Review of epiglottitis in the post <i>Haemophilus influenzae</i> type‐b vaccine era

Baird, Samantha M.; Marsh, Philip A; Padiglione, Alex; Trubiano, Jason A; Lyons, Bernard; Hays, A.; Campbell, Matthew C.; Phillips, Damien

doi:10.1111/ans.14787

Cited by 18 publications

(28 citation statements)

References 11 publications

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“…Some studies have suggested a correlation between airway intervention and patient characteristics, including body mass index, comorbidities, and comorbid epiglottic cysts. [14][15][16] In this study, the baseline characteristics (age, gender, symptoms, and comorbidities) between the conservative treatment and airway intervention groups were not balanced (►Table 5), and we cannot rule out an influence of these factors on the results. Finally, the physicians in our hospital may have read articles discussing previous scope classification systems, [8][9][10] which may have affected their decision-making process regarding airway intervention in patients with AS.…”

Section: Discussionmentioning

confidence: 85%

“…Among previous reports, the rates of airway intervention in AS patients varied from 0 to 30%. 7,8,[12][13][14][15] Otolaryngologists are not always on hand at our hospital, and it is difficult to conduct tracheostomy immediately when AS patients develop airway obstruction. Indeed, 75% of AS patients with Katori IIIB grade received airway intervention in our hospital, compared with 30.8% in Katori's hospital.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Scope Classifications for Predicting the Need for Airway Intervention in Acute Supraglottitis

Nonomura

Yoshizawa

Mizuta

et al. 2021

International Journal of Practical Otolaryngology

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Background Acute supraglottitis (AS) can cause airway obstruction, sometimes necessitating airway intervention. Some scope classifications were developed to predict the need for airway intervention in patients with AS; however, the most suitable classification for predicting the need for airway intervention remains unclear. Objective This study was performed to validate and compare the usefulness of three scope classifications (Katori's, Tanaka's, and Ovnat-Tamir's classifications) for predicting the need for airway intervention in patients with AS. Materials and Methods We recruited 75 patients (44 males and 31 females aged 20–94 years) with AS who visited Kurashiki Central Hospital between January 2015 and September 2019. The areas under the receiver operating characteristic curves (AUCs) of the scope classifications for predicting the need for airway intervention were measured. Results Of the 75 patients, airway intervention was needed in 23 patients. The AUC was 0.818 (95% confidence interval [CI]: 0.715–0.922) for Katori's classification, 0.803 (95% CI: 0.699–0.907) for Tanaka's classification, and 0.814 (95% CI: 0.705–0.922) for Ovnat-Tamir's classification. Conclusion Although all three classifications appeared to be useful, the AUC tended to be the highest for Katori's classification.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Comparison of Scope Classifications for Predicting the Need for Airway Intervention in Acute Supraglottitis

Nonomura

Yoshizawa

Mizuta

et al. 2021

International Journal of Practical Otolaryngology

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“…Acute epiglottitis (AE), or supraglottitis (AS), is a potentially life-threating condition, in which the inflammation and edema of the epiglottis and/or adjacent supraglottic structures may endanger the airway within hours [1]. In the post Hemofilus influenzae type b vaccine era, there has been a shift in AE and AS from the stereotypical children’s disease towards affecting the adult population [2, 3]. In fact, in Finland the incidence of AS in adults has increased from 1.88 in the 1990sss to 4.73 in the twenty-first century per 100,000 inhabitants [4].…”

Section: Introductionmentioning

confidence: 99%

Comparison of intubation and tracheotomy in adult patients with acute epiglottitis or supraglottitis

Tapiovaara

Aro

Bäck

et al. 2019

Eur Arch Otorhinolaryngol

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Purpose In acute epiglottitis (AE) or acute supraglottitis (AS), the management of the airway is crucial. We hypothesized that tracheotomized patients recover faster than intubated patients do. Methods We retrospectively reviewed all adult AE and AS patients, who underwent intubation or tracheotomy between 2007 and 2018 in a tertiary care center. Patient demographics, treatment, and complications were analyzed. Results The cohort comprised 42 patients. The airway was secured with intubation in 50% and with tracheotomy in 50%. All intubated patients (n = 21) and three tracheotomized patients were treated in the intensive care unit (p < 0.0001). Procedurerelated complications were encountered in three intubated and eight tracheotomized patients (p = 0.892). Median overall treatment cost was 11.547 € and 5.856 € in the intubated and tracheotomized patient groups, respectively (p < 0.001). The median duration of sick leave after discharge from hospital was 13 days in the tracheotomy group and 7 days in the intubation group (p = 0.097). Conclusion Tracheotomy resulted in a less expensive management in securing the airway in AE or AS, but tracheotomized patients had a trend towards more complications and longer sick leaves compared to intubated patients.

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“…Behandling med steroider og bronkodilatatorer har usikker effekt, men administreres vanligvis om det ikke foreligger kontraindikasjoner. Behandlingsforløpet kan kompliseres av luftveisobstruksjon, abscessdannelse med nekrotisering eller sekundaer infeksjon (1,6). Mortaliteten hos voksne er lav (8).…”

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Epiglottitt

Bruserud¹,

Engesæter²,

Mjelle³

et al. 2020

Tidsskriftet

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Kirurgisk serviceklinikkHaukeland universitetssjukehus Øyvind Bruserud er ph.d. og lege i spesialisering i anestesiologi. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. INGVILD ØVSTEBØ ENGESAETERØre-nese-halsavdelingen Haukeland universitetssjukehus Ingvild Øvstebø Engesaeter er ph.d. og lege i spesialisering i øre-nese-halssykdommer. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. KARIN ELISABETH MJELLEØre-nese-halsavdelingen Haukeland universitetssjukehus Karin Elisabeth Mjelle er lege i spesialisering i øre-nese-halssykdommer. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. FRODE KRISTENSEN Kirurgisk serviceklinikkHaukeland universitetssjukehus Frode Kristensen er spesialist i anestesiologi og overlege. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter.

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Review of epiglottitis in the post Haemophilus influenzae type‐b vaccine era

Cited by 18 publications

References 11 publications

Comparison of Scope Classifications for Predicting the Need for Airway Intervention in Acute Supraglottitis

Comparison of Scope Classifications for Predicting the Need for Airway Intervention in Acute Supraglottitis

Comparison of intubation and tracheotomy in adult patients with acute epiglottitis or supraglottitis

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