Adult acute epiglottitis: Experiences in a Taiwanese setting

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Title:	Adult acute epiglottitis: Experiences in a Taiwanese setting
Authors:	Chang, YL;Lo, SH;Wang, PC;Shu, YH
Contributors:	公共衛生學院公衛系 Cathay Gen Hosp, Dept Otolaryngol, Taipei 106, Taiwan;Fu Jen Catholic Univ, Sch Med, Taichung, Taiwan;China Med Univ, Coll Publ Hlth, Dept Publ Hlth, Taichung, Taiwan;Natl Taiwan Univ, Coll Publ Hlth, Inst Epidemiol, Taipei, Taiwan
Date:	2005
Issue Date:	2010-09-20 13:46:53 (UTC+8)
Publisher:	MOSBY, INC
Abstract:	OBJECTIVE: Acute epiglottitis is a potentially disastrous disease seen occasionally in otolaryngology emergency service. This study reports our experiences in managing adult patients with acute epiglottitis in a Taiwanese setting. STUDY DESIGN: Admission medical records from 46 adult patients with acute epiglottitis over a period of 8 years in a tertiary referral otolaryngology service were retrospectively reviewed. RESULTS: No mortality was reported; 4 (8.7%) patients were supported by artificial airway. A total of 16 (34.8%) patients had comorbid conditions; hypertension and diabetes mellitus were the most common systemic diseases. Patients who needed artificial airway support tended to have more systemic comorbidities (P = 0.001) and a higher level of hyperglycemia (P = 0.004) than those who did not need airway support. The incidences of drooling, stridor/dyspnea, and muffled voice were significantly higher in the airway-supported group (P &LT; 0.05). Stridor/dyspnea is a reliable clinical predictor of airway compromise (odds ratio 2.94; P = 0.0277). CONCLUSION: Dyspnea is a warning sign of impending airway collapse during an episode of acute epiglottitis. Adult patients with more systemic comorbidities might bear higher risk of airway compromise; the role of diabetes mellitus can't be overlooked.
Relation:	OTOLARYNGOLOGY-HEAD AND NECK SURGERY 132(5):689-693
Appears in Collections:	[Department of Public Health] Proceedings

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