Titre : Épistaxis

Épistaxis : Questions médicales fréquentes

Termes MeSH sélectionnés :

Randomized Controlled Trials as Topic
{ "@context": "https://schema.org", "@graph": [ { "@type": "MedicalWebPage", "name": "Épistaxis : Questions médicales les plus fréquentes", "headline": "Épistaxis : Comprendre les symptômes, diagnostics et traitements", "description": "Guide complet et accessible sur les Épistaxis : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.", "datePublished": "2024-06-01", "dateModified": "2025-02-26", "inLanguage": "fr", "medicalAudience": [ { "@type": "MedicalAudience", "name": "Grand public", "audienceType": "Patient", "healthCondition": { "@type": "MedicalCondition", "name": "Épistaxis" }, "suggestedMinAge": 18, "suggestedGender": "unisex" }, { "@type": "MedicalAudience", "name": "Médecins", "audienceType": "Physician", "geographicArea": { "@type": "AdministrativeArea", "name": "France" } }, { "@type": "MedicalAudience", "name": "Chercheurs", "audienceType": "Researcher", "geographicArea": { "@type": "AdministrativeArea", "name": "International" } } ], "reviewedBy": { "@type": "Person", "name": "Dr Olivier Menir", "jobTitle": "Expert en Médecine", "description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale", "url": "/static/pages/docteur-olivier-menir.html", "alumniOf": { "@type": "EducationalOrganization", "name": "Université Paris Descartes" } }, "isPartOf": { "@type": "MedicalWebPage", "name": "Signes et symptômes respiratoires", "url": "https://questionsmedicales.fr/mesh/D012818", "about": { "@type": "MedicalCondition", "name": "Signes et symptômes respiratoires", "code": { "@type": "MedicalCode", "code": "D012818", "codingSystem": "MeSH" }, "identifier": { "@type": "PropertyValue", "propertyID": "MeSH Tree", "value": "C23.888.852" } } }, "about": { "@type": "MedicalCondition", "name": "Épistaxis", "alternateName": "Epistaxis", "code": { "@type": "MedicalCode", "code": "D004844", "codingSystem": "MeSH" } }, "author": [ { "@type": "Person", "name": "None None", "url": "https://questionsmedicales.fr/author/None%20None", "affiliation": { "@type": "Organization", "name": "" } }, { "@type": "Person", "name": "David E Tunkel", "url": "https://questionsmedicales.fr/author/David%20E%20Tunkel", "affiliation": { "@type": "Organization", "name": "Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA." } }, { "@type": "Person", "name": "Sarah M Holdsworth", "url": "https://questionsmedicales.fr/author/Sarah%20M%20Holdsworth", "affiliation": { "@type": "Organization", "name": "Emory University Hospital, Atlanta, Georgia, USA." } }, { "@type": "Person", "name": "Jacqueline D Alikhaani", "url": "https://questionsmedicales.fr/author/Jacqueline%20D%20Alikhaani", "affiliation": { "@type": "Organization", "name": "Consumers United for Evidence-based Healthcare (CUE), Baltimore, Maryland, USA." } }, { "@type": "Person", "name": "Taskin M Monjur", "url": "https://questionsmedicales.fr/author/Taskin%20M%20Monjur", "affiliation": { "@type": "Organization", "name": "American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA." } } ], "citation": [ { "@type": "ScholarlyArticle", "name": "Abstracts of randomized controlled trials in pediatric dentistry: reporting quality and spin.", "datePublished": "2023-11-10", "url": "https://questionsmedicales.fr/article/37950213", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1186/s12874-023-02085-2" } }, { "@type": "ScholarlyArticle", "name": "Genome-wide association study and the randomized controlled trial: A false equivalence.", "datePublished": "2023-09-11", "url": "https://questionsmedicales.fr/article/37694937", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1017/S0140525X22002230" } }, { "@type": "ScholarlyArticle", "name": "Attrition and withdrawal in multiple myeloma randomized controlled trials: A systematic review.", "datePublished": "2023-06-29", "url": "https://questionsmedicales.fr/article/37382045", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1111/ejh.14032" } }, { "@type": "ScholarlyArticle", "name": "Data monitoring committees in pediatric randomized controlled trials registered in ClinicalTrials.gov.", "datePublished": "2023-06-27", "url": "https://questionsmedicales.fr/article/37366168", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1177/17407745231182417" } }, { "@type": "ScholarlyArticle", "name": "The Characteristics and Ethics of Sham Surgeries: A Systematic Review of Randomized Controlled Trials.", "datePublished": "2023-04-17", "url": "https://questionsmedicales.fr/article/37066793", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1097/SLA.0000000000005882" } } ], "breadcrumb": { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "questionsmedicales.fr", "item": "https://questionsmedicales.fr" }, { "@type": "ListItem", "position": 2, "name": "États, signes et symptômes pathologiques", "item": "https://questionsmedicales.fr/mesh/D013568" }, { "@type": "ListItem", "position": 