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

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The British Rhinological Society multidisciplinary consensus recommendations on the hospital management of epistaxis. / INTEGRATE (The National ENT Trainee Research Network) ; Nankivell, Paul.

In: The Journal of laryngology and otology, Vol. 131, No. 12, 12.2017, p. 1142-1156.

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@article{0df86d7932224d37aafd9e4c09e73138,
title = "The British Rhinological Society multidisciplinary consensus recommendations on the hospital management of epistaxis",
abstract = "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.",
keywords = "Epistaxis/therapy, Evidence-Based Medicine, Hospitalization, Interdisciplinary Communication, Intersectoral Collaboration, Medical Audit, Otolaryngology, Patient Care Team, Quality Assurance, Health Care, Societies, Medical, United Kingdom",
author = "{INTEGRATE (The National ENT Trainee Research Network)} and Paul Nankivell",
year = "2017",
month = dec,
doi = "10.1017/S0022215117002018",
language = "English",
volume = "131",
pages = "1142--1156",
journal = "The Journal of laryngology and otology",
issn = "0022-2151",
publisher = "Cambridge University Press",
number = "12",

}

RIS

TY - JOUR

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

AU - INTEGRATE (The National ENT Trainee Research Network)

AU - Nankivell, Paul

PY - 2017/12

Y1 - 2017/12

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 - Epistaxis/therapy

KW - Evidence-Based Medicine

KW - Hospitalization

KW - Interdisciplinary Communication

KW - Intersectoral Collaboration

KW - Medical Audit

KW - Otolaryngology

KW - Patient Care Team

KW - Quality Assurance, Health Care

KW - Societies, Medical

KW - United Kingdom

U2 - 10.1017/S0022215117002018

DO - 10.1017/S0022215117002018

M3 - Article

C2 - 29280691

VL - 131

SP - 1142

EP - 1156

JO - The Journal of laryngology and otology

JF - The Journal of laryngology and otology

SN - 0022-2151

IS - 12

ER -