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

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Tapiovaara , L K , Aro , K L S , Bäck , L J J & Koskinen , A I M 2019 , ' Comparison of intubation and tracheotomy in adult patients with acute epiglottitis or supraglottitis ' , European Archives of Oto-Rhino-Laryngology , vol. 276 , no. 11 , pp. 3173-3177 . https://doi.org/10.1007/s00405-019-05624-0

Title: Comparison of intubation and tracheotomy in adult patients with acute epiglottitis or supraglottitis
Author: Tapiovaara, Laura K.; Aro, Katri L. S.; Bäck, Leif J. J.; Koskinen, Anni I. M.
Contributor: University of Helsinki, University of Helsinki
University of Helsinki, University of Helsinki
University of Helsinki, HUS Head and Neck Center
University of Helsinki, HUS Head and Neck Center
Date: 2019-11
Language: eng
Number of pages: 5
Belongs to series: European Archives of Oto-Rhino-Laryngology
ISSN: 0937-4477
URI: http://hdl.handle.net/10138/322075
Abstract: 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). Procedure-related complications were encountered in three intubated and eight tracheotomized patients (p = 0.892). Median overall treatment cost was 11.547 euro and 5.856 euro 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.
Subject: Airway
Head and neck
Infection
Cost
Complication
EARLY TRACHEOSTOMY
COMPLICATIONS
3125 Otorhinolaryngology, ophthalmology
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