{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T16:44:46Z","timestamp":1757781886921,"version":"3.41.0"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Epistaxis geh\u00f6rt zu den h\u00e4ufigsten Notf\u00e4llen der Hals-Nasen-Ohrenheilkunde. Das Spektrum reicht von leichter Form bis zur lebensbedrohlichen Blutung. Je nach Schwere und Verlauf erfolgt eine ambulante Fallf\u00fchrung oder station\u00e4re \u00dcberwachung, gegebenenfalls mit operativer Blutstillung.<\/jats:p><jats:p>Es erfolgte eine retrospektive systematische Auswertung aller ambulanten und station\u00e4ren Patientendaten mit der Diagnose Epistaxis im Zeitraum von Januar bis Dezember 2021. Ausgeschlossen wurde Epistaxis bei Tumoren, Trauma und postoperative Epistaxis.<\/jats:p><jats:p>707 Patienten wurden eingeschlossen. Saisonal gesehen wurden im Monat Januar die meisten Patienten vorstellig. Eine rein ambulante Fallf\u00fchrung war bei 80,8% m\u00f6glich, eine station\u00e4re Aufnahme erfolgte bei 19,2%. Von den station\u00e4r behandelten Patienten war bei 15,4% eine operative Intervention indiziert. Innerhalb des gesamten Studienkollektivs lag der Anteil der m\u00e4nnlichen Patienten bei 61,1%, bei exklusiver Auswertung der station\u00e4ren Patienten mit operativer Therapie bestand eine noch h\u00f6here Dominanz (81,0%). Die Mehrzahl (73,1%) der station\u00e4r betreuten Patienten hatten mindestens ein gerinnungshemmendes Pr\u00e4parat in der Dauermedikation. Ein h\u00f6heres Alter (p=0,044) und das Vorliegen einer posterioren Epistaxis (p&lt;0,001) waren signifikant mit einer station\u00e4ren Behandlung assoziiert. Kinder mussten nicht station\u00e4r versorgt werden.<\/jats:p><jats:p>Epistaxis ist ein typisches HNO-\u00e4rztliches Krankheitsbild mit einem hohen Anteil (\u00e4lterer) m\u00e4nnlicher Patienten und solcher mit gerinnungshemmender Medikation bei schweren Krankheitsverl\u00e4ufen im untersuchten Kollektiv. Eine operative Intervention in Vollnarkose zur Therapie der Epistaxis war nur selten erforderlich (3%).<\/jats:p>","DOI":"10.1055\/a-2406-5519","type":"journal-article","created":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T23:30:27Z","timestamp":1725924627000},"page":"371-378","source":"Crossref","is-referenced-by-count":1,"title":["Epistaxis \u2013 Risikofaktoren und Management bei 707 ambulant und station\u00e4r gef\u00fchrten Patienten"],"prefix":"10.1055","volume":"104","author":[{"given":"Nikita","family":"Breyer","sequence":"additional","affiliation":[{"name":"HNO, Universitatsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Mayer","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Epidemiologie und medizinische Biometrie, Universit\u00e4t Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Lindemann","sequence":"additional","affiliation":[{"name":"HNO, Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas Karl","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"HNO, Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7641-7118","authenticated-orcid":false,"given":"Janina","family":"Hahn","sequence":"additional","affiliation":[{"name":"HNO, Universitatsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,9,9]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"publisher","first-page":"480","DOI":"10.1007\/s12070-018-1256-0","article-title":"Epistaxis: Revisited","volume":"72","author":"S 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