The Role of Meteorologic Factors and Air Pollution on the Frequency of Pediatric Epistaxis

Mv, Akdoğan; Hızal, Evren; Semiz, Mustafa; Topal, Özgül; Akkaş, Hakan; Kabataş, Aydın; Erbek, Selim S.

doi:10.1177/014556131809700901

Cited by 20 publications

(33 citation statements)

References 20 publications

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“…Although several researchers have attempted to analyze the effect of seasonal variation or meteorological factors on the incidence of epistaxis, the obtained results have been controversial. A positive correlation between epistaxis and temperature, and a negative correlation between epistaxis and average daily humidity have been reported in pediatric patients [8] . The monthly admission frequency of patients with epistaxis was reviewed; and not only the meteorological factors, but also the variants of air pollution, such as the daily concentration of particulate matter and sulfur dioxide levels, were determined as important factors affecting frequency of epistaxis [8] .…”

Section: Discussionmentioning

confidence: 87%

“…A positive correlation between epistaxis and temperature, and a negative correlation between epistaxis and average daily humidity have been reported in pediatric patients [8] . The monthly admission frequency of patients with epistaxis was reviewed; and not only the meteorological factors, but also the variants of air pollution, such as the daily concentration of particulate matter and sulfur dioxide levels, were determined as important factors affecting frequency of epistaxis [8] . In another study, a negative correlation between epistaxis and temperature and no correlation between epistaxis and humidity were reported [9] .…”

Section: Discussionmentioning

confidence: 87%

“…It was previously reported that the peak ages of epistaxis incidence are < 18 years and > 50 years, and nasal bleeding tends to be severe in the older population [8 , 16] . Therefore, epistaxis in adults is considered a different condition than epistaxis in children [8] .…”

Section: Discussionmentioning

confidence: 99%

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Minimal temperature, mean wind speed, and mean relative humidity are associated with spontaneous epistaxis in Seoul, Korea

Min¹,

Kang²,

Kim³

et al. 2021

Auris Nasus Larynx

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Epistaxis is a commonly encountered condition; however, factors that have been associated with epistaxis are controversial. Although several previous studies have evaluated the relationship between meteorological factors and epistaxis, studies conducted in Korea has been nearly reported. We attempted to evaluate the meteorological factors associated with the frequency of patients presenting with epistaxis in a tertiary hospital. Methods:We retrospectively reviewed the medical records of patients presenting with spontaneous epistaxis in an urban tertiary medical center, during one year. Patients with a clear etiology for epistaxis (such as trauma, previous surgery) were regarded as cases of secondary epistaxis and were excluded from this study. Daily climatic data were collected from the website of Korea Meteorological Administration. Meteorological factors affecting the frequency of patients presenting with epistaxis were statistically analyzed.Results: Among 350 enrolled subjects, 219 were males and 131 were females, and the mean age was 44.94 ± 26.02 years. Univariate and multivariate regression analyses revealed that minimal temperature and mean wind speed were significant factors that affected the presence of patients presenting with epistaxis to the hospital. Furthermore, ordinal logistic regression analysis showed that decreases in minimal temperature and mean relative humidity were associated with a increase in the number of patients presenting with epistaxis. Conclusion:Minimal temperature and mean wind speed were significantly different between days with epistaxis and days without epistaxis patients presenting with epistaxis, and minimal temperature and mean relative humidity were associated with number of patients presenting with epistaxis. Our findings suggested that these meteorological factors might affect the spontaneous epistaxis in Seoul, Korea.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 87%

See 1 more Smart Citation

Minimal temperature, mean wind speed, and mean relative humidity are associated with spontaneous epistaxis in Seoul, Korea

Min¹,

Kang²,

Kim³

et al. 2021

Auris Nasus Larynx

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“…6,13 Meteorolojik faktörler ve epistaksis sıklığı arasındaki ilişkiyi araştıran çalışmalarda ise farklı sonuçlar bildirilmektedir. 17,18 Türkiye'de yapılmış, sadece çocuk hastaları içeren bir çalışmada, sıcaklık artışı ve düşük nemin idiyopatik rekürren pediatrik epistaksis sıklığında artış ile ilişkili olduğu bildirilmiştir. 17 Soğuk iklimin hâkim olduğu Kanada'da yapılmış bir çalışmada ise sıcaklıkta düşme ile epistaksis sıklığının arttığı, nem oranı ile ise epistaksis sıklığı arasında ilişki olmadığı bildirilmiştir.…”

Section: Discussionunclassified

“…Bu durum da birbirini destekleyen sonuçlar olduğu kadar, birbirinden farklı sonuçların da ortaya çıkmasına neden olmuştur. [6][7][8][9][10][11][12][13][14][15][16][17][18] Bu çalışmada, enfeksiyöz ve travmatik nedenler dışındaki KBB acilleri ile meteorolojik faktörler ve ay döngüsü arasında anlamlı ilişki olup olmadığının ortaya konması hedeflenmiştir. Bilgimiz dâhilinde, bu konuda yurt içi literatürde daha önce yayımlanmış herhangi bir çalışma bulunmamaktadır.…”

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The Relationship Between Ear Nose Throat Emergencies and Meteorological Events and the Moon Cycle

Akdoğan¹,

Hızal²,

Babakurban³

et al. 2020

KBB ve BBC Dergisi

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Enfeksiyöz ve travmatik nedenler dışındaki acil kulak burun boğaz başvuruları ile meteorolojik faktörler ve ay döngüsü arasındaki ilişkinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Hastanemiz veritabanından Ocak 2013-Ekim 2015 tarihleri arasındaki Kulak Burun Boğaz acil başvuru nedenleri belirlenmiştir. Aynı tarih aralığındaki günlük sıcaklık (maksimum, minimum ve ortalama) (Co), günlük nem (maksimum, minimum ve ortalama) (%), günlük maksimum ve ortalama rüzgâr hızı (m/dakika), rüzgâr yönü (derece) ve günlük hava basıncı (maksimum, minimum ve ortalama) (hPa) değerleri ve ayın evreleri olan yeni ay, ilk dördün, dolunay ve son dördün dönemleri tespit edilmiştir. Bulgular: Toplamda 1034 günlük süre boyunca vertigo, epistaksis ve Bell paralizisi nedeni ile 11.898 acil başvurusu olduğu ve bu başvuruların tüm KBB başvurularının %10,25'ini oluşturduğu tespit edildi. Benign paroksismal pozisyonel vertigo (BPPV) tanısı alan hastalar (n=977), vertigo yakınması olan hastaların %10,2'sini oluşturuyordu. BPPV başvuru sıklığı ile tüm basınç ve nem verileri arasında pozitif korelasyon, günlük sıcaklık değerlerinin tümü ile ise negatif korelasyon olduğu tespit edildi. Vertigo ile başvuran tüm hastalar değerlendirildiğinde, vertigo ile günlük minimum basınç, günlük maksimum nem ve ortalama nem değerleri için pozitif korelasyon tespit edilirken; tüm günlük sıcaklık verileri arasında ise negatif korelasyon mevcuttu. Günlük maksimum rüzgâr hızı ve günlük ortalama rüzgâr hızı ile vertigo ve BPPV başvuru sıklığı arasında negatif korelasyon tespit edildi. Epistaksis sıklığı ile günlük maksimum rüzgâr hızı arasında da negatif korelasyon tespit edildi. Ay evreleri ile hastalık sıklığı arasında istatistiksel olarak anlamlı ilişki tespit edilmedi. Sonuç: Bu çalışmada, meteorolojik faktörlerin vertigo, BPPV ve epistaksis ile ilişkili olduğu ortaya konmuş, ancak ay döngüsü ile belirtilen durumların sıklığı arasında herhangi bir ilişki tespit edilmemiştir. Bu konuda Türkiye'de daha önce yapılmış bir çalışma mevcut değildir. Çalışmamızda elde edilen bulgular, literatürdeki çalışmaları büyük ölçüde destekler niteliktedir.Anah tar Ke li me ler: Vertigo; benign paroksismal pozisyonel vertigo; Bell paralizisi; epistaksis; meteorolojik faktörler; ay döngüsü ABS TRACT Objective: The aim of this study was to evaluate the relationship between otorhinolaryngologic emergencies except infectious and traumatic causes and meteorological events and the moon cycle. Material and Methods: Otorhinolaryngologic emergency applications except for trauma and infection from January 2013-October 2015, were determined from database of our hospital. Daily temperature (maximum, minimum and average) (Co), daily humidity (maximum, minimum and average) (%), daily maximum and average wind speed (m/min), wind direction (degree) and daily air pressure (maximum, minimum and average) (hPa) values and the phases of the new moon (first quarter, full moon and last quarter) were also determined between the same dates. Results: There were 11.898 emergency applications du...

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Exploring effects of atmospheric conditions in hereditary hemorrhagic telangiectasia

Yusuf

Rasheed

Hetts

et al. 2023

Int Forum Allergy Rhinol

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BackgroundHereditary hemorrhagic telangiectasia (HHT) is a rare autosomal dominant disorder characterized by recurrent epistaxis, telangiectasias, and visceral arteriovenous malformations. Individuals with HHT often identify low humidity and temperature as detrimental to epistaxis severity. We set out to assess the relationship between humidity and temperature on epistaxis severity in patients with HHT.MethodsRetrospective cross‐sectional study at an academic hospital with an HHT center between July 1, 2014 and January 1, 2022. The primary outcome of this study was ESS. Pearson correlation analyses and multiple linear regression analyses were performed to test the association between weather variables and epistaxis severity scre (ESS). Results were reported as coefficient and 95% confidence interval (CI).ResultsFour hundred twenty‐nine patients were included in the analysis. Through a Pearson correlation analysis, neither humidity (regression coefficient = −0.01; 95% CI, −0.006 to 0.003; p = 0.50), daily low temperature (regression coefficient = 0.01; 95% CI, −0.011 to 0.016; p = 0.72), or daily high temperature (regression coefficient = 0.01; 95% CI, −0.004 to 0.013; p = 0.32) were significantly correlated with ESS. In a multiple linear regression analysis, adjusting for both daily low temperature and humidity, medications taken, demographics, and genotype, neither daily low temperature (regression coefficient = −0.02; 95% CI, −0.04 to 0.01; p = 0.14) nor humidity (regression coefficient = 0.01; 95% CI, −0.01 to 0.01; p = 0.64) were significantly associated with ESS.ConclusionWe have shown in a large clinical sample that neither humidity nor temperature were strongly correlated with HHT patient epistaxis severity.

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The Role of Meteorologic Factors and Air Pollution on the Frequency of Pediatric Epistaxis

Cited by 20 publications

References 20 publications

Minimal temperature, mean wind speed, and mean relative humidity are associated with spontaneous epistaxis in Seoul, Korea

Minimal temperature, mean wind speed, and mean relative humidity are associated with spontaneous epistaxis in Seoul, Korea

The Relationship Between Ear Nose Throat Emergencies and Meteorological Events and the Moon Cycle

Exploring effects of atmospheric conditions in hereditary hemorrhagic telangiectasia

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