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Socioeconomic status and anterior epistaxis in adult population

World journal of Otorhinolaryngology-Head and Neck Surgery 2018年第4期4卷 263-267页

作者： Pourya Masoudian j.Ted McDonald Andrea Lasso shaun j.kilty Faculty of Medicine University of OttawaOttawaONCanada Department of Economics University of New BrunswickFrederictonNBCanada The Ottawa Hospital Research Institute(OHRI) OttawaONCanada Department of Otolaryngology-Head and Neck Surgery The University of OttawaOttawaONCanada

Objective:Little was known about the role of socioeconomic status as a risk factor for epistaxis in adult *** objective of this study was to determine whether socioeconomic status influences the presentation to emergency department for anterior epistaxis in an adult ***:Retrospective review of emergency department visits from january 2012 to May *** setting is in an emergency department of a Canadian tertiary care *** patients with primary diagnosis of anterior epistaxis in the emergency department were included in this *** main outcome was emergency department visits for anterior epistaxis ***:A total of 351 cases of anterior epistaxis were *** mean age was 70 years and 51%of patients were *** patients were stratified into two groups based on whether their age was equal to and above,or below 75 *** analysis indicated that those 75 years or older in higher income quintiles have an increased risk of anterior epistaxis compared to the subjects in the lower income quintiles(P<0.05).This association did not hold true for those younger than 75 years or for all age groups ***:There is an association between higher socioeconomic status and the presentation to the emergency department with anterior epistaxis in the population older than 75 years but not in younger patients.

关键词： Epistaxis Anterior Socioeconomicstatus Income Social determinants of health

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Determining the hospital cost of anterior epistaxis treatment modalities at a Canadian tertiary care centre

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World journal of Otorhinolaryngology-Head and Neck Surgery 2019年第4期5卷 193-199页

作者： Harrish Nithianandan Kednapa Thavorn Fatmahalzahra Banaz Kristian Macdonald Andrea Lasso shaun j.kilty Faculty of Medicine University of OttawaOttawaOntarioCanada Ottawa Hospital Research Institute(OHRI) OttawaOntarioCanada School of Epidemiology and Public Health University of OttawaOttawaOntarioCanada Institute for Clinical and Evaluative Sciences ICES uOttawaOttawaOntarioCanada Department of Otolaryngology-Head and Neck Surgery The University of OttawaOttawaOntarioCanada Dr.S.kilty Medicine Prof.Corp. OttawaONCanada

Objective:To estimate the hospital costs of managing anterior epistaxis in the Emergency Department at a Tertiary Care centre in *** and methods:A cost analysis was conducted based on a retrospective review of Emergency Department visits from january 2012 to May 2014.A consecutive sample of adult patients with a diagnosis of anterior epistaxis was *** epistaxis was managed via one of:Nasal clip,Merocel(R),Silver Nitrate cautery,Vaseline packing,other treatment or no *** the direct and indirect hospital costs(SCDN)for anterior epistaxis treatment were calculated from the hospital's *** linear models were used to assess the association between treatment modalities and total hospital costs while controlling for potential confounding ***:Three hundred and fifty-three patients(49%female)with a mean age of(69.9±18.5)years were included in the *** median(interquartile ranges)costs of treatment ranged from CS227.83(CS167.96,CS328.69)for observation to CS763.98(CS632.25,CS830.23)for Merocel(R).The overall median total hospital costs incurred across all modalities was CS566.24(CS459.61,CS753.46)for the management of anterior *** Nitrate,nasal clip,and observation were statistically associated with a lower cost when compared to Merocel(R)(P<0.001)even after potential confounding factors were ***:Our results show wide difference in the hospital cost of epistaxis across treatment *** cost estimates can help inform future economic evaluation studies aiming to guide the allocation of health care resources for patients with epistaxis.

关键词： Anterior epistaxis Nasal packing Cautery Silver nitrate Hospital costs

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