[A study of the incidence and hospital follow-up of epistaxis in patients treated with anticoagulant acenocoumarol].
Nosebleed is a common reason for emergency ENT consultations, but it is infrequent in patients anticoagulated with acenocoumarol. In a retrospective 5-year study, nosebleed was the second most frequent type of hemorrhage among anticoagulated patients. Such patients do not necessarily have prolonged coagulation times. In a comparison of patients hospitalized for nosebleed (n = 14) with a similar group with no hemostasis abnormalities, patients with nosebleed had longer hospital stays and required more control measures. The greater the tendency to hypocoagulation, the more difficult it was to manage nosebleed. Recent onset of anticoagulation therapy and previous long coagulation times favored the appearance of hard-to-manage nosebleed. Therefore, hematologists should closely control patients under anticoagulation therapy and cooperate with the ENT department when such patients are admitted for nosebleed.
García Callejo
F J
FJ
Servicio de ORL, Hospital Clínico Universitario, Valencia.
Velert Vila
M M
MM
Orts Alborch
M H
MH
Monzó Gandía
R
R
Pardo Mateu
L
L
Rubio Escolano
F
F
Marco Algarra
J
J
D000074:Acenocoumarol / Q000009:adverse effects*; D000925:Anticoagulants / Q000009:adverse effects*; D004844:Epistaxis / Q000139:chemically induced* / Q000453:epidemiology* / Q000534:rehabilitation; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D015994:Incidence; D008297:Male; D012189:Retrospective Studies
D000925:Anticoagulants; D000074:Acenocoumarol