ISSN: 2149-2247 | E-ISSN: 2149-2549
Volume : 43 Issue : 5 Year : 2021
Frequency of Epistaxis by Months and Daytime Hours [Erciyes Med J]
Erciyes Med J. 2021; 43(4): 355-360 | DOI: 10.14744/etd.2020.25826

Frequency of Epistaxis by Months and Daytime Hours

Muhammed Gazi Yıldız1, İsrafil Orhan1, İrfan Kara1, Nagihan Bilal1, Saime Güzelsoy Sağıroğlu1, Adem Doğaner2
1Department of Otorhinolaryngology, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey
2Department of Biostatistics, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey

Objective: Epistaxis, which is a common otorhinolaryngologic emergency, is not a disease itself but an important nose symptom. It affects 60% of the population at any given life stage. However, only 6% seek medical attention. This study aims to investigate the daily and monthly variations and frequency of epistaxis and to determine the relationship between bleeding foci and comorbidities.
Materials and Methods: The study involves examining the retrospective records of patients who presented with epistaxis to Kahramanmaraş Sütçü İmam University, Medical Faculty’s Otorhinolaryngological Unit. Parameters evaluated include age, sex, bleeding time, comorbidities, arterial blood pressure, bleeding site, and month of presentation. The bleeding occurrence time was categorized as morning (06: 01–12: 00), afternoon (12: 01–18: 00), evening (18: 01–00: 00), and night (00: 01–06: 00).
Results: Seven hundred and thirty-five patients presented with epistaxis during March 2015–December 2019. One hundred and fourteen patients (19.6%) experienced epistaxis in the morning, 60 (8.2%) in the afternoon, 408 (55.5%) in the evening, and 123 (16.7%) in the night. Epistaxis was more common in the morning and evening in hypertensive patients and in the evening in other comorbidities (p=0.005). Bleeding rate was higher in the evening in all months (p=0.002). Increased epistaxis frequency in winter was statistically significant (p=0.027). Posterior epistaxis cases were the elderly, hypertensive, and having increased comorbidities (p>0.001).
Conclusion: In general, bleeding cases were high in winter and in the evening. Comorbidities were found to be among the provocative factors for epistaxis, especially of posterior origin. This shows that circadian rhythm is effective in epistaxis.

Keywords: Epistaxis, time of day, circadian rhythm, comorbidity.

Muhammed Gazi Yıldız, İsrafil Orhan, İrfan Kara, Nagihan Bilal, Saime Güzelsoy Sağıroğlu, Adem Doğaner. Frequency of Epistaxis by Months and Daytime Hours. Erciyes Med J. 2021; 43(4): 355-360

Corresponding Author: Muhammed Gazi Yıldız, Türkiye
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