{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:28:35Z","timestamp":1747193315493,"version":"3.40.5"},"reference-count":11,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ORL"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Aim:&lt;\/i&gt;&lt;\/b&gt; This study reviews our clinical experience of patients with epistaxis and discusses proper management. &lt;b&gt;&lt;i&gt;Patients and Methods:&lt;\/i&gt;&lt;\/b&gt; We retrospectively investigated 1,515 patients with epistaxis treated in our department between 2005 and 2010. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Men over 50 years old predominated. More than half of the patients (n = 828) first visited after consultation hours, and 40% (n = 606) were brought by ambulance. The most common underlying diseases were circulatory diseases (69%, n = 1,047). Antithrombotics were being administered to 23% (n = 345). Kiesselbach's plexus was the most commonly observed bleeding site (51%, n = 769). In 20% (n = 297), no bleeding point was confirmed because hemostasis had been achieved on arrival. Anterior packing was the most common primary treatment, followed by electrocauterization. Hospitalization was required in 2% (n = 30). Re-bleeding occurred within 14 days after primary treatment in 14% (n = 206). Surgical treatment was performed for 5% (n = 11). &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; Patients showing repeated pulsatile arterial bleeding require hospitalization for surgical therapy, although outpatient therapy is sufficient in most cases. A risk of re-bleeding should be considered if patients show unclarified bleeding points and circulatory diseases.<\/jats:p>","DOI":"10.1159\/000446187","type":"journal-article","created":{"date-parts":[[2016,7,20]],"date-time":"2016-07-20T21:01:54Z","timestamp":1469048514000},"page":"232-240","source":"Crossref","is-referenced-by-count":6,"title":["Clinical Study of 1,515 Patients Presenting with Epistaxis Over the Last 6 Years"],"prefix":"10.1159","volume":"78","author":[{"given":"Yoriko","family":"Yukitatsu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4103-2485","authenticated-orcid":false,"given":"Kenzo","family":"Tsuzuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hironori","family":"Takebayashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masafumi","family":"Sakagami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2016,7,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.5606\/kbbihtisas.2014.78642"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2008.01.003"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510008004X"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3906\/sag-1301-58"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813492949"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7269.1112"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsha.2014.09.002"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1186\/1916-0216-43-10"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2004.025007"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e32814b06ed"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2014.09.009"}],"container-title":["ORL"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/446187","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/446187","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/446187","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:05:17Z","timestamp":1745431517000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000446187"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":11,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2016,8,23]]}},"URL":"https:\/\/doi.org\/10.1159\/000446187","archive":["Portico"],"relation":{},"ISSN":["0301-1569","1423-0275"],"issn-type":[{"type":"print","value":"0301-1569"},{"type":"electronic","value":"1423-0275"}],"subject":[],"published":{"date-parts":[[2016]]}}}