3, "name": "Signes et symptômes", "item": "https://questionsmedicales.fr/mesh/D012816" }, { "@type": "ListItem", "position": 4, "name": "Signes et symptômes respiratoires", "item": "https://questionsmedicales.fr/mesh/D012818" }, { "@type": "ListItem", "position": 5, "name": "Épistaxis", "item": "https://questionsmedicales.fr/mesh/D004844" } ] } }, { "@type": "MedicalWebPage", "name": "Article complet : Épistaxis - Questions et réponses", "headline": "Questions et réponses médicales fréquentes sur Épistaxis", "description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.", "datePublished": "2025-05-12", "inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Épistaxis", "description": "Comment diagnostiquer une épistaxis ?\nQuels tests sont nécessaires pour l'épistaxis ?\nQuand consulter un spécialiste pour épistaxis ?\nQuels signes indiquent une épistaxis grave ?\nL'imagerie est-elle nécessaire pour l'épistaxis ?", "url": "https://questionsmedicales.fr/mesh/D004844?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=7#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Épistaxis", "description": "Quels sont les symptômes de l'épistaxis ?\nL'épistaxis peut-elle causer des douleurs ?\nPeut-on avoir des saignements bilatéraux ?\nY a-t-il des signes d'infection avec l'épistaxis ?\nL'épistaxis peut-elle être chronique ?", "url": "https://questionsmedicales.fr/mesh/D004844?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=7#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Épistaxis", "description": "Comment prévenir l'épistaxis ?\nLes allergies peuvent-elles causer l'épistaxis ?\nFaut-il éviter de se moucher fort ?\nLes médicaments anticoagulants augmentent-ils le risque ?\nComment maintenir l'humidité nasale ?", "url": "https://questionsmedicales.fr/mesh/D004844?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=7#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Épistaxis", "description": "Comment traiter une épistaxis légère ?\nQuels médicaments peuvent aider l'épistaxis ?\nQuand utiliser un cautérisateur pour l'épistaxis ?\nLes antibiotiques sont-ils nécessaires pour l'épistaxis ?\nQuelles interventions chirurgicales existent pour l'épistaxis ?", "url": "https://questionsmedicales.fr/mesh/D004844?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=7#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Épistaxis", "description": "Quelles complications peuvent survenir avec l'épistaxis ?\nL'épistaxis peut-elle entraîner une perte de sang importante ?\nPeut-on avoir des séquelles après une épistaxis ?\nL'épistaxis peut-elle causer des infections ?\nQuels sont les risques d'une épistaxis chronique ?", "url": "https://questionsmedicales.fr/mesh/D004844?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=7#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Épistaxis", "description": "Quels sont les facteurs de risque de l'épistaxis ?\nLe tabagisme augmente-t-il le risque d'épistaxis ?\nLes traumatismes nasaux sont-ils un facteur de risque ?\nLes infections respiratoires peuvent-elles causer l'épistaxis ?\nL'hypertension est-elle un facteur de risque ?", "url": "https://questionsmedicales.fr/mesh/D004844?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=7#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une épistaxis ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur l'examen physique et l'historique médical du patient." } }, { "@type": "Question", "name": "Quels tests sont nécessaires pour l'épistaxis ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests sanguins peuvent être effectués pour évaluer la coagulation sanguine." } }, { "@type": "Question", "name": "Quand consulter un spécialiste pour épistaxis ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Consultez un ORL si les saignements sont fréquents ou sévères." } }, { "@type": "Question", "name": "Quels signes indiquent une épistaxis grave ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Des saignements abondants, des vertiges ou une perte de conscience nécessitent une attention immédiate." } }, { "@type": "Question", "name": "L'imagerie est-elle nécessaire pour l'épistaxis ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "L'imagerie est rarement nécessaire, sauf en cas de suspicion de lésion sous-jacente." } }, { "@type": "Question", "name": "Quels sont les symptômes de l'épistaxis ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent un saignement nasal, parfois accompagné de douleur ou de congestion." } }, { "@type": "Question", "name": "L'épistaxis peut-elle causer des douleurs ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'épistaxis peut être accompagnée de douleurs au nez ou de sensations de pression." } }, { "@type": "Question", "name": "Peut-on avoir des saignements bilatéraux ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'épistaxis peut survenir dans une ou les deux narines, selon la