ReviewDeutsches Arzteblatt international2018
Current Approaches to Epistaxis Treatment in Primary and Secondary Care.
Review in Deutsches Arzteblatt international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.
- Management of idiopathic epistaxis in adults: what's new?Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2019Pooled it
- Association Between Nasal Packing and 72-Hour Emergency Department Revisits in Adult Epistaxis: A Single-Center Retrospective Cohort Study.Journal of the American College of Emergency Physicians open · 2026Article
- Article
- Topical Tranexamic Acid Application to Facilitate Biopsy Acquisition in Endoscopic Nasopharyngeal Biopsy: A Prospective Case Series Analysis.Journal of clinical medicine · 2026Article
- Retrospective Study on Etiology and Management of Epistaxis in a Tertiary Care Hospital.Cureus · 2026Article
- Endovascular treatment for posterior epistaxis: should it still be considered a last-resort option? A literature review.Frontiers in surgery · 2026Article
- Emergencies in Otorhinolaryngology: Diagnostic Evaluation, Assessment of Urgency, and Treatment.Deutsches Arzteblatt international · 2025Review
- A retrospective study on triggering factors and management of epistaxis - our experience in a tertiary ENT clinic.Journal of medicine and life · 2025Article
- Assessing the readability and quality of online written information on epistaxis.Annals of the Royal College of Surgeons of England · 2025Article
- Effectiveness of Microwave Ablation for the Treatment of Epistaxis: A Systematic Review and Meta-Analysis.Cureus · 2025Review
- Demographic Differences in Emergency Room Epistaxis Treatment Patterns and Outcomes.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Article
- Determining the manner of death in victims in drug-induced psychosis: a case of an atypical head stab wound.Forensic science, medicine, and pathology · 2024Article
- Clinical Study and Management of Epistaxis.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024Article
- Epistaxis first-aid: a multi-center knowledge assessment study among medical workers.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Article
- Knowledge on First Aid Management of Epistaxis among Medical Students of a Medical College: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2024Article
- Posterior epistaxis management: review of the literature and proposed guidelines of the hellenic rhinological-facial plastic surgery society.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Review
- Article
- Factors Associated with Recurrent Emergency Department Visits for Epistaxis in Adults, Cross Sectional Study in Two Tertiary Care Hospitals in Riyadh, Saudi Arabia.Therapeutics and clinical risk management · 2024Article
- Postoperative hemorrhage after Le Fort I osteotomy hemostasis with angiographic embolization: report of two cases.Journal of surgical case reports · 2023Article
- Prospective review of 188 cases of epistaxis presenting to the emergency department: Etiology and outcome.Journal of family medicine and primary care · 2023Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe lifetime prevalence of epistaxis is approximately 60%, and 6-10% of the affected persons need medical care. In rare cases, severe bleeding calls for the rapid initiation of effective treatment.
methodsThis review is based on pertinent articles that were retrieved by a selective search PubMed, and on the authors' clinical experience.
resultsThere are no German guidelines for the management of epistaxis. The available evidence consists mainly of retro spective analyses and expert opinions. 65-75% of the patients who require treatment can be adequately cared for by their primary care physician or by an emergency physician with baseline measures. If there is persistent anterior epistaxis, an otorhinolaryngologist can control the bleeding sastisfactorily in 78-88% of cases with chemical or electrical cauterization. Nasal packing is used if this treatment fails, or for posterior epistaxis. In a retrospective study, surgical treatment was found to be more effective than nasal packing in the treatment of posterior epistaxis (97% versus 62% treatment success). Percutaneous embolization is an alternative treatment for patients whom general anesthesia would put at high risk.
conclusionThe treatment of severe or recurrent epistaxis requires the interdisciplinary collaboration of the primary care physician, the emergency physician, the practice-based otolaryngologist, and the hospital otolaryngology service. Uniform guidelines and epidemiological studies on this topic would be desirable.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.