Acute epiglottitis in adults: Retrospective study in a tertiary hospital

Detalhes bibliográficos
Autor(a) principal: Peça, Rita
Data de Publicação: 2023
Outros Autores: Caetano, Mariana, Santos, Ana Rita, Correia-Rodrigues, Pedro, Luís, Leonel
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.34631/sporl.2024
Resumo: 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.
id RCAP_cd985d0b27b744366ccbf26885240421
oai_identifier_str oai:journalsporl.com:article/2024
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Acute epiglottitis in adults: Retrospective study in a tertiary hospitalEpiglotite em idade adulta: Estudo retrospetivo num centro terciárioEpiglotiteAdultoAbcesso epiglóticoTraqueostomiaEpiglottitisAdultEpiglottic abscessTracheostomyEpiglottitis 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.A epiglotite é um processo inflamatório agudo da região supraglótica, potencialmente fatal pelo risco de obstrução da via aérea. O objetivo deste trabalho é caracterizar a população adulta com epiglotite e identificar fatores preditores de complicações. Realizou-se um estudo retrospetivo que incluiu os adultos admitidos com epiglotite, num hospital terciário, entre 2017 e 2022. Foram definidos outcomes: necessidade de via aérea avançada (VAA); abcesso cervical e/ou epiglótico; drenagem cirúrgica. Foi adoptado o MEWS Score para determinar o estado clínico do doente à admissão. Foram incluídos 51 adultos e registaram- se 17 casos de VAA, 25 de abcesso e 7 drenagens cirúrgicas. A dispneia foi o único sintoma com correlação positiva com todos os outcomes (p<0.05). A duração da sintomatologia, o score MEWS e a presença cumulativa de comorbilidades são possíveis fatores preditores de necessidade de via aérea avançada (p<0.001) e a sua presença deve exigir um maior grau de suspeição para complicações.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2023-08-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.34631/sporl.2024https://doi.org/10.34631/sporl.2024Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 61 No. 2 (2023): June; 205-212Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 61 Núm. 2 (2023): Junho; 205-212Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 61 N.º 2 (2023): Junho; 205-2122184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPengporhttps://journalsporl.com/index.php/sporl/article/view/2024https://journalsporl.com/index.php/sporl/article/view/2024/45https://journalsporl.com/index.php/sporl/article/view/2024/46Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoçoinfo:eu-repo/semantics/openAccessPeça, RitaCaetano, MarianaSantos, Ana RitaCorreia-Rodrigues, PedroLuís, Leonel2023-11-09T12:00:32Zoai:journalsporl.com:article/2024Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:10:08.531049Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Acute epiglottitis in adults: Retrospective study in a tertiary hospital
Epiglotite em idade adulta: Estudo retrospetivo num centro terciário
title Acute epiglottitis in adults: Retrospective study in a tertiary hospital
spellingShingle Acute epiglottitis in adults: Retrospective study in a tertiary hospital
Peça, Rita
Epiglotite
Adulto
Abcesso epiglótico
Traqueostomia
Epiglottitis
Adult
Epiglottic abscess
Tracheostomy
title_short 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_sort Acute epiglottitis in adults: Retrospective study in a tertiary hospital
author Peça, Rita
author_facet Peça, Rita
Caetano, Mariana
Santos, Ana Rita
Correia-Rodrigues, Pedro
Luís, Leonel
author_role author
author2 Caetano, Mariana
Santos, Ana Rita
Correia-Rodrigues, Pedro
Luís, Leonel
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Peça, Rita
Caetano, Mariana
Santos, Ana Rita
Correia-Rodrigues, Pedro
Luís, Leonel
dc.subject.por.fl_str_mv Epiglotite
Adulto
Abcesso epiglótico
Traqueostomia
Epiglottitis
Adult
Epiglottic abscess
Tracheostomy
topic Epiglotite
Adulto
Abcesso epiglótico
Traqueostomia
Epiglottitis
Adult
Epiglottic abscess
Tracheostomy
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.
publishDate 2023
dc.date.none.fl_str_mv 2023-08-28
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.2024
https://doi.org/10.34631/sporl.2024
url https://doi.org/10.34631/sporl.2024
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2024
https://journalsporl.com/index.php/sporl/article/view/2024/45
https://journalsporl.com/index.php/sporl/article/view/2024/46
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 61 No. 2 (2023): June; 205-212
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 61 Núm. 2 (2023): Junho; 205-212
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 61 N.º 2 (2023): Junho; 205-212
2184-6499
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799134655724650496

Registros relacionados