The Journal of laryngology and otology · 2026
Opposing seasonal patterns in epistaxis by severity: emergency department winter peak versus hospital admission spring peak.
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Yussuf Badriya, Brahmbhatt Hemang, Accorona Remo, Adeel Mohammad, Iftikhar Haissan
Аннотация
OBJECTIVES: This study aimed to investigate whether seasonal epistaxis patterns differ between cases manageable in emergency departments versus those requiring hospital admission and to examine weather parameter correlations by severity category.
METHODS: A retrospective severity-stratified analysis of 2,201 epistaxis presentations across two UK hospitals (January 2023-December 2024) with comprehensive weather correlation analysis was used.
RESULTS: Emergency department cases (1,762 presentations, 80.1 per cent) peaked in winter (475 cases, 27.0 per cent), while hospital admissions (439 cases, 19.9 per cent) peaked in spring (130 cases, 29.6 per cent). A critical 10°C temperature threshold effectively separated severity categories with high predictive accuracy.
CONCLUSION: Epistaxis demonstrates opposing seasonal patterns by clinical severity with distinct weather correlation profiles. Emergency departments should prepare for winter volume surges during cold, humid periods, whilst specialist ENT services require enhanced spring capacity during moderate temperature conditions.
METHODS: A retrospective severity-stratified analysis of 2,201 epistaxis presentations across two UK hospitals (January 2023-December 2024) with comprehensive weather correlation analysis was used.
RESULTS: Emergency department cases (1,762 presentations, 80.1 per cent) peaked in winter (475 cases, 27.0 per cent), while hospital admissions (439 cases, 19.9 per cent) peaked in spring (130 cases, 29.6 per cent). A critical 10°C temperature threshold effectively separated severity categories with high predictive accuracy.
CONCLUSION: Epistaxis demonstrates opposing seasonal patterns by clinical severity with distinct weather correlation profiles. Emergency departments should prepare for winter volume surges during cold, humid periods, whilst specialist ENT services require enhanced spring capacity during moderate temperature conditions.