A multi-centre audit of epistaxis management in England: Is there a case for a national review of practice?

A. C. Hall, H. Blanchford, P. Chatrath, Claire Hopkins*

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    14 Citations (Scopus)

    Abstract

    Objective: The ENT-UK Clinical Audit and Practice Advisory Group initiated a pilot audit to investigate variance in epistaxis management between six units nationwide. Method: All patients with a diagnosis of epistaxis who were admitted for in-patient care at six ENT departments between November 2011 and February 2012 were prospectively enrolled. Results: A total of 166 patients were included in the study. Variance was demonstrated between the six units in a number of the key outcome areas. Twenty-eight per cent of patients were identified as eligible for operative intervention for epistaxis in one unit, compared with only 12.5 per cent in another. Conclusion: There are measurable, patient-relevant outcomes to assess epistaxis management and these can highlight areas of potential improvement. This pilot audit gives a snapshot of modern practice, which shows variance between the six units assessed. A national audit may allow us to improve patient experience and maximise efficiency in delivering emergency care in our most common patient encounter.

    Original languageEnglish
    Pages (from-to)454-457
    Number of pages4
    JournalThe Journal of laryngology and otology
    Volume129
    Issue number5
    DOIs
    Publication statusPublished - 21 May 2015

    Keywords

    • Epistaxis
    • Prevention & Control
    • Surgery

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