cause." } }, { "@type": "Question", "name": "Y a-t-il des signes d'infection avec l'épistaxis ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des signes d'infection peuvent inclure des écoulements purulents ou de la fièvre." } }, { "@type": "Question", "name": "L'épistaxis peut-elle être chronique ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines personnes peuvent souffrir d'épistaxis récurrente ou chronique." } }, { "@type": "Question", "name": "Comment prévenir l'épistaxis ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Évitez les irritants nasaux, hydratez-vous et utilisez un humidificateur d'air." } }, { "@type": "Question", "name": "Les allergies peuvent-elles causer l'épistaxis ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les allergies peuvent provoquer une inflammation et des saignements du nez." } }, { "@type": "Question", "name": "Faut-il éviter de se moucher fort ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, se moucher trop fort peut provoquer ou aggraver une épistaxis." } }, { "@type": "Question", "name": "Les médicaments anticoagulants augmentent-ils le risque ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les anticoagulants peuvent augmenter le risque d'épistaxis en affectant la coagulation." } }, { "@type": "Question", "name": "Comment maintenir l'humidité nasale ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Utilisez des sprays salins ou des gels pour garder les muqueuses nasales hydratées." } }, { "@type": "Question", "name": "Comment traiter une épistaxis légère ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Pour une épistaxis légère, il est conseillé de se pencher en avant et de pincer le nez." } }, { "@type": "Question", "name": "Quels médicaments peuvent aider l'épistaxis ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Des décongestionnants ou des sprays nasaux peuvent être utilisés pour réduire l'inflammation." } }, { "@type": "Question", "name": "Quand utiliser un cautérisateur pour l'épistaxis ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Un cautérisateur est utilisé pour sceller les vaisseaux sanguins en cas de saignements persistants." } }, { "@type": "Question", "name": "Les antibiotiques sont-ils nécessaires pour l'épistaxis ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Les antibiotiques ne sont pas généralement nécessaires, sauf en cas d'infection associée." } }, { "@type": "Question", "name": "Quelles interventions chirurgicales existent pour l'épistaxis ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Des interventions comme l'embolisation des vaisseaux peuvent être nécessaires pour les cas graves." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir avec l'épistaxis ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent l'anémie, l'infection ou des problèmes respiratoires graves." } }, { "@type": "Question", "name": "L'épistaxis peut-elle entraîner une perte de sang importante ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une épistaxis sévère peut entraîner une perte de sang significative et nécessiter une intervention." } }, { "@type": "Question", "name": "Peut-on avoir des séquelles après une épistaxis ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Des séquelles sont rares, mais des problèmes de coagulation peuvent persister." } }, { "@type": "Question", "name": "L'épistaxis peut-elle causer des infections ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des infections peuvent survenir si des bactéries pénètrent par les muqueuses endommagées." } }, { "@type": "Question", "name": "Quels sont les risques d'une épistaxis chronique ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "L'épistaxis chronique peut entraîner des complications comme l'anémie ou des troubles de la coagulation." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque de l'épistaxis ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent la sécheresse de l'air, les allergies, et l'utilisation de médicaments anticoagulants." } }, { "@type": "Question", "name": "Le tabagisme augmente-t-il le risque d'épistaxis ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme peut irriter les muqueuses nasales et augmenter le risque de saignement." } }, { "@type": "Question", "name": "Les traumatismes nasaux sont-ils un facteur de risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les traumatismes au nez, comme les coups ou les chutes, augmentent le risque d'épistaxis." } }, { "@type": "Question", "name": "Les infections respiratoires peuvent-elles causer l'épistaxis ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les infections respiratoires peuvent provoquer une inflammation et des saignements du nez." } }, { "@type": "Question", "name": "L'hypertension est-elle un facteur de risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'hypertension peut augmenter le risque d'épistaxis en exerçant une pression sur les vaisseaux sanguins." } } ] } ] }

