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Is a Laboratory Evaluations Required in Every Case Admitting to the Pediatric Emergency Department with Epistaxis?
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  • Songül Tomar Güneysu,
  • Okşan Derinöz Güleryüz,
  • elif ceylan,
  • Ayla Akça Çağlar,
  • Özlem çolak
Songül Tomar Güneysu
Gazi University Faculty of Medicine
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Okşan Derinöz Güleryüz
Gazi University Faculty of Medicine
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elif ceylan
Gazi University Faculty of Medicine
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Ayla Akça Çağlar
Ankara City Hospital
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Özlem çolak
Gazi University Faculty of Medicine
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Abstract

ABSTRACT Background: Epistaxis is a mostly self-limiting condition common among children and is rarely severe. In this study, it was aimed to evaluate the incidence, demographic characteristics, causes of bleeding and treatment methods of patients who applied to the Pediatric Emergency Department (PED) with epistaxis, and to determine in which cases a laboratory test should be used. Method: Admitted to Gazi University Faculty of Medicine, PED which provides trauma care and is a tertiary hospital, between January 1, 2019 and December 31, 2019, 452 patients aged 0-18 years who presented with epistaxis to any reason or secondary to systemic disease were analyzed retrospectively. Results: The annual incidence was found 1.23%. The median age was 63 months, 258 of the cases (57.1%) were male. It was found that the cases most frequently applied to the hospital in the autumn months (37.6%). Sixty of the patients (13.3%) had a chronic disease and 54 (11.9%) had a history of drug use. Bleeding time was less than 5 minutes in 75.2% and 84.4% of the bleeding was unilateral. Nasal bleeding is local in 73.4%; 4.7% of them developed due to systemic reasons. The most common cause of epistaxis; while they were trauma at the first 10 years of age, they were idiopathic causes after the age of 10 years. In 434 (96%) of the patients, epistaxis spontaneously stopped and there was no need for additional treatment. Conclusion: As a result of this study, it was concluded that laboratory tests should be performed in cases with chronic disease history, bilateral bleeding, active bleeding and nontraumatic epistaxis. The situation that causes epistaxis in the childhood age group should be determined with a good history and physical examination, laboratory tests should not be used in every patient. Key Words: pediatric emergency, epistaxis, laboratory examinations, complete blood count

Peer review status:ACCEPTED

02 Jun 2021Submitted to International Journal of Clinical Practice
03 Jun 2021Submission Checks Completed
03 Jun 2021Assigned to Editor
21 Jun 2021Reviewer(s) Assigned
05 Aug 2021Review(s) Completed, Editorial Evaluation Pending
09 Aug 2021Editorial Decision: Revise Major
19 Aug 20211st Revision Received
20 Aug 2021Review(s) Completed, Editorial Evaluation Pending
20 Aug 2021Submission Checks Completed
20 Aug 2021Assigned to Editor
22 Aug 2021Editorial Decision: Accept