Epistaxis and Its Associated Factors Among Precollege Students in Southern Ethiopia

Ameya, Gemechu; Biresaw, Gelila; Mohammed, Hayat Hassen; Chebud, Abebayehu; Meskele, Melese; Hussein, Mohammed; Endris, Muktar

doi:10.2147/jbm.s285403

Cited by 5 publications

(5 citation statements)

References 22 publications

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“…6,7,[9][10][11] However, some researchers report a dominance of females. 8,12 Ameya et al 13 also identified precollege students as a separate demographic group for assessment of epidemiology and risk factors for epistaxis.…”

Section: Resultsmentioning

confidence: 99%

A study of etiology and management of epistaxis in a tertiary center in Western Uttar Pradesh

2023

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Background: Epistaxis is a common condition but with diverse etiology dependent on geography, season, climate, and demography. Aims and Objectives: To describe the demographic, clinical, and etiological profile and management strategies of epistaxis cases at a tertiary center in U.P. (west). Materials and Methods: Patients were identified from the emergency and outpatient department, and their demographic and clinical details were noted. Local examination was performed, and necessary investigations were carried out. Management strategies were noted. Duration of hospital stay and mortality, if any, was documented. Descriptive analytics were used. Data were represented as numbers and percentages, mean±standard deviation, and median. Results: A total of 189 epistaxis patients were enrolled in the study. The mean age of patients was 32.89±17.92 (range 1–85 years). The sex ratio (M: F) was 2.71. Majority of patients presented to the emergency department (60.3%) within 1 day (64.6%), had single episode (66.7%), the presence of old clot (72%) and the anterior location of bleeding (91.5%). 119 (63%) cases required admission. Nasal endoscopy and computed tomography scan were performed in 49 (25.9%) and 24 (12.7%) cases, respectively. The most common etiology was trauma (49.2%), followed by idiopathic cause (14.8%), hypertension (12.7%), and others. Nasal packing and cauterization were required in 16.4% and 15.9% of cases, respectively. Surgery was required in 5 (2.6%) cases. A minuscule percentage of cases required blood transfusion. There was no mortality. Conclusion: Epistaxis is a common emergency with males predominating over females. Causes are varied. Most patients can be managed conservatively with favorable outcomes if timely intervention is done.

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Section: Resultsmentioning

confidence: 99%

A study of etiology and management of epistaxis in a tertiary center in Western Uttar Pradesh

2023

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“…Epistaxis is a common symptom, and 60% of the population will have an attack of a nosebleed at certain times in their lives [9]. A recent survey study from Ethiopia on pre-college students found that out of 387 participants, there were 108 (27.9%) who gave a history of epistaxis [10]. Other studies conducted in Saudi Arabia, Tanzania, and India, reported a level of epistaxis of 49%, 23.4%, and 7.5%, respectively [11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Clinical Profile of Epistaxis at a Private Otolaryngology Clinic, Ramadi City, Iraq

Al-Ani

2024

amj

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Background: Epistaxis is a common condition in daily clinical practice and is presented either in emergency units or outpatient otolaryngology clinic. There is no relevant local study regarding its prevalence and clinical profile. Objectives: To estimate the prevalence and demographic and clinical profile of patients with epistaxis. Materials and methods: We prospectively reviewed the patients with epistaxis during the year 2021. Detailed information regarding every subject's demographic and clinical aspects was registered and analyzed. Results: Of the 6645 patients visiting the private clinic, 344 (5.2%) had epistaxis. The highest proportion of patients was registered in June (12.5%). There were 53.5% males, 48.3% from the age group 11-18 years, and 80.02% lived inside the city. Around 60% were presented within 1-2 days from the bleeding onset. Unilateral epistaxis was seen in 74.4% of the cases (143 from the right and 113 from the left side). The majority of bleeding was from the anterior part (97.1%) and with mild form (96.5%). About 80% of the subjects had recurrent attacks of epistaxis. Early presentation (1-2 days) was seen more in the age group > 50 years (9/12), bleeding from the posterior part (10/10), severe epistaxis (11/12), patients with the first attack of bleeding (77%), and with idiopathic (19.77%) cause (P-value < 0.05). The majority of the cases (84.3%) were treated conservatively. Conclusion:The prevalence of epistaxis was 5.2%. June registered the highest cases of bleeding. The age group of 11-18 years and males were mostly affected. The age, site, severity, cause, and patient with the first attack were significantly affected the presentation time. Conservative treatment was effective in the majority of cases.

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“…The majority were single Saudi nationals, with a bachelor's degree, and half resided in cities. Despite the global prevalence of epistaxis, only 60% of the participants reported prior experience with the condition, suggesting a possible underreporting due to the perception of nosebleeds as trivial events not requiring medical care [ 17 , 18 ]. Moreover, only half (52%) had received any first aid training for epistaxis management, mirroring findings from other studies conducted in Saudi Arabia and elsewhere [ 12 , 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude, and Practice of First Aid for Epistaxis Among the General Population in the Jazan Region of Saudi Arabia

Mahzara,

Mawkili,

Muafa

et al. 2023

Cureus

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Background Epistaxis, or nosebleeds, is a widespread medical condition that can be effectively managed with appropriate first aid. Understanding the general public's knowledge and practices about this is crucial. Objectives This study sought to evaluate the awareness and practice regarding first aid for epistaxis within the general population of the Jazan region in Saudi Arabia. Methods A cross-sectional survey was administered from April through June 2023, using a questionnaire that covered sociodemographic factors, knowledge of epistaxis, first aid practices for epistaxis, and any previous training received. Statistical analysis was performed using SPSS (IBM Corp., Armonk, NY), with chi-square tests to evaluate the variables' associations. Results The questionnaire was completed by 622 participants, predominantly females, Saudis, and individuals from the age group of 18 to 25 years. It was found that 60% of the participants had experienced epistaxis, but only 52% had received prior first aid training. Although the majority (91.8%) accurately defined epistaxis, a mere 40.8% correctly identified all the steps for first aid management of epistaxis. There was a notable insufficiency in understanding the causes, risk factors, and appropriate first aid steps. Participants' knowledge was evenly split, with approximately half exhibiting low knowledge (49.70%) and the remainder showing high knowledge (50.30%). Certain sociodemographic factors such as older age (p=0.028), Saudi nationality (p=0.045), and higher education (p=0.001) were linked with more experiences of epistaxis. Conversely, younger age (p=0.002), female gender (p=0.036), single status (p=0.001), prior experience with epistaxis (p=0.001), and higher overall knowledge (p=0.001) were associated with a higher likelihood of having received first aid training. Conclusions The study reveals significant gaps in the knowledge and practices of first aid for epistaxis among the general population in the Jazan region. Public awareness campaigns and educational programs are urgently needed, particularly for specific groups. Enhancing first aid knowledge could help alleviate the impacts of epistaxis. Further research is required to develop effective educational interventions.

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Epistaxis and Its Associated Factors Among Precollege Students in Southern Ethiopia

Cited by 5 publications

References 22 publications

A study of etiology and management of epistaxis in a tertiary center in Western Uttar Pradesh

A study of etiology and management of epistaxis in a tertiary center in Western Uttar Pradesh

Prevalence and Clinical Profile of Epistaxis at a Private Otolaryngology Clinic, Ramadi City, Iraq

Knowledge, Attitude, and Practice of First Aid for Epistaxis Among the General Population in the Jazan Region of Saudi Arabia

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