{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T14:52:05Z","timestamp":1793717525805,"version":"4.6.1"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2017,12,27]],"date-time":"2017-12-27T00:00:00Z","timestamp":1514332800000},"content-version":"unspecified","delay-in-days":26,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S002221511700202X_sec_a1\"><jats:title>Background:<\/jats:title><jats:p>Epistaxis is a common condition that can be associated with significant morbidity, and it places a considerable burden on our healthcare system. This national audit of management sought to assess current practice against newly created consensus recommendations and to expand our current evidence base.<\/jats:p><\/jats:sec><jats:sec id=\"S002221511700202X_sec_a2\"><jats:title>Methods:<\/jats:title><jats:p>The management of epistaxis patients who met the inclusion criteria, at 113 registered sites across the UK, was compared with audit standards during a 30-day window. Data were further utilised for explorative analysis.<\/jats:p><\/jats:sec><jats:sec id=\"S002221511700202X_sec_a3\"><jats:title>Results:<\/jats:title><jats:p>Data for 1826 cases were uploaded to the database, representing 94 per cent of all cases that met the inclusion criteria at participating sites. Sixty-two per cent of patients were successfully treated by ENT clinicians within 24 hours. The 30-day recurrent presentation rate across the dataset was 13.9 per cent. Significant event analysis revealed an all-cause 30-day mortality rate of 3.4 per cent.<\/jats:p><\/jats:sec><jats:sec id=\"S002221511700202X_sec_a4\"><jats:title>Conclusion:<\/jats:title><jats:p>Audit findings demonstrate a varying alignment with consensus guidance, with explorative analysis countering some previously well-established tenets of management.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s002221511700202x","type":"journal-article","created":{"date-parts":[[2017,12,27]],"date-time":"2017-12-27T13:50:12Z","timestamp":1514382612000},"page":"1131-1141","source":"Crossref","is-referenced-by-count":39,"title":["Epistaxis 2016: national audit of management"],"prefix":"10.1017","volume":"131","author":[{"name":"INTEGRATE (The National ENT Trainee Research Network)","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2017,12,27]]},"reference":[{"key":"S002221511700202X_ref8","article-title":"Intranasal packs and haemostatic agents for the management of adult epistaxis: systematic review","author":"Iqbal","journal-title":"J Laryngol Otol"},{"key":"S002221511700202X_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12191"},{"key":"S002221511700202X_ref3","unstructured":"NHS Hospital Episode Statistics in England and Wales. 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