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Table 1 Characteristics of outpatient cases (n = 302,782)

From: Treating epistaxis – who cares for a bleeding nose? A secondary data analysis of primary and secondary care

  GP
(n = 110,352)
ENT specialist
(n = 119,170)
Pediatrician
(n = 28,986)
Other specialist
(n = 20,298)
Total
(n = 302,782)
Median age, years (IQR) 52 (21–74) 49 (17–72) 7 (4–11) 58 (23–75) 46 (16–72)
Sex
 Male 59,723 (54.1%) 66,618 (55.9%) 16,957 (58.5%) 10,338 (50.9%) 166,877 (55.1%)
 Female 50,629 (45.9%) 52,552 (44.1%) 12,029 (41.5%) 9960 (49.1%) 135,905 (44.9%)
Comorbidities/ antithrombotic medicationa
 Arterial hypertension (I10-I15) 50,642 (45.9%) 47,118 (39.5%) 369 (1.3%) 9960 (49.1%) 120,702 (39.9%)
 Chron. ischemic heart disease/ Coronary heart disease (I25) 17,789 (16.1%) 17,305 (14.5%) 38 (0.1%) 3797 (18.7%) 43,970 (14.5%)
 Atrial fibrillation/flutter (I48) 11,704 (10.6%) 10,667 (9.0%) 23 (0.1%) 2557 (12.6%) 28,857 (9.5%)
 Antithrombotics 20,417 (18.5%) 19,855 (16.7%) 62 (0.2%) 4538 (22.4%) 51,508 (17.0%)
Co-diagnosed diseasesb
 Acute
  Respirator. inf. (B34.9, J06, J98.7) 10,410 (9.4%) 2898 (2.4%) 8847 (30.5%) 1452 (7.2%) 24,000 (7.9%)
  Acute rhinitis (J00) 1999 (1.8%) 2729 (2.3%) 1580 (5.5%) 347 (1.7%) 6751 (2.2%)
  Acute bronchitis (J20) 4445 (4.0%) 187 (0.2%) 2543 (8.8%) 729 (3.6%) 7949 (2.6%)
  Hypertensive urgencies (I10.91) 2072 (1.9%) 111 (0.1%) 6 (0.0%) 293 (1.4%) 3171 (1.1%)
 Chronic
  Chron. rhinitis (J31.0) 3555 (3.2%) 26,301 (22.1%) 1678 (5.8%) 533 (2.6%) 32,127 (10.6%)
  Chron. sinusitis (J32) 3176 (2.9%) 6391 (5.4%) 329 (1.1%) 450 (2.2%) 10,377 (3.4%)
  Chron. bronchitis/ COPD (J44) 8642 (7.8%) 355 (0.3%) 374 (1.3%) 1309 (6.5%) 10,703 (3.5%)
 Traumatic
  Nasal bone fracture (S02.2) 237 (0.2%) 478 (0.4%) 11 (0.0%) 63 (0.3%) 1046 (0.4%)
  Nasal bone contusion (S00.3) 475 (0.4%) 365 (0.3%) 327 (1.1%) 82 (0.4%) 1749 (0.6%)
  Foreign body, nose (T17.0, T17.1) 18 (0.0%) 662 (0.6%) 11 (0.0%) 11 (0.1%) 711 (0.2%)
  Acquired deformity of the nose (M95.0) 9 (0.0%) 7011 (5.9%) 1 (0.0%) 128 (0.6%) 7.155 (2.4%)
 Neoplastic
  Malignant tumor of the nasopharynx, nasal (adjacent) cavity (C11, C30, C31) 45 (0.0%) 101 (0.1%) 0 (0.0%) 6 (0.0%) 154 (0.1%)
  Myelodysplastic syndrome (D46) 185 (0.2%) 9 (0.0%) 0 (0.0%) 58 (0.3%) 258 (0.1%)
 Hematological
  Thrombocytopenia (D69.4–.6) 870 (0.8%) 125 (0.1%) 32 (0.1%) 186 (0.9%) 1235 (0.4%)
  Hemophilia A and B (D66, D67) 99 (0.1%) 17 (0.0%) 20 (0.1%) 9 (0.0%) 151 (0.1%)
  Willebrand-Jürgens Sy.(D68.0) 186 (0.2%) 83 (0.1%) 112 (0.4%) 105 (0.5%) 501 (0.2%)
  Hereditary hemorrhagic telangiectasia (I78.0) 391 (0.4%) 268 (0.2%) 1 (0.0%) 67 (0.3%) 756 (0.3%)
  Cirrhosis of the liver (K74) 717 (0.7%) 66 (0.1%) 4 (0.0%) 97 (0.5%) 892 (0.3%)
  Liver failure (K70, K72) 700 (0.6%) 16 (0.0%) 1 (0.0%) 135 (0.7%) 854 (0.3%)
 Structural
  Nasal septum deviation (J34.2) 1203 (1.1%) 12,357 (10.4%) 24 (0.1%) 243 (1.2%) 13,856 (4.6%)
  M. Osler (I78) 481 (0.4%) 1514 (1.3%) 16 (0.1%) 95 (0.5%) 2135 (0.7%)
  Sicca Syndrome (M35.0) 210 (0.2%) 46 (0.0%) 0 (0.0%) 19 (0.1%) 275 (0.1%)
 Medications /Noxae
  Drug abuse (F55) 72 (0.1%) 56 (0.1%) 1 (0.0%) 10 (0.1%) 148 (0.1%)
  Cocaine abuse (F14) 4 (0.0%) 1 (0.0%) 0 (0.0%) 11 (0.1%) 16 (0.0%)
  Alcohol addiction (F10) 2297 (2.1%) 80 (0.1%) 1 (0.0%) 340 (1.7%) 2796 (0.9%)
 Inflammatory
  Allergy (T78.4) 3502 (3.2%) 1136 (1.0%) 1064 (3.7%) 706 (3.5%) 6416 (2.1%)
  Allergic rhinitis (J30) 5033 (4.6%) 7230 (6.1%) 2241 (7.7%) 712 (3.5%) 15,239 (5.0%)
No other diagnosis 9581 (8.7%) 33,493 (28.1%) 2928 (10.1%) 2799 (13.8%) 66,060 (21.8%)
Median number of co-diagnosed diseases (IQR)b/c 5 (2–12) 1 (0–3) 3 (1–5) 5 (2–11) 2 (1–6)
  1. Note: aDiagnosed in the same quarter as the epistaxis
  2. bDiagnosed with the epistaxis (same case number)
  3. cat 5-digit level of the ICD code. GP general practitioner, ENT ear, nose and throat, IQR interquartile range