{"id":411,"date":"2017-10-24T08:30:58","date_gmt":"2017-10-24T12:30:58","guid":{"rendered":"https:\/\/elearning.wfh.org\/resource\/systeme-devaluation-de-lepistaxis\/"},"modified":"2022-09-21T15:25:03","modified_gmt":"2022-09-21T19:25:03","slug":"systeme-devaluation-de-lepistaxis","status":"publish","type":"resource","link":"https:\/\/elearning.wfh.org\/fr\/resource\/systeme-devaluation-de-lepistaxis\/","title":{"rendered":"Syst\u00e8me d\u2019\u00e9valuation de l\u2019\u00e9pistaxis"},"content":{"rendered":"<h3>Epistaxis Scoring System (ESS)<\/h3>\n<p class=\"\"><strong>Authors\/developers<\/strong><br class=\"\" \/>Katsanis E, Luke K-H, Hsu E, Li M, Lillicrap D<\/p>\n<p class=\"\"><a href=\"https:\/\/www1.wfh.org\/docs\/en\/Resources\/Assessment_Tools_Epistaxis.pdf\" target=\"blank\" rel=\"noopener\">Scoring system<\/a><\/p>\n<h6><em>N.B.: These scores are posted with the permission of the developers.<\/em><\/h6>\n\t\t<div data-elementor-type=\"section\" data-elementor-id=\"16062\" class=\"elementor elementor-16062\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-572b6956 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"572b6956\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-69f3a181\" data-id=\"69f3a181\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-690980ef elementor-widget elementor-widget-spacer\" data-id=\"690980ef\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5639b65c elementor-widget elementor-widget-html\" data-id=\"5639b65c\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\r\n\r\n\/* Style the tab *\/\r\n.popTab {\r\n  float: left;\r\n  border: 1px solid #ccc;\r\n  background-color: #f1f1f1;\r\n  width: 35%;\r\n  height: 500px;\r\n}\r\n\r\n\/* Style the buttons inside the tab *\/\r\n.popTab button {\r\n  display: block;\r\n  background-color: inherit;\r\n  color: black;\r\n  padding: 15px 10px;\r\n  width: 100%;\r\n  border: none;\r\n  border-radius: 0;\r\n  outline: none;\r\n  text-align: left;\r\n  cursor: pointer;\r\n  transition: 0.3s;\r\n  font-size: 1.3em;\r\n}\r\n\r\n\/* Change background color of buttons on hover *\/\r\n.popTab button:hover {\r\n  background-color: #ddd;\r\n}\r\n\r\n\/* Create an active\/current tablink class *\/\r\n.popTab button.active {\r\n  background-color: #ccc;\r\n  border: none!important;\r\n}\r\n\r\n\/* Style the tab content *\/\r\n.popContent {\r\n  float: left;\r\n  padding: 0px 1em;\r\n  border: 1px solid #ccc;\r\n  width: 65%;\r\n  border-left: none;\r\n  height: 500px;\r\n  overflow-y:auto;\r\n}\r\n\r\n.popContent table tr {\r\n    \/*pointer-events: none;*\/\r\n\r\n}\r\n\r\n.popContent table td {\r\n    border-top: none;\r\n    border-left: none;\r\n    border-right: none;\r\n    border-bottom: 1px solid #eee;\r\n    background-color: white!important;\r\n    padding-left: 0;\r\n}\r\n\r\n<\/style>\r\n\r\n\r\n<div class=\"popTab\">\r\n   <button class=\"popLinks active\" onclick=\"openTab(event, 'description')\">Description<\/button>    \r\n   <button class=\"popLinks\" onclick=\"openTab(event, 'utility')\">Utility<\/button>\r\n   <button class=\"popLinks\" onclick=\"openTab(event, 'administration')\">Administration<\/button>\r\n   <button class=\"popLinks\" onclick=\"openTab(event, 'psychometrics')\">Psychometrics<\/button>\r\n   <button class=\"popLinks\" onclick=\"openTab(event, 'references')\">References<\/button>\r\n \r\n  \r\n<\/div>\r\n\r\n<div id=\"description\" class=\"popContent\">\r\n  <h3>Description<\/h3>\r\n  <p>The ESS assesses severity of epistaxis and can be used to identify patients who require a bleeding diasthesis workup. The target population is children with epistaxis.<\/p>\r\n\r\n  <p><strong>Contact person(s):<\/strong><br>\r\n   E Katsanis: <a title=\"[GMCP] Compose a new mail to katsanis@peds.arizona.edu\" href=\"mailto:katsanis@peds.arizona.edu\" rel=\"noreferrer\">katsanis@peds.arizona.edu<\/a><\/p>\r\n\r\n  <p class=\"\"><strong>Date of this review: <\/strong>August 26, 2013<br class=\"\"><strong>Updated:<\/strong> April  2014<\/p>\r\n\r\n<\/div>\r\n\r\n\r\n<div id=\"utility\" class=\"popContent\" style=\"display:none\">\r\n  <h3>Utility<\/h3>\r\n  \r\n  <p><strong>Overall utility:<\/strong><br>\r\n    Useful in the pediatric clinical setting of epistaxis only for assessing which children should have further investigations.