title: Epistaxis management: is medical intervention required for inactive epistaxis?
abstract: OBJECTIVE
  This study aims to discuss the management and the follow-up approach in patients with epistaxis.
  
  
  METHODS
  A total of 367 patients with epistaxis (209 males, 158 females; mean age 52.6±18.3 years; range 18 to 85 years) admitted to the Adult Emergency Department of a university hospital between January 2000 and December 2004 were retrospectively analyzed.
  
  
  RESULTS
  Of patients, 56.7% had an idiopathic bleeding. A significantly higher number of patients aged >50 years had high blood pressure on admission. Of 141 patients (38.49%) presenting without bleeding on admission, 20 required medical intervention for recurrent epistaxis. Conservative approaches were effective in stopping bleeding in 97.8% patients. The hospitalization ratio was 5.7%.
  
  
  CONCLUSIONS
  Our study result show that endonasal endoscopic mucosal cauterization is an effective method for resistant-to-treatment cases and inactive bleeding on admission is not a restraint for further examination.
authors.affiliation: Department of Otolaryngology, Medical Faculty of Dokuz University, 35340 İnciraltı, İzmir, Turkey. cenk.ecevit@deu.edu.tr.
authors.forename: Mustafa Cenk
authors.initials: MC
authors.lastname: Ecevit
authors.forename: Taner Kemal
authors.initials: TK
authors.lastname: Erdağ
authors.forename: Seçil
authors.initials: S
authors.lastname: Uçar
authors.forename: Nesibe Sönmez
authors.initials: NS
authors.lastname: Demiryoğuran
authors.forename: Ahmet Omer
authors.initials: AO
authors.lastname: Ikiz
authors.forename: Ozgür
authors.initials: O
authors.lastname: Karcıoğlu
authors.forename: Semih
authors.initials: S
authors.lastname: Sütay
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002425:Cautery; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D004844:Epistaxis / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D006973:Hypertension; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult