{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T11:54:26Z","timestamp":1772452466420,"version":"3.50.1"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215125104118_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to investigate whether seasonal epistaxis patterns differ between cases manageable in emergency departments versus those requiring hospital admission and to examine weather parameter correlations by severity category.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125104118_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective severity-stratified analysis of 2,201 epistaxis presentations across two UK hospitals (January 2023\u2013December 2024) with comprehensive weather correlation analysis was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125104118_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Emergency department cases (1,762 presentations, 80.1 per cent) peaked in winter (475 cases, 27.0 per cent), while hospital admissions (439 cases, 19.9 per cent) peaked in spring (130 cases, 29.6 per cent). A critical 10\u00b0C temperature threshold effectively separated severity categories with high predictive accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125104118_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Epistaxis demonstrates opposing seasonal patterns by clinical severity with distinct weather correlation profiles. Emergency departments should prepare for winter volume surges during cold, humid periods, whilst specialist ENT services require enhanced spring capacity during moderate temperature conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215125104118","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T06:11:30Z","timestamp":1765433490000},"page":"191-195","source":"Crossref","is-referenced-by-count":1,"title":["Opposing seasonal patterns in epistaxis by severity: emergency department winter peak versus hospital admission spring peak"],"prefix":"10.1017","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0311-1828","authenticated-orcid":false,"given":"Badriya","family":"Yussuf","sequence":"first","affiliation":[{"name":"University Hospitals of Northamptonshire NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hemang","family":"Brahmbhatt","sequence":"additional","affiliation":[{"name":"University Hospitals of Northamptonshire NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Remo","family":"Accorona","sequence":"additional","affiliation":[{"name":"ASST Grande Ospedale Metropolitano Niguarda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Adeel","sequence":"additional","affiliation":[{"name":"Bradford Teaching Hospitals NHS Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haissan","family":"Iftikhar","sequence":"additional","affiliation":[{"name":"University Hospitals of Northamptonshire NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,12,11]]},"reference":[{"key":"S0022215125104118_ref10","doi-asserted-by":"publisher","DOI":"10.2310\/JIM.0b013e31821b8755"},{"key":"S0022215125104118_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2004.12.014"},{"key":"S0022215125104118_ref3","first-page":"12","article-title":"Current approaches to epistaxis treatment in primary and secondary care","volume":"115","author":"Beck","year":"2018","journal-title":"Dtsch Arztebl Int"},{"key":"S0022215125104118_ref12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2007.01530.x"},{"key":"S0022215125104118_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816667295"},{"key":"S0022215125104118_ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-023-08300-6"},{"key":"S0022215125104118_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-019-0395-y"},{"key":"S0022215125104118_ref9","first-page":"23","article-title":"Epidemiology of rhinitis: allergic and nonallergic","volume":"19","author":"Settipane","year":"2007","journal-title":"Clin Allergy Immunol"},{"key":"S0022215125104118_ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1990.tb00432.x"},{"key":"S0022215125104118_ref2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp0807078"},{"key":"S0022215125104118_ref4","first-page":"S1","article-title":"Clinical practice guideline: nosebleed (Epistaxis)","volume":"162","author":"Tunkel","year":"2020","journal-title":"Otolaryngol Head Neck Surg"},{"key":"S0022215125104118_ref14","first-page":"305","article-title":"Management of epistaxis","volume":"71","author":"Kucik","year":"2005","journal-title":"Am Fam Physician"},{"key":"S0022215125104118_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2012.06.018"},{"key":"S0022215125104118_ref15","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.5220"},{"key":"S0022215125104118_ref7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30961"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215125104118","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T10:57:14Z","timestamp":1772449034000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215125104118\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,11]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S0022215125104118"],"URL":"https:\/\/doi.org\/10.1017\/s0022215125104118","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,11]]}}}