Dataset Information

When do we need more than local compression to control intraoral haemorrhage?

ABSTRACT:

Objectives

The aims of this study were to determine the effectiveness of local compression in patients presenting to the emergency room with intraoral bleeding and to identify when complex haemostatic measures may be required.

Materials and methods

Five hundred forty patients who had experienced intraoral haemorrhage were retrospectively reviewed. The outcome variable was the haemostasis method used, i.e., simple (local compression with gauze) or complex (an alternative method after local compression has failed). Predictor variables were sex, age, American Society of Anesthesiologists (ASA) class, hepatic cirrhosis, bleeding disorder, use of antithrombotic agents, and site/cause of haemorrhage.

Results

The mean patient age was 48.9±23.9 years, 53.5% were male, 42.8% were ASA class II or higher, and 23.7% were taking antithrombotic agents. Local compression was used most often (68.1%), followed by local haemostatic agents, sutures, systemic tranexamic acid or blood products, and electrocautery. The most common site of bleeding was the gingiva (91.7%), and the most common cause was tooth extraction (45.7%). Risk factors for needing a complex haemostasis method were use of antithrombotic agents (odds ratio 2.047, P=0.009) and minor oral surgery (excluding extraction and implant procedures; odds ratio 6.081, P=0.001).

Conclusion

A haemostasis method other than local compression may be needed in patients taking antithrombotic agents or having undergone minor oral surgery.

SUBMITTER: Sohn JB

PROVIDER: S-EPMC6955419 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Publications

When do we need more than local compression to control intraoral haemorrhage?

Sohn Jun-Bae JB Lee Ho H Han Yoon-Sic YS Jung Da-Un DU Sim Hye-Young HY Kim Hee-Sun HS Oh Sohee S

Journal of the Korean Association of Oral and Maxillofacial Surgeons 20191226 6

<h4>Objectives</h4>The aims of this study were to determine the effectiveness of local compression in patients presenting to the emergency room with intraoral bleeding and to identify when complex haemostatic measures may be required.<h4>Materials and methods</h4>Five hundred forty patients who had experienced intraoral haemorrhage were retrospectively reviewed. The outcome variable was the haemostasis method used, i.e., simple (local compression with gauze) or complex (an alternative method aft ...[more]

PMID: 31966979

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Dataset Information

When do we need more than local compression to control intraoral haemorrhage?

Objectives

Materials and methods

Results

Conclusion

Publications

When do we need more than local compression to control intraoral haemorrhage?

Similar Datasets

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