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

TY - JOUR

T1 - The British Rhinological Society multidisciplinary consensus recommendations on the hospital management of epistaxis

AU - Adams, W.

AU - Carrie, S.

AU - Cathcart, R.

AU - Chatrath, P.

AU - Ellis, M

AU - Hall, A.

AU - Hardman, J

AU - Hopkins, Colin R.

AU - Lenthall, R.

AU - Mainwaring, J.

AU - Mehta, N.

AU - Nankiwell, P.

AU - Nokes, T J C

AU - Nix, P.

AU - Philpott, C.

AU - Reuben, A.

AU - Salib, R J

AU - Sharma, N.

AU - Smith, M. E.

AU - Sura, P.

AU - Sutton, A

AU - Ward, V M M

AU - White, Paul

AU - Williams, R.

N1 - This national audit was funded by ENT-UK. The funding body had no influence over content.

PY - 2017/12/1

Y1 - 2017/12/1

N2 - 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.

AB - 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.

KW - Assessment

KW - Cautery

KW - Epistaxis

KW - Hematology

KW - Packing

KW - Surgery

U2 - 10.1017/S0022215117002018

DO - 10.1017/S0022215117002018

M3 - Article

C2 - 29280691

AN - SCOPUS:85040000901

SN - 0022-2151

VL - 131

SP - 1142

EP - 1156

JO - Journal of Laryngology and Otology

JF - Journal of Laryngology and Otology

IS - 12

ER -