Adult supraglottitis: changing trends

Sharon Ovnat Tamir, Tal Marom, Irina Barbalat, Stanislav Spevak, Abraham Goldfarb, Yehudah Roth

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

There is no clinical dynamic staging system which scores according to severity all the anatomical regions in adult supraglottitis. The objective of the study was to describe the demographics, clinical presentation, interventions and outcomes of adult patients diagnosed with acute supraglottitis (AS), and to study the correlation of a new AS classification with the need for airway intervention, in comparison with the current classification. This was a retrospective, cohort study conducted at a secondary medical care center. Adults diagnosed with AS from the years 1990–2013 were identified. Data were extracted for demographic and clinical information and there was no intervention. The main outcome and measures were the need for airway intervention. 288 eligible patients were enrolled. AS incidence rate was 4.3/100,000 patients/year. The mean age was 50 ± 16 years. Sore throat (94 %) and dysphagia (88 %) were the most common presenting symptoms. Patients were hospitalized either in the Otolaryngology Department (n = 255, 89 %) or in the Intensive Care Unit (n = 33, 11 %). Of the latter, 19 (58 %) had an airway securing intervention procedure. Our suggested classification was more sensitive than the current one for predicting the need for intubation (p = 0.03). Signs and symptoms of AS in adults are different from those in children. Adult patients presenting with oropharyngeal complaints should be suspected for AS and treated appropriately.

Original languageEnglish
Pages (from-to)929-935
Number of pages7
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume272
Issue number4
DOIs
StatePublished - 17 Mar 2015
Externally publishedYes

Keywords

  • Acute supraglottitis
  • Adult
  • Airway
  • Airway obstruction
  • Epiglottitis
  • Intubation

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