Acute epiglottitis in adults: Retrospective study in a tertiary hospital
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
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. |
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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 |
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1799134655724650496 |