{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T02:11:16Z","timestamp":1775182276422,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":6895,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1997,7]]},"abstract":"<jats:p>A 2\u2010year retrospective study (August 1, 1992, to July 31, 1994) reviews medical records of 249 hospitalized epistaxis patients at seven Baltimore\u2010area hospitals. This review represents the first multihospital study of patients hospitalized with epistaxis. The study evaluates multiple factors associated with epistaxis: demographics, underlying medical diseases, use of anticoagulation medication, site of epistaxis, and month of hospital admission. Blood transfusion requirement, hematocrit level, length of stay, treatment, and local\/systemic complications are studied as well. The month of hospital admission was evenly distributed without a wintertime predominance, and the mean length of stay was 4 days. Treatment and outcome were similar in all hospitals, and more than 83% of patients responded to packing, balloon placement, local cautery, or a combination thereof. Of the 249 patients reviewed, 30 underwent surgical endoscopic cautery, 3 required formal surgical arterial ligation, and 1 underwent arterial embolization. All 30 endoscopic cauterizations successfully stopped the epistaxis, and this technique proved to be a useful adjunct for patients who required multiple interventions. The review identified a 3% complication rate of epistaxis and its treatment, including synechiae, aspiration, angina, myocardial infarction, and hypovolemia. No deaths were directly attributable to epistaxis or its treatment. (Otolaryngol Head Neck Surg 1997;117:49\u201353.)<\/jats:p>","DOI":"10.1016\/s0194-59989770205-5","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T13:23:54Z","timestamp":1664371434000},"page":"49-53","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Epistaxis: A retrospective review of hospitalized patients"],"prefix":"10.1002","volume":"117","author":[{"given":"Philip A.","family":"Pollice","sequence":"first","affiliation":[{"name":"Johns Hopkins Hospital Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milton G.","family":"Yoder","sequence":"additional","affiliation":[{"name":"Johns Hopkins Hospital Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"3","article-title":"Epistaxis: Clinical study with special reference to fibrinolysis","volume":"317","author":"Petruson B.","year":"1974","journal-title":"Acta Otolaryngol (Stockh)"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198712000-00003"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100114203"},{"key":"e_1_2_6_5_1","volume-title":"The management of epistaxis. Self\u2010instructional package","author":"Rubin J","year":"1990"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100078749"},{"key":"e_1_2_6_7_1","first-page":"20","article-title":"A study of patients with epistaxis requiring admission to hospital","volume":"40","author":"Small M","year":"1982","journal-title":"Health Bull (Edinb)"},{"key":"e_1_2_6_8_1","unstructured":"WurmanLH SackJG FlanneryJVThe treatment of posterior epistaxis by internal maxillary artery ligation or endoscopic posterior nasal electrocautery. Presented at the Annual Meeting of the American Academy of Otolaryngology\u2014Head and Neck Surgery Washington D.C. Sept. 25\u201329 1988."},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1148\/111.2.285"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989310900111"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988108900624"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/S0194-59989770205-5","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/S0194-59989770205-5","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/S0194-59989770205-5","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:21:08Z","timestamp":1760970068000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/S0194-59989770205-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,7]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1997,7]]}},"alternative-id":["10.1016\/S0194-59989770205-5"],"URL":"https:\/\/doi.org\/10.1016\/s0194-59989770205-5","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,7]]},"assertion":[{"value":"2016-05-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}