Active epistaxis at ED presentation is associated with arterial hypertension

Epistaxis and hypertension are frequent in the general population, but an association is still controversial. Aim of this retrospective cohort study was to test if active epistaxis at emergency department (ED) presentation is associated with hypertension. Patients with active epistaxis at ED present...

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Bibliographic Details
Published in:The American journal of emergency medicine 2002-03, Vol.20 (2), p.92-95
Main Authors: Herkner, Harald, Havel, Christof, Müllner, Marcus, Gamper, Gunnar, Bur, Andreas, Temmel, Andreas F., Laggner, Anton N., Hirschl, Michael M.
Format: Article
Language:English
Subjects:
Active epistaxis
arterial hypertension
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure
Cardiology. Vascular system
Clinical manifestations. Epidemiology. Investigative techniques. Etiology
Emergencies
emergency medicine
Emergency Service, Hospital
Epistaxis - etiology
Epistaxis - physiopathology
Female
Humans
Hypertension - complications
hypertension detection
Male
Medical sciences
Middle Aged
target organ damage
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Summary:Epistaxis and hypertension are frequent in the general population, but an association is still controversial. Aim of this retrospective cohort study was to test if active epistaxis at emergency department (ED) presentation is associated with hypertension. Patients with active epistaxis at ED presentation (n = 271; 73%) were compared with controls without active bleeding (n = 101; 27%). By multivariate logistic regression modeling we found that active epistaxis was independently associated with history of hypertension (odds ratio 2.8 [95% CI 1.4 to 5.6; P =.004] adjusted for age, gender, rhinitis, diffuse bleeding, and malignant diseases). Patients with active epistaxis had higher blood pressure at presentation compared with controls (systolic blood pressure 165 v 153 mmHg, P
ISSN:0735-6757
1532-8171
DOI:10.1053/ajem.2002.31577