{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:32:48Z","timestamp":1740126768345,"version":"3.37.3"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund\u2002Epistaxis ist eine weit verbreitete Erkrankung, die sowohl dem niedergelassenen Allgemeinmediziner und HNO-Arzt als auch dem in der Klinik t\u00e4tigen Kollegen h\u00e4ufig begegnet. Ziel dieser Arbeit ist es, Patienten, die an der HNO-Universit\u00e4tsklinik Freiburg zwischen 2014 und 2018 station\u00e4r wegen Epistaxis behandelt wurden, hinsichtlich \u00c4tiologie, Risikofaktoren und therapeutischer Ma\u00dfnahmen zu untersuchen.<\/jats:p><jats:p>\n          Methoden\u2002Im Rahmen der retrospektiven Studie wurden die Daten der Patienten mit Epistaxis hinsichtlich Alter, Vorerkrankungen, Dauermedikation, Lokalisation der Blutung, radiologischer Diagnostik und Therapie analysiert. Risikofaktoren f\u00fcr eine l\u00e4ngere station\u00e4re Verweildauer und eine Wiederaufnahme wurden bestimmt.<\/jats:p><jats:p>\n          Ergebnisse\u2002Die mediane station\u00e4re Aufenthaltsdauer betrug 3,5 Tage. 55\u200a% der Patienten litten unter einer posterioren Epistaxis. 72,3\u200a% der Patienten waren zum Zeitpunkt der station\u00e4ren Aufnahme antikoaguliert. H\u00e4ufigste Komorbidit\u00e4ten waren arterielle Hypertonie (66\u200a%) und Arrhythmie bei Vorhofflimmern (36,1\u200a%). 63,5\u200a% der F\u00e4lle wurden mit einer Nasentamponade versorgt. 97 Patienten (14,6\u200a%) mussten operativ versorgt werden. Eine Operation, Transfusion, die posteriore Epistaxis und eine vorhandene Antikoagulation erwiesen sich als Risikofaktoren f\u00fcr eine l\u00e4ngere station\u00e4re Verweildauer. Eine vorbekannte Hypertonie, die posteriore Blutung und einfache Antikoagulation erh\u00f6hten das Risiko f\u00fcr eine station\u00e4re Wiederaufnahme.<\/jats:p><jats:p>\n          Diskussion\u2002Die Bestimmung und Ber\u00fccksichtigung von Risikofaktoren erlauben die Identifikation von Patienten mit einem h\u00f6heren Risiko f\u00fcr einen l\u00e4ngeren station\u00e4ren Aufenthalt und eine station\u00e4re Wiederaufnahme. Ein ad\u00e4quates Management, abgestimmt auf das Risikoprofil, k\u00f6nnte helfen, die Morbidit\u00e4t auf Seiten der Patienten zu verringern.<\/jats:p>","DOI":"10.1055\/a-1342-0090","type":"journal-article","created":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T23:37:03Z","timestamp":1611013023000},"page":"120-126","source":"Crossref","is-referenced-by-count":1,"title":["Analyse des Risikoprofils station\u00e4rer Epistaxis-Patienten"],"prefix":"10.1055","volume":"101","author":[{"given":"Manuel Christoph","family":"Ketterer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, Universit\u00e4tsklinikum Freiburg, Medizinische Fakult\u00e4t, Albert-Ludwigs-Universit\u00e4t Freiburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thea Charlott","family":"Reuter","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, Universit\u00e4tsklinikum Freiburg, Medizinische Fakult\u00e4t, Albert-Ludwigs-Universit\u00e4t Freiburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Knopf","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, Universit\u00e4tsklinikum Freiburg, Medizinische Fakult\u00e4t, Albert-Ludwigs-Universit\u00e4t Freiburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0982-1836","authenticated-orcid":false,"given":"Tanja","family":"Hildenbrand","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, Universit\u00e4tsklinikum Freiburg, Medizinische Fakult\u00e4t, Albert-Ludwigs-Universit\u00e4t Freiburg, 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