Evidence map›Paper›PMID 41262303›Full record

ArticleLaryngoscope investigative otolaryngology2025

Impact of Anticoagulation Therapy on Healthcare Utilization in Patients With Epistaxis.

Boston Andersen, Alec Kadrie, Meghana Chanamolu, M Boyd Gillespie

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Boston AndersenUniversity of Tennessee Health Science Center, School of Medicine Memphis Tennessee USA.ORCID https://orcid.org/0009-0008-6496-2977
Alec KadrieUniversity of Tennessee Health Science Center, School of Medicine Memphis Tennessee USA.ORCID https://orcid.org/0009-0001-9540-087X
Meghana ChanamoluDepartment of Otolaryngology-Head and Neck Surgery University of Tennessee Health Science Center Memphis Tennessee USA.ORCID https://orcid.org/0000-0002-7231-4231
M Boyd GillespieDepartment of Otolaryngology-Head and Neck Surgery University of Tennessee Health Science Center Memphis Tennessee USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Epistaxis can occur in individuals on anticoagulants, raising concerns about the potential impact on healthcare utilization. This retrospective analysis aims to compare measures of healthcare utilization of two cohorts: adult epistaxis patients without anticoagulant use compared to adult epistaxis patients on anticoagulants. Methods: A retrospective analysis using TriNetX datasets from 2014 to 2024 compared the outcomes of two cohorts: cohort 1 (18,550 patients) named "Epistaxis without Anticoagulation > 18 years" and cohort 2 (9530 patients) named "Epistaxis with Anticoagulation > 18 years". The populations were matched for demographics, leaving 5480 in each cohort. The following outcomes were measured: subsequent hospital care, Emergency Department (ED) services, hospital observation services, diagnostic radiology procedures of the chest, surgical procedures on the respiratory system, surgical procedures on accessory sinuses, and post-op control of nasal hemorrhage posterior or anterior. Results: Analyses show Cohort 2 at an increased risk for subsequent hospital care (RR 5.99 [4.31-8.33]), ED services (RR 2.70 [2.39-3.03]), hospital observation services (RR 3.00 [1.81-4.98]), and diagnostic radiology procedures of the chest (RR 3.92 [3.25-4.74]). There was a significant increase in the number of ED services required by cohort 2 ( Conclusion: This analysis highlights the potential impact of anticoagulation therapy on healthcare utilization in the management of epistaxis and underscores the importance of careful monitoring and appropriate management strategies for this patient population. Level of Evidence: IV.

Indexed as

anticoagulationepistaxishealthcare utilization

Identifiers

PMID41262303
PMCPMC12624485

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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.