrs and high CIRS-G score.
1. TWM Walker, TV MacFarlane, GW McGarry The epidemiology and chronobiology of epistaxis: an investigation of Scottish hospital admissions. Clinical Otolaryngology 2007
2. C Douglas, T. Tikka, J. Montgomery Patterns of hospital admission in 54, 501 patients with epistaxis over a 20-year period in Scotland, UK. Clinical Otolaryngology 2018