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A Clinical Study of Acute Epiglottitis: Retrospective Review of 315 Patients in Korea / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery ; : 233-237, 2019.
Artigo em Coreano | WPRIM | ID: wpr-760114
ABSTRACT
BACKGROUND AND

OBJECTIVES:

Acute epiglottitis is a life-threatening condition that can result in airway obstruction. The present study reports clinical features, management and patient outcomes in an acute epiglottitis. SUBJECTS AND

METHOD:

Included in our retrospective study were 315 patients who were admitted with the diagnosis of acute epiglottitis between January 2006 and July to the department Otolaryngology-Head and Neck surgery, Hallym University Sacred Heart Hospital 2018. The diagnosis of acute epiglottitis was established by confirmation of inflamed epiglottis using laryngoscope or computed tomography.

RESULTS:

Among 315 patients, 89 cases (28%) and 83 cases (26%) were found in the fifth and fourth decades, respectively. The mean age of patients was 45.0±13.94 years. The male to female ratio was 1.331. A total of 75 patients (23.8%) had co-morbidities, with hypertension (13.6%) being the most common. Fever was relatively uncommon, whereas most patients complained of sore throat. Ceftriaxone was the most common empirical antibiotic regimen prescribed and the use of steroids did not affect the length of hospital stay. Nine patients required airway intervention, including eight who underwent endotracheal intubation and one emergency tracheostomy. In patients who need airway intervention, systolic blood pressure, body temperature, respiratory rate, heart rate, white blood cells and the proportion of dyspnea were significantly higher in comparison to the patients without airway intervention.

CONCLUSION:

Although acute epiglottitis often has nonspecific symptoms, it may lead to sudden dyspnea and unstable vital signs, so an in-depth understanding of this disease is needed.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Esteroides / Pressão Sanguínea / Temperatura Corporal / Ceftriaxona / Traqueostomia / Faringite / Estudos Retrospectivos / Laringoscópios / Diagnóstico / Obstrução das Vias Respiratórias Tipo de estudo: Estudo diagnóstico / Estudo observacional Limite: Feminino / Humanos / Masculino País/Região como assunto: Ásia Idioma: Coreano Revista: Korean Journal of Otolaryngology - Head and Neck Surgery Ano de publicação: 2019 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Esteroides / Pressão Sanguínea / Temperatura Corporal / Ceftriaxona / Traqueostomia / Faringite / Estudos Retrospectivos / Laringoscópios / Diagnóstico / Obstrução das Vias Respiratórias Tipo de estudo: Estudo diagnóstico / Estudo observacional Limite: Feminino / Humanos / Masculino País/Região como assunto: Ásia Idioma: Coreano Revista: Korean Journal of Otolaryngology - Head and Neck Surgery Ano de publicação: 2019 Tipo de documento: Artigo