<\/p>\r\n\r\n  <p style=\"margin-bottom:0\"><strong>Limitations:<\/strong><\/p>\r\n   <ul style=\"margin-bottom:2em\">\r\n     <li>Expert administered<\/li>\r\n \t <li>Although one study did show little validity in differentiating children with a coagulopathy vs. without, it is important to note that that study, unlike the initial study, was retrospective and no specific definition of recurrent epistaxis for patient inclusion was recorded.<\/li>\r\n \t<\/ul>\r\n<\/div>\r\n\r\n\r\n<div id=\"administration\" class=\"popContent\" style=\"display:none\">\r\n  <h3>Administration<\/h3>        \r\n  <ol>\r\n    <li><strong>Time to complete:<\/strong> Not documented, but very few questions therefore likely short<\/li>\r\n \t<li><strong>Equipment\/space required:<\/strong> none<\/li>\r\n \t<li><strong>Training required:<\/strong> Expert-administered; no training specific to the administration of the scoring tool is required<\/li>\r\n \t<li><strong>Cost:<\/strong> None<\/li>\r\n \t<li><strong>Scoring\/scaling\/interpretation of results:<\/strong> \r\n \t  <ul>\r\n \t    <li>Scale 0\u20132 for each of 5 epistaxis bleeding symptoms<\/li>\r\n \t    <li>Possible range of total score 0\u201310<\/li>\r\n \t    <li>Abnormal bleeding score (BS) (or severe epistaxis) \u22657<\/li>\r\n \t  <\/ul>  \r\n \t<\/li>\r\n  <\/ol>\r\n<\/div>\t\r\n\r\n<div id=\"psychometrics\" class=\"popContent\" style=\"display:none\">\r\n  <h3>Psychometrics<\/h3>        \r\n  \r\n  <p><strong>Psychometric properties:<\/strong><\/p>\r\n\r\n  <ol style=\"margin-bottom:1em\">\r\n   <li>Construct validity:<br>\r\n     <u>Convergent validity<\/u>\r\n     <ul>\r\n        <li>Only children with an abnormal bleeding score (BS) had a history of needing cautery.<sup>1<\/sup><\/li>\r\n \t    <li>Abnormal BS was associated with increased prevalence of anemia.<sup>1<\/sup><\/li>\r\n \t    <li>Bleeding time was more likely to be prolonged in those with an abnormal BS.<sup>1<\/sup><\/li>\r\n     <\/ul>\r\n     <u>Group differences<\/u>\r\n     <ul>\r\n        <li>Family history of a bleeding diathesis was more likely in those with severe epistaxis than mild.<sup>1<\/sup><\/li>\r\n \t    <li>All children with a bleeding history (other than epistaxis) had an abnormal BS, whereas no child with mild epistaxis (normal BS) had other bleeding<sup>1<\/sup><\/li>\r\n \t    <li>A second study showed no difference in BS in children with recurrent epistaxis and coagulopathy vs. no coagulopathy.<sup>2<\/sup><\/li>\r\n       <\/ul>\r\n    <\/li>\r\n \t<li>Criterion validity: The two patients with VWD in the initial study were identified as having an abnormal BS.<sup>1<\/sup><\/li>\r\n \t<li>Reliability: No studies identified<\/li>\r\n \t<li>Responsiveness\/sensitivity: No studies identified<\/li>\r\n  <\/ol>\r\n  \r\n  <p><strong>Languages studied:<\/strong> English<\/p>\r\n \r\n  <p><strong>Groups tested with this measure: <\/strong>Children with epistaxis<sup>1,2<\/sup><\/p>\r\n\r\n  <p><strong>Age: <\/strong>Children only<\/p>\r\n\r\n\r\n  <p><a href=\"\/resource\/glossary-of-psychometric-properties\/\" target=\"_blank\" rel=\"noopener\"><button>Glossary of Psychometric Properties<\/button><\/a><\/p>\r\n\r\n<\/div>\r\n\r\n\r\n<div id=\"references\" class=\"popContent\" style=\"display:none\">\r\n   <h3>References<\/h3>        \r\n   <ol>\r\n     <li>Katsanis E et al. Prevalence and significance of mild bleeding disorders in children with recurrent epistaxis. <em>J Pediatr<\/em> 1988; 113: 73-76.<\/li>\r\n \t <li>Sandoval C et al. Clinical and laboratory features of 178 children with recurrent epistaxis. <em>J Pediatr Hematol Oncol<\/em> 2002; 24: 47-49.<\/li>\r\n<\/ol>\r\n\r\n<\/div>\r\n\r\n\r\n\r\n\r\n<script>\r\nfunction openTab(evt, country) {\r\n  var i, popContent, popLinks;\r\n  popContent = document.getElementsByClassName(\"popContent\");\r\n  for (i = 0; i < popContent.length; i++) {\r\n    popContent[i].style.display = \"none\";\r\n  }\r\n  popLinks = document.getElementsByClassName(\"popLinks\");\r\n  for (i = 0; i < popLinks.length; i++) {\r\n    popLinks[i].className = popLinks[i].className.replace(\" active\", \"\");\r\n  }\r\n  document.getElementById(country).style.display = \"block\";\r\n  evt.currentTarget.className += \" active\";\r\n}\r\n<\/script>\r\n   \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-483cc7db elementor-widget elementor-widget-spacer\" data-id=\"483cc7db\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\n","protected":false},"featured_media":23028,"template":"","format":[],"old-keyword":[],"topic":[3994],"serie":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.4 - 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