Acute epiglottitis in adults: Retrospective study in a tertiary hospital

Epiglottitis is an acute inflammatory process of the supraglottic region, potentially fatal due to the risk of airway obstruction. We performed a retrospective study of adults admitted with epiglottitis in a tertiary hospital, between 2017 and 2022, and the aim of the study is to characterize th...

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Main Authors: Rita Peça, Mariana Caetano, Ana Rita Santos, Pedro Correia-Rodrigues, Leonel Luís
Format: Article
Language:English
Published: Portuguese Society of Otolaryngology and Head and Neck Surgery 2023-08-01
Series:Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
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Online Access:https://journalsporl.com/index.php/sporl/article/view/2024
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author Rita Peça
Mariana Caetano
Ana Rita Santos
Pedro Correia-Rodrigues
Leonel Luís
author_facet Rita Peça
Mariana Caetano
Ana Rita Santos
Pedro Correia-Rodrigues
Leonel Luís
author_sort Rita Peça
collection DOAJ
description Epiglottitis is an acute inflammatory process of the supraglottic region, potentially fatal due to the risk of airway obstruction. We performed a retrospective study of adults admitted with epiglottitis in a tertiary hospital, between 2017 and 2022, and the aim of the study is to characterize the population and identify risk factors associated with complications. Outcomes were defined as: airway intervention (AI); epiglottic and/or deep neck abscess; need for surgical drainage. MEWS Score was used to evaluate the clinical baseline of the patients on admission. Sample size was 51 adults with 17 AI, 25 abscesses and 7 surgical drainages identified. Dyspnea was the only symptom with a positive correlation with all outcomes (p<0.05). The duration of symptoms, MEWS score and comorbidities are possible predictors of airway intervention (p<0.001), which should raise a higher degree of suspicion for complications.
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publishDate 2023-08-01
publisher Portuguese Society of Otolaryngology and Head and Neck Surgery
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series Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
spelling doaj-art-c142fb5100db43aba2e6ef6d4d39a5cc2025-08-20T03:30:09ZengPortuguese Society of Otolaryngology and Head and Neck SurgeryRevista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2184-64992023-08-0161210.34631/sporl.2024Acute epiglottitis in adults: Retrospective study in a tertiary hospitalRita Peça0Mariana Caetano1Ana Rita Santos2Pedro Correia-Rodrigues3Leonel Luís4Médica Interna do Internato de Formação Específica em Otorrinolaringologia, Centro Hospitalar Universitário Lisboa Norte, PortugalMédica Interna do Internato de Formação Específica em Otorrinolaringologia, Centro Hospitalar Universitário Lisboa Norte, PortugalAssistente Hospitalar Graduada de Otorrinolaringologia do Centro Hospitalar Universitário Lisboa Norte, PortugalAssistente Hospitalar de Otorrinolaringologia do Centro Hospitalar Universitário Lisboa Norte, PortugalDiretor do Serviço de Otorrinolaringologia do Centro Hospitalar Universitário Lisboa Norte, Portugal Epiglottitis is an acute inflammatory process of the supraglottic region, potentially fatal due to the risk of airway obstruction. We performed a retrospective study of adults admitted with epiglottitis in a tertiary hospital, between 2017 and 2022, and the aim of the study is to characterize the population and identify risk factors associated with complications. Outcomes were defined as: airway intervention (AI); epiglottic and/or deep neck abscess; need for surgical drainage. MEWS Score was used to evaluate the clinical baseline of the patients on admission. Sample size was 51 adults with 17 AI, 25 abscesses and 7 surgical drainages identified. Dyspnea was the only symptom with a positive correlation with all outcomes (p<0.05). The duration of symptoms, MEWS score and comorbidities are possible predictors of airway intervention (p<0.001), which should raise a higher degree of suspicion for complications. https://journalsporl.com/index.php/sporl/article/view/2024EpiglottitisAdultEpiglottic abscessTracheostomy
spellingShingle Rita Peça
Mariana Caetano
Ana Rita Santos
Pedro Correia-Rodrigues
Leonel Luís
Acute epiglottitis in adults: Retrospective study in a tertiary hospital
Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
Epiglottitis
Adult
Epiglottic abscess
Tracheostomy
title Acute epiglottitis in adults: Retrospective study in a tertiary hospital
title_full Acute epiglottitis in adults: Retrospective study in a tertiary hospital
title_fullStr Acute epiglottitis in adults: Retrospective study in a tertiary hospital
title_full_unstemmed Acute epiglottitis in adults: Retrospective study in a tertiary hospital
title_short Acute epiglottitis in adults: Retrospective study in a tertiary hospital
title_sort acute epiglottitis in adults retrospective study in a tertiary hospital
topic Epiglottitis
Adult
Epiglottic abscess
Tracheostomy
url https://journalsporl.com/index.php/sporl/article/view/2024
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AT marianacaetano acuteepiglottitisinadultsretrospectivestudyinatertiaryhospital
AT anaritasantos acuteepiglottitisinadultsretrospectivestudyinatertiaryhospital
AT pedrocorreiarodrigues acuteepiglottitisinadultsretrospectivestudyinatertiaryhospital
AT leonelluis acuteepiglottitisinadultsretrospectivestudyinatertiaryhospital