{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T17:10:42Z","timestamp":1790269842088,"version":"4.1.0"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T00:00:00Z","timestamp":1583107200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T00:00:00Z","timestamp":1583107200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Purpose<\/jats:title>\n<jats:p>Epistaxis is the most common ENT emergency. The aim was to determine population-based data on severe epistaxis needing inpatient treatment.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Retrospective population-based cohort study in the federal state Thuringia in 2016 performed on all 840 inpatients treated for epistaxis in otolaryngology departments (60.1% male, median age: 73\u00a0years; 63.9% under anticoagulation). The association between patients\u2019 and treatment characteristics and longer inpatient stay (\u2265\u20094\u00a0days) as well as readmission for recurrent epistaxis was analyzed using univariable and multivariable statistics.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>The overall incidence of epistaxis needing inpatient treatment was higher for men (42 per 100,000) than for women (28 per 100,000). The highest incidence was reached for men\u2009&gt;\u200985\u00a0years (222 per 100,000). Most important independent predictors for longer inpatient stay were localization of the bleeding not in the anterior nose (OR\u2009=\u20092.045; CI\u2009=\u20091.534\u20132.726), recurrent bleeding during inpatient treatment (OR\u2009=\u20092.142; CI\u2009=\u20091.508\u20133.042), no electrocoagulation (OR\u2009=\u20092.810; CI\u2009=\u20092.047\u20133.858), and blood transfusion (OR\u2009=\u20092.731; CI\u2009=\u20091.324\u20135.635). Independent predictors for later readmission because of recurrent epistaxis were male gender (OR\u2009=\u20091.756; CI\u2009=\u20091.155\u20132.668), oral anticoagulant use (OR\u2009=\u20091.731; CI\u2009=\u20091.046\u20132.865), and hereditary hemorrhagic telangiectasia (OR\u2009=\u200913.216; CI 5.102\u201334.231).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Inpatient treatment of epistaxis seems to be variable in daily routine needing standardization by clinical guidelines and strategies to shorten inpatient treatment and to reduce the risk of readmission.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00405-020-05875-2","type":"journal-article","created":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T12:02:32Z","timestamp":1583150552000},"page":"1659-1666","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Hospitalization for epistaxis: a population-based healthcare research study in Thuringia, Germany"],"prefix":"10.1007","volume":"277","author":[{"given":"Max","family":"Kallenbach","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Dittberner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Boeger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Buentzel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger","family":"Kaftan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Hoffmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Jecker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Mueller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald","family":"Radtke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9671-0784","authenticated-orcid":false,"given":"Orlando","family":"Guntinas-Lichius","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,3,2]]},"reference":[{"issue":"2","key":"5875_CR1","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1111\/j.1365-2273.1977.tb01365.x","volume":"1977","author":"PM Stell","year":"1977","unstructured":"Stell PM (1977) Epistaxis. 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