Sources (10000 au total)

Abstracts of randomized controlled trials in pediatric dentistry: reporting quality and spin.

Abstracts provide readers a concise and readily accessible information of the trials. However, poor reporting quality and spin (misrepresentation of research findings) can lead to an overestimation in... We hand-searched RCTs in five leading pediatric dental journals between 2015 and 2021. Reporting quality in each abstract was assessed using the original 16-item CONSORT for abstracts checklist. Linea... One hundred eighty-two abstracts were included in reporting quality evaluation. The mean overall quality score was 4.57 (SD, 0.103; 95% CI, 4.36-4.77; score range, 1-10). Only interventions, objective... The reporting quality of RCT abstracts in pediatric dentistry is suboptimal and the prevalence of spin is high. Joint efforts are needed to improve reporting quality and minimize spin....

Attrition and withdrawal in multiple myeloma randomized controlled trials: A systematic review.

Patients with multiple myeloma (MM) enrolled in randomized control trials (RCTs) discontinue treatment for various reasons; however, no prior study has analyzed reasons for discontinuation. We perform... A comprehensive search for RCTs in MM from 2015 to 2021 identified 45 studies meeting inclusion criteria.... Of 21 236 randomized patients, 10 161 (47.8%) discontinued therapy by primary endpoint ascertainment. Causes of discontinuation included progression (n = 4790; 22.6% of randomized patients); toxicity ... Although progression is the most common reason for RCT treatment discontinuation in patients with MM, over 10% discontinued due to toxicity. Furthermore, 24.4% of trials showed substantial imbalances ...

Data monitoring committees in pediatric randomized controlled trials registered in ClinicalTrials.gov.

Data monitoring committees advise on clinical trial conduct through appraisal of emerging data to ensure participant safety and scientific integrity. While consideration of their use is recommended fo... We conducted a cross-sectional data analysis of all randomized controlled trials performed exclusively in a pediatric population and registered in ClinicalTrials.gov between 2008 and 2021. We used the... We identified 13,928 pediatric randomized controlled trial records, of which 39.7% reported adopting a data monitoring committee, 49.0% reported not adopting a data monitoring committee, and 11.3% did... According to registry records, the use of data monitoring committees in pediatric randomized controlled trials was more frequent than previously reported in reviews of published trial reports. The use...

The Characteristics and Ethics of Sham Surgeries: A Systematic Review of Randomized Controlled Trials.

