Is epistaxis associated with high blood pressure and hypertension? Propensity score matching study

We aimed to investigate whether high blood pressure and hypertension are associated with epistaxis. A retrospective study with a propensity score matching analysis was performed at the emergency departments (EDs) of a tertiary university hospital. The mean blood pressure (BP, systolic and diastolic)...

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Bibliographic Details
Published in:The American journal of emergency medicine 2020-07, Vol.38 (7), p.1319-1321
Main Authors: Kim, Chsngsun, Kim, Changsun, Chung, Jae ho, Shin, Jeong-Hun
Format: Article
Language:English
Subjects:
Age
Blood pressure
Emergency medical care
Epistaxis
Head & neck cancer
High blood pressure
Hypertension
Medical records
Patients
Seasons
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Summary:We aimed to investigate whether high blood pressure and hypertension are associated with epistaxis. A retrospective study with a propensity score matching analysis was performed at the emergency departments (EDs) of a tertiary university hospital. The mean blood pressure (BP, systolic and diastolic) and proportion of subjects with elevated BP (systolic >120 and/or diastolic >80 mmHg) at presentation were compared between the epistaxis group and matched control group. The proportion of patients with newly diagnosed hypertension within six months between the two groups was also compared. A total of 1353 patients with epistaxis and the same number of those with simple lacerations were matched. The mean systolic and diastolic BPs of the epistaxis group were significantly higher than those of the matched control group (157.1 ± 26.4 and 91.4 ± 17.0 mmHg versus 144.9 ± 32.4 and 84.2 ± 13.5 mmHg) (P 
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2019.10.025