Utility of a clinical risk scale to predict the requirement of advanced airway management in patients with a diagnosis of deep neck abscess,
Braz. j. otorhinolaryngol. (Impr.)
;
90(2): 101360, 2024. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1557332
ABSTRACT
Abstract Objectives To analyze the clinical utility of a clinical risk scale to predict the need for advanced airway management in patients with deep neck abscess. Methods Observational, analytical, cross-sectional study. Patients over 18 years old, both genders, with surgical management of a deep neck abscess, between January 1st, 2015 to December 31th, 2021, who were applied the clinical risk scale (https//7-414-5-19.shinyapps.io/ClinicalRiskScore/). The sensitivity, specificity, and predictive values of the scale were calculated based on the identified clinical outcomes. A p < 0.05 was considered significant. Results A sample of 213 patients was obtained, 121 (56.8%) men, of whom 50 (23.5%) required advanced airway management. Dyspnea was the variable with the most statistical weight in our study, (p = 0.001) as well as the multiple spaces involvement, (p = 0.001) the presence of air corpuscles, (p = 0.001) compromise of the retropharyngeal space (p = 0.001) and age greater than 55 years (p = 0.001). Taking these data into account, were found for the clinical risk scale a sensitivity of 97% and a specificity of 65% (p = 0.001, 95% CI 0.856-0.984). Conclusions The clinical risk scale developed to predict advanced airway management in patients with a diagnosis of deep neck abscess may be applicable in our environment with high sensitivity and specificity. Level of evidence IV.
Full text:
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Index:
LILACS (Americas)
Language:
English
Journal:
Braz. j. otorhinolaryngol. (Impr.)
Journal subject:
Otolaryngology
Year:
2024
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Hospital General De México Dr. Eduardo Licega/MX
/
Hospital General de México Dr. Eduardo Liceaga/MX
/
Hospital de Especialidades Dr. Bernardo Sepúlveda Gutiérrez/MX
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