We sought to perform a large-scale systematic review across all sham-controlled studies currently present in the literature to better characterize the ethical considerations of these studies.... Innovative surgical procedures are often introduced into the clinical setting without the robust clinical trials required for medicinal treatments. Sham surgeries serve as placebos by performing all s... Ovid MEDLINE was queried through April 2022 with combinations of the Medical Subject (MeSH) headings and keywords including, but not limited to, "surgery," "endoscopy," "randomized controlled trial," ... One hundred seventy-two articles fit our inclusion criteria, with gastrointestinal pathologies being the most common surgical indication. Participants, personnel, and outcome assessment were all blind... Our systematic review of 172 randomized, sham-controlled trials highlights the ethical considerations that must be considered in these studies, namely the importance of transparent study design and ob...

Comparing treatment outcomes in randomized controlled trials of central serous chorioretinopathy.

To perform a qualitative analysis of outcomes published from randomized controlled trials (RCTs) on central serous chorioretinopathy (CSCR) from 1979 to 2022.... Systematic review.... All RCTs (including both therapeutic and non-therapeutic interventions) on CSCR available online till July 2022 were included after an electronic search in multiple databases such as PubMed, CENTRAL, ... The literature search yielded 498 potential publications. After excluding duplicate studies and studies that met clear exclusion criteria, 64 were screened for further evaluation, of which 7 were remo... This review provides a comparative overview of key outcomes reported between RCTs investigating CSCR. We describe the current landscape of treatment modalities for CSCR and note the discrepancies betw...

Randomized Controlled Trials of Artificial Intelligence in Clinical Practice: Systematic Review.

The number of artificial intelligence (AI) studies in medicine has exponentially increased recently. However, there is no clear quantification of the clinical benefits of implementing AI-assisted tool... This study aims to systematically review all published randomized controlled trials (RCTs) of AI-assisted tools to characterize their performance in clinical practice.... CINAHL, Cochrane Central, Embase, MEDLINE, and PubMed were searched to identify relevant RCTs published up to July 2021 and comparing the performance of AI-assisted tools with conventional clinical ma... Among the 11,839 articles retrieved, only 39 (0.33%) RCTs were included. These RCTs were conducted in an approximately equal distribution from North America, Europe, and Asia. AI-assisted tools were i... There is growing evidence supporting the implementation of AI-assisted tools in daily clinical practice; however, the number of available RCTs is limited and heterogeneous. More RCTs of AI-assisted to... PROSPERO CRD42021286539; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=286539....

Disparities in positive results and dissemination of randomized controlled trials in immuno-oncology.

This cross-sectional and longitudinal analysis aimed to demonstrate the disparities in positive results and dissemination patterns of randomized controlled trials (RCTs) in global immuno-oncology (IO)... Phase II-IV RCTs with results reported by article publications registered on ClinicalTrials.gov in 2007-2018 studying immune checkpoint inhibitors (ICIs), adoptive cell transfer, cancer vaccines, and ... Twenty-eight percent of trials were positive (72 of 258), most of which were pharma-sponsored and focused on ICI and multiple IO therapies in lung cancer, melanoma, and multiple cancer types. The rece... Disparities in positive result dissemination are widespread in IO RCTs and affected by trial features. We proposed improvements in upfront registration, procedural integrity, and adequate inclusion of...

Coerced consent in clinical research: study protocol for a randomized controlled trial.

Despite the low-risk nature of participation in most clinical anesthesia trials, subject recruitment on the same day as surgery is often restricted due to the concerns of researchers and local researc... We describe the protocol for a prospective randomized controlled trial examining the voluntariness of patient consent, solicited either in advance of surgery or on the same day, to participate in an a... This study will inform trial design and practice guidelines surrounding the amount of time patients ought to be afforded in order to make durable decisions to participate (or not) in clinical research... The trial was registered prospectively on the Open Science Framework (OSF), registration #46twc, on 2023-Mar-17....