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The British Rhinological Society multidisciplinary consensus recommendations on the hospital management of epistaxis

Published online by Cambridge University Press:  27 December 2017

INTEGRATE (The National ENT Trainee Research Network)
INTEGRATE (The National ENT Trainee Research Network)
Affiliation:
INTEGRATE (National ENT Trainee Research Network)*
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Abstract

Objective:

Epistaxis is a common ENT emergency in the UK; however, despite the high incidence, there are currently no nationally accepted guidelines for its management. This paper seeks to recommend evidence-based best practice for the hospital management of epistaxis in adults.

Methods:

Recommendations were developed using an Appraisal of Guidelines for Research and Evaluation (‘AGREE II’) framework. A multifaceted systematic review of the relevant literature was performed and a multidisciplinary consensus event held. Management recommendations were generated that linked the level of supporting evidence and a Grading of Recommendations Assessment, Development and Evaluation (‘GRADE’) score explaining the strength of recommendation.

Recommendations:

Despite a paucity of high-level evidence, management recommendations were formed across five management domains (initial assessment, cautery, intranasal agents, haematological factors, and surgery and radiological intervention).

Conclusion:

These consensus recommendations combine a wide-ranging review of the relevant literature with established and rigorous methods of guideline generation. Given the lack of high-level evidence supporting the recommendations, an element of caution should be used when implementing these findings.

Keywords

EpistaxisAssessmentCauteryPackingHematologySurgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 12 , December 2017 , pp. 1142 - 1156
Copyright
Copyright © JLO (1984) Limited 2017 

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Footnotes

*

See Authorship and participation section for full list of collaborators.

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