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

Year 2019, Volume: 26 Issue: 2, 159 - 163, 01.06.2019
https://doi.org/10.17343/sdutfd.440153

Abstract

Amaç:
Bu çalışmada burun kanaması için risk faktörlerinin sıklıkları ortaya konulmaya
çalışılırken aynı zamanda bu risk faktörlerinin acil serviste burun kanaması yönetimi
üzerine etkisi olup olmadığı sorgulandı.

Gereç
ve Yöntem: Erişkin acil servisde 01/01/2017-01/01/2018 tarihleri arasında burun
kanaması (R04.0) tanı kodu girilen hastaların dosyaları tarandı ve hastaların
isim, yaş, cinsiyet, başvuru tarihi, tıbbi özgeçmiş, kullandığı ilaç, vital
bulguları, konsultasyon bilgileri ve laboratuar bulguları kaydedildi. Travma
hastaları ve 18 yaş altı hastalar çalışma dışı bırakıldı. Konsultasyon istenen
hastalar ciddi burun kanaması olarak değerlendirildi.

Bulgular:
Çalışmaya 68 erkek, 40 kadın olmak üzere toplam 108 hasta dahil edildi.
%70.4  (n:76) hasta 50 yaş üzeri olduğu
en sık başvurunun sırasıyla %30.6 (n:33) ve %29.6 (n:32) ile kış ve ilkbahar
aylarında olduğu görüldü. %46.3 (n:50) hastada hipertansiyon, %31.5 (n:34)
hastada ilaçlara bağlı kanama saptandı. %19.4 (n:21) hastaya konsultasyon
istendiği görüldü. Konsultasyon istenen ve istenmeyen hastaların birbiri ile
karşılaştırılması sonucunda erkek cinsiyet ve yüksek Eritrosit Dağılım Genişliği
(RDW) açısından anlamlı farklılık saptandı (P değerleri sırasıyla 0.016 ve
0.029).







            Sonuç: Acil servise başvuran burun kanamalı hastalarda
yüksek RDW ve erkek cinsiyet kanamanın ciddiyetini gösteren parametreler olarak
ortaya çıkmaktadır. Acil serviste burun kanamalı hasta yaklaşımında bu
parametreler de göz önünde bulundurulmalıdır.

References

  • 1. Marx JA, Hochberger RS, Wallis RM. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 5th ed. St Louis, MO: Mosby Inc; 2002.
  • 2. Côrte FC, Orfao T, Dias CC, Moura CP, Santos M. Risk factors for the occurrence of epistaxis: Prospective study. Auris Nasus Larynx 2018; 45: 471-5.
  • 3. Chaaban MR, Zhang D, Resto V, Goodwin JS. Demographic, Seasonal and Geographic Differences in Emergency Department Visits for Epistaxis. Otolaryngology–Head and Neck Surgery 2017; 156(1): 81–6.
  • 4. Duman A, Dagli B, Turkdogan KA, Kapci M, Kuruoz G, Akoz A. Diagnosis of pulmonary embolism in patients mean platelet volume, neutrophil/lymphocyte ratio and platelet/lymphocyte ratio 's foresight. Medicine Science 2016; 5(4): 1002-4.
  • 5. Kemal Ö, Müderris T, Sevil E, Kutlar G. Relation of Mean Platelet Volume and Red Blood Cell Distribution Width With Epistaxis. Laryngoscope, 2015; 125: 788–90.
  • 6. Noris P, Melazzini F, Balduini CL. New roles for mean platelet volume measurement in the clinical practice? Platelets 2016; 27(7): 607-12.
  • 7. Montagnana M, Cervellin G, Meschi T, Giuseppe L. The role of red blood cell distribution width in cardiovascular and thrombotic disorders. Clinical Chemistry and Laboratory Medicine, 2011; 50(4): 635-41.
  • 8. Daniell HW. Estrogen prevention of recurrent epistaxis. Arch Otolaryngol — Head Neck Surg 1995; 121(3): 354.
  • 9. Monjas-Ca´novas I, Herna´ndez-Garcı´a I, Mauri-Barbera´ J, SanzRomero B, Gras-Alberta JR. Epidemiology of epistaxis admitted to a tertiary hospital. Acta Otorrinolaringol Esp 2010; 61(1): 41–7.
  • 10. Pallin DJ, Chng YM, McKay MP, Emond JA, Pelletier AJ, Camargo CA Jr. Epidemiology of epistaxis in US emergency departments, 1992 to 2001. Ann Emerg Med. 2005; 46: 77-81.
  • 11. Purkey MR, Seeskin Z, Chandra R. Seasonal variation and predictors of epistaxis. Laryngoscope 2014; 124(9): 2028–33.
  • 12. Vizioli L, Muscari S, Muscari A. The relationship of mean platelet volume with the risk and prognosis of cardiovascular diseases. Int J Clin Pract 2009; 63:1509–15.
  • 13. Gul M, Uyarel H, Ergelen M, Karacimen D, Ugur M, Turer A, et al. The relationship between red blood cell distribution width and the clinical outcomes in non-ST elevation myocardial infarction and unstable angina pectoris: a 3-year follow-up. Coron Artery Dis 2012; 23: 330–6.
  • 14. Karabacak M, Varol E, Turkdogan KA, Duman A, Akpınar O, Karabacak P. Mean platelet volume in patients with carbon monoxide poisoning. Angiology 2014; 65(3): 252-6.
  • 15. Karabacak M, Dogan A, Turkdogan KA, Kapci M, Duman A, Akpınar O. Mean platelet volume is increased in patients with hypertensive crises. Platelets 2014; 25(6): 423-6.

