Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Epistaxis cost-effectiveness of therapy
Introduction
Overview
Overview
Most of the patients with epistaxis don’t need any medical procedure. Nasal compression is the best first option to stop bleeding. 95.5% of patients with epistaxis who attend emergency departments were discharged, patients were charged on average $1146.21 per visit.
Cost-effectiveness of Therapy
Cost-effectiveness of Therapy
- 95.5% of patients with epistaxis who attend emergency departments were discharged, patients were charged on average $1146.21 per visit($1473.29 for nasal packing vs $1048.22 otherwise).[1]
- A study from Canada showed that when first procedures to stop epistaxis fail, and repeated nasal packing performed to stop bleeding, may increase charging patients up to CaD $4046.74 [1]
Costs for inpatients:[1]
- About 2.24 days stay in hospital with an average cost of $6925 per admission.
- Renal diseases can increase costs of per admission by $1272.
- $30,000 for embolization (total charging of admission by $58,967)
- Surgical ligation ($28,611)
- It has been reported that in the case of posterior epistaxis, endoscopic sphenopalatine artery ligation at first is cost-saving instead of performing posterior nasal packing. [2]
References
References
- ↑ 1.0 1.1 1.2 Tunkel, David E.; Anne, Samantha; Payne, Spencer C.; Ishman, Stacey L.; Rosenfeld, Richard M.; Abramson, Peter J.; Alikhaani, Jacqueline D.; Benoit, Margo McKenna; Bercovitz, Rachel S.; Brown, Michael D.; Chernobilsky, Boris; Feldstein, David A.; Hackell, Jesse M.; Holbrook, Eric H.; Holdsworth, Sarah M.; Lin, Kenneth W.; Lind, Meredith Merz; Poetker, David M.; Riley, Charles A.; Schneider, John S.; Seidman, Michael D.; Vadlamudi, Venu; Valdez, Tulio A.; Nnacheta, Lorraine C.; Monjur, Taskin M. (2020). “Clinical Practice Guideline: Nosebleed (Epistaxis)”. Otolaryngology–Head and Neck Surgery. 162 (1_suppl): S1–S38. doi:10.1177/0194599819890327. ISSN 0194-5998.
- ↑ Dedhia, Raj C.; Desai, Shamit S.; Smith, Kenneth J.; Lee, Stella; Schaitkin, Barry M.; Snyderman, Carl H.; Wang, Eric W. (2013). “Cost-effectiveness of endoscopic sphenopalatine artery ligation versus nasal packing as first-line treatment for posterior epistaxis”. International Forum of Allergy & Rhinology. 3 (7): 563–566. doi:10.1002/alr.21137. ISSN 2042-6976.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amir Behzad Bagheri, M.D.