Practice Guideline: Epistaxis in Children

Record, Sharon

doi:10.1016/j.pedhc.2015.06.002

Cited by 15 publications

(17 citation statements)

References 28 publications

(27 reference statements)

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“…When bleeding diathesis occurs, the onset of symptoms may be seen earlier or age distribution may change depending on the underlying disease. 12,13 In my study epistaxis was not classified according to age because it can be seen at every age in childhood group and also because of the low number of the patients.…”

Section: Discussionmentioning

confidence: 99%

Investigation of Von Willebrand disease in children with epistaxis and clinical practical approach

Sarbay

2019

Int J Contemp Pediatr

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Background: The absence of a standardized approach to the disease and bleeding history can lead to unnecessary patient consultations and sometimes late diagnosis. The aim of this study was to investigate von Willebrand disease (VWD) in patients presenting with epistaxis with clinical practical approach.Methods: 63 Patients who were admitted to the pediatric hematology and oncology clinic between June 2017 and June 2018 with a complaint of epistaxis were evaluated. Patients diagnosed with VWD were classified as group 1, patients without VWD considered as group 2. The two groups were compared in terms of number of additional symptoms, and family history.Results: There was no difference in terms of age and gender when compared with 42 patients not considered as VWD (group 2), number of additional symptoms, and family history were significantly higher in the group considered as VWD.Conclusions: Excess number of additional bleeding symptoms, and bleeding history in family are of importance for the suspicion of diagnosis of VWD for physicians with limited experience in terms of bleeding disorders in primary and secondary health care institutions.

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Section: Discussionmentioning

confidence: 99%

Investigation of Von Willebrand disease in children with epistaxis and clinical practical approach

Sarbay

2019

Int J Contemp Pediatr

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“…More often than in adults, paediatric epistaxis involves the anterior part of the nasal septum at Kiesselbach's plexus, accessible to local intervention 4 5. Epistaxis is generally associated with local dryness, leading to the formation of crusts in the nasal vestibule and at Kiesselbach's plexus 6.…”

Section: Methodsmentioning

confidence: 99%

“…In children, like in adults, cauterisation is always preferred to anterior packing in case of persistent anterior bleeding when the site of bleeding is clearly visible to avoid pain and self-manipulation of packing 4 23. As opposed to adults, chemical cauterisation is the preferred first-line treatment over electric cauterisation in children because electric cauterisation requires general anaesthesia in children and specific ENT management .…”

Section: Methodsmentioning

confidence: 99%

“…A recent practice guideline4 suggests a specific management for paediatric cases, which necessitate emergency care hospitalisation and management by ENT specialist : unstable haemodynamics, a significant facial trauma (potential fractures), a suspicion of child maltreatment, a possible posterior bleed or inability to identify the source of the bleed and, of course, uncontrollable bleeding. Additional exams are usually unnecessary, except in case of abnormally frequent recurrences or in case of abundant bleeding.…”

Section: Hospitalisation and Referralmentioning

confidence: 99%

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Emergency Department care of childhood epistaxis

et al. 2016

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“…2 There is no clear definition related with further laboratory investigation in pediatric epistaxis for bleeding disorders. 3 However complete blood cell count (CBC) is one of the most used laboratory test for evaluation of epistaxis in children. Recurrent nosebleeds may cause blood loss.…”

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confidence: 99%

Complete Blood Count Parameters in Recurrent Pediatric Idiopathic Epistaxis

Akdoğan¹,

Tanrikulu²,

Babakurban³

et al. 2019

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of this study was to investigate the relationship between complete blood cell count (CBC) parameters and pediatric recurrent idiopathic epistaxis. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The patient records of the children with epistaxis were retrospectively analyzed. The records of the patients with recurrent idiopathic epistaxis were included. Compete blood count results of the patients at of least two visits for epistaxis were retrieved from the hospital records. Mean platelet volume (MPV), red blood cell distribution width (RDW), platelet, hemoglobin, hematocrit, lympocyte, leucocyte, neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) levels of these patients were compared with age-matched and gender-matched controls. R Re es su ul lt ts s: : A total of 153 patients had at least two visits with epistaxis and 107 of these were diagnosed with recurrent idiopathic epistaxis patients. There was no statistical difference in terms of age and gender between the groups. MPV, RDW, lympocyte levels were higher and platelet, hemoglobin, hematocrit, leucocyte, NLR and PLR levels were lower in recurrent idiopathic epistaxis patients. No statistically significant difference was detected between the groups according to the permutational non-parametric MANOVA (p>0.05). C Co on nc cl lu us si io on n: : Complete blood count is one of the most common laboratory test for evaluation of epistaxis in children. Although MPV, RDW, NLR and PLR are easily measured as a part of the CBC, their importance in epistaxis is not adequately presented. MPV, RDW, NLR and PLR have been identified as markers of inflammation and associated with an ample amount of diseases. However in this study we have concluded that there was no association between CBC parameters and recurrent pediatric idiopathic epistaxis. K Ke ey yw wo or rd ds s: : Epistaxis; children; complete blood cell count; mean platelet volume Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışmanın amacı, tam kan sayımı (TKS) parametreleri ile pediatrik rekürren idiyopatik epistaksis arasındaki ilişkiyi araştırmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Epistaksisi olan çocukların hasta kayıtları retrospektif olarak incelendi. Rekürren idiyopatik epistaksisi olan hastalar çalışmaya dahil edildi. En az iki kez burun kanaması nedeniyle başvuran hastaların TKS sonuçları, hastane kayıtlarından elde edildi. Bu hastaların ortalama trombosit hacmi (OTH), eritrosit dağılım genişliği (EDG), trombosit, hemoglobin, hematokrit, lenfosit, lökosit, nötrofil/lenfosit oranı (NLO) ve trombosit/lenfosit oranı (TLO) düzeyleri benzer yaş ve cinsiyetteki sağlıklı bireylerle karşılaştırıldı. B Bu ul lg gu ul la ar r: : Toplamda 153 hastanın epistaksis tanısı ile birden fazla başvurusu vardı. Bunlardan 107'si rekürren idiyopatik epistaksis tanısı almıştı. Gruplar arasında yaş ve cinsiyet açısından istatistiksel fark yoktu. Rekürren idiyopatik epistaksis hastalarında OTH, EDG, lenfosit düzeyleri y...

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Practice Guideline: Epistaxis in Children

Cited by 15 publications

References 28 publications

Investigation of Von Willebrand disease in children with epistaxis and clinical practical approach

Investigation of Von Willebrand disease in children with epistaxis and clinical practical approach

Emergency Department care of childhood epistaxis

Complete Blood Count Parameters in Recurrent Pediatric Idiopathic Epistaxis

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