CAN RED CELL DISTRUBITION WIDTH PREDICT SEVERITY OF EPISTHAXIS IN EMERGENCY DEPARTMENT?

Year 2019, Volume: 26 Issue: 2, 159 - 163, 01.06.2019
https://doi.org/10.17343/sdutfd.440153

Abstract

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.

Methods:
Patients with epistaxis 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.

Results:
A total of 108 patients, 68 male and 40 female, were included in the study.
70.4% (n: 76) of the patients were over 50 years old and the most frequent were
30.6% (n: 33) and 29.6% (n: 32) respectively in winter and spring. 46.3% (n:
50) patients had hypertension and 31.5% (n: 34) patients had bleeding due to
drugs. 19.4% (n: 21) patients were referred to the consultation. 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 epistaxis in
emergency department. These parameters should also be taken into consideration
in the approach of ephistaxis patients in emergency department.

References

  • 1. Marx JA, Hochberger RS, Wallis RM. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 5th ed. St Louis, MO: Mosby Inc; 2002.
  • 2. Côrte FC, Orfao T, Dias CC, Moura CP, Santos M. Risk factors for the occurrence of epistaxis: Prospective study. Auris Nasus Larynx 2018; 45: 471-5.
  • 3. Chaaban MR, Zhang D, Resto V, Goodwin JS. Demographic, Seasonal and Geographic Differences in Emergency Department Visits for Epistaxis. Otolaryngology–Head and Neck Surgery 2017; 156(1): 81–6.
  • 4. Duman A, Dagli B, Turkdogan KA, Kapci M, Kuruoz G, Akoz A. Diagnosis of pulmonary embolism in patients mean platelet volume, neutrophil/lymphocyte ratio and platelet/lymphocyte ratio 's foresight. Medicine Science 2016; 5(4): 1002-4.
  • 5. Kemal Ö, Müderris T, Sevil E, Kutlar G. Relation of Mean Platelet Volume and Red Blood Cell Distribution Width With Epistaxis. Laryngoscope, 2015; 125: 788–90.
  • 6. Noris P, Melazzini F, Balduini CL. New roles for mean platelet volume measurement in the clinical practice? Platelets 2016; 27(7): 607-12.
  • 7. Montagnana M, Cervellin G, Meschi T, Giuseppe L. The role of red blood cell distribution width in cardiovascular and thrombotic disorders. Clinical Chemistry and Laboratory Medicine, 2011; 50(4): 635-41.
  • 8. Daniell HW. Estrogen prevention of recurrent epistaxis. Arch Otolaryngol — Head Neck Surg 1995; 121(3): 354.
  • 9. Monjas-Ca´novas I, Herna´ndez-Garcı´a I, Mauri-Barbera´ J, SanzRomero B, Gras-Alberta JR. Epidemiology of epistaxis admitted to a tertiary hospital. Acta Otorrinolaringol Esp 2010; 61(1): 41–7.
  • 10. Pallin DJ, Chng YM, McKay MP, Emond JA, Pelletier AJ, Camargo CA Jr. Epidemiology of epistaxis in US emergency departments, 1992 to 2001. Ann Emerg Med. 2005; 46: 77-81.
  • 11. Purkey MR, Seeskin Z, Chandra R. Seasonal variation and predictors of epistaxis. Laryngoscope 2014; 124(9): 2028–33.
  • 12. Vizioli L, Muscari S, Muscari A. The relationship of mean platelet volume with the risk and prognosis of cardiovascular diseases. Int J Clin Pract 2009; 63:1509–15.
  • 13. Gul M, Uyarel H, Ergelen M, Karacimen D, Ugur M, Turer A, et al. The relationship between red blood cell distribution width and the clinical outcomes in non-ST elevation myocardial infarction and unstable angina pectoris: a 3-year follow-up. Coron Artery Dis 2012; 23: 330–6.
  • 14. Karabacak M, Varol E, Turkdogan KA, Duman A, Akpınar O, Karabacak P. Mean platelet volume in patients with carbon monoxide poisoning. Angiology 2014; 65(3): 252-6.
  • 15. Karabacak M, Dogan A, Turkdogan KA, Kapci M, Duman A, Akpınar O. Mean platelet volume is increased in patients with hypertensive crises. Platelets 2014; 25(6): 423-6.
There are 15 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Articles
Authors

Kivanç Karaman

Şerafettin Enhoş This is me

Alten Oskay

Hamit Hakan Armağan

Publication Date June 1, 2019
Submission Date July 3, 2018
Acceptance Date July 23, 2018
Published in Issue Year 2019 Volume: 26 Issue: 2

Cite

Vancouver Karaman K, Enhoş Ş, Oskay A, Armağan HH. ERİTROSİT DAĞILIM HACMİ ACİL SERVİSTE BURUN KANAMASININ CİDDİYETİNİ ÖN GÖREBİLİR Mİ?. Med J SDU. 2019;26(2):159-63.

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