Desfecho clínico de pacientes tratados por epistaxe com tamponamento nasal após a alta hospitalar

Abstract

Epi staxis is a common clinical condition and in most public hospitals these patients received nasal packing and were admitted to the hospital as initial management strategies. However, little is known about the follow-up of these patients after they leave the hospital. Aim: To identify the clinical outcome of patients treated for epistaxis following discharge. Materials and Methods: We analyzed the results of questionnaires from patients hospitalized for non-traumatic epistaxis between March 2006 and March 2007. Study design: Cohort longitudinal. Results: Fifty-four of eighty-seven patients answered (62%). Epistaxis recurred in 37% of the patients. Of the patients who had recurrent bleeding, 70% were hypertensive, 35% were chronic users of acetylsalicylic acid, and 55% used tobacco. Forty per cent of the recurrences occurred in the first week after discharge, and fifty per cent needed to return to the emergency room. Seventy per cent of those who returned to the emergency room required a second treatment. Conclusions: Recurrence after epistaxis treatment is common and may occur soon after the initial discharge. Although our sample was small, this data suggests the need for a reevaluation of the current treatment mode of patients with epistaxis in the emergency rooms of public hospitals.

Nãotecido Eletrofiado Com Atividade Anti-Hemorrágica Para Tratamento De Epistaxe

“…Com base em Faistauer (2009), episódios de epistaxe acontecem geralmente em crianças maiores de 2 anos, e em idosos com idades entre 70 a 79 anos, e tem ocorrência de aproximadamente 30 pessoas para cada 100.000 habitantes.…”