ERİTROSİT DAĞILIM HACMİ ACİL SERVİSTE BURUN KANAMASININ CİDDİYETİNİ ÖN GÖREBİLİR Mİ?

Objective In this study, the frequency of risk factors for ephistaxis was tried to be revealed, and at the same time, it was questioned whether these risk factors had an effect on emergency ephistaxis management. Material and Methods Patients with ephistaxis diagnostic code were scanned in the adult emergency department between 01/01/2017-01/01/2018 and the patient's name, age, sex, date of application, medical history, medication, vital findings, consultation information and laboratory findings were recorded. Trauma patients, patients under the age of 18 and patients with systemic disease leading to bleeding disorder were excluded from the study. Patients requiring consultation were evaluated as severe ephistaxis. Results A total of 108 patients, 68 male and 40 female, were included in the study. It was seen that 70.4% of the patients were over 50 years old. The most frequent application was seen in winter and spring with 30.6% and 29.6%, respectively. The frequency of hypertension and bleeding due to drugs were 46.3% and 31.5%, respectively. It was seen that the rate of consultation was 19.4%. There was a significant difference in terms of male sex and elevated red cell distrubition width (RDW) as a result of comparison between consulted patients and non-consulted patients (P values are 0.016 and 0.029 respectively). Conclusion Elevated RDW and male sex appear as parameters determining the severity of ephistaxis in emergency department. These parameters should also be taken into consideration in the approach of ephistaxis patients in emergency department. [ABSTRACT FROM AUTHOR]