Epidemiology, presentation, management and outcomes of patients with acute epiglottitis - A 10-year retrospective study based on a tertiary hospital in northern China.

IF 1.9 3区 医学 Q2 OTORHINOLARYNGOLOGY European Archives of Oto-Rhino-Laryngology Pub Date : 2024-10-21 DOI:10.1007/s00405-024-09042-9
Zhitao Fan, Tong Qiao, Sunan Shi, Anqi Zhang, Jingrui Liu, Yuetang Wang, Chaobing Liu
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Abstract

Purpose: This study aimed to explore the new clinical characteristics and trends of acute epiglottitis (AE) in northern China.

Methods: A retrospective, observational study was conducted on patients diagnosed with AE between January 2014 and December 2023 at a single-center medical institution in northern China. The clinical profiles of patients with AE were investigated.

Results: This study encompassed 366 AE patients (M: F = 1.79:1). The average age of the patients was 47.31 ± 13.18 years, and 33.4% patients had comorbidities. Common initial symptoms: sore throat (93.17%), dysphagia (48.09%), fever (10.65%). Dyspnea reported in 14.48%. AE incidence rose annually over a decade, with mild seasonal variations. Laryngoscopy remains the primary means of confirming AE. Almost all patients received intravenous antibiotic therapy, and 98% of them were also treated with corticosteroids. Emergency airway intervention needed in 2.73% (cricothyroidotomy: 0.54%; tracheotomy: 2.19%). Among all patients, 353 (96.44%) had a good prognosis, 1 death (0.27%) from cardiopulmonary arrest during tracheotomy, 1 anoxic encephalopathy (0.27%) after tracheotomy in the emergency room due to intubation failure.

Conclusion: The incidence rate of AE is on the rise. Even if airway intervention is rarely required, clinicians must maintain a high degree of vigilance and conduct early identification of risk factors and emergencies that could progress severe cases into life-threatening. Furthermore, the development of safe and efficacious management strategies is crucial to prevent catastrophic complications and safeguard patient lives.

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急性会厌炎患者的流行病学、表现、管理和预后--基于中国北方一家三甲医院的十年回顾性研究。
目的:本研究旨在探讨中国北方急性会厌炎(AE)新的临床特征和发展趋势:方法:对中国北方一家单中心医疗机构 2014 年 1 月至 2023 年 12 月期间确诊的急性会厌炎患者进行回顾性观察研究。结果:该研究涵盖了 366 名 AE 患者:本研究共纳入 366 例 AE 患者(男:女=1.79:1)。患者的平均年龄为(47.31±13.18)岁,33.4%的患者有合并症。常见初始症状:咽喉痛(93.17%)、吞咽困难(48.09%)、发热(10.65%)。呼吸困难占 14.48%。在过去十年中,AE 的发病率逐年上升,并伴有轻微的季节性变化。喉镜检查仍是确认 AE 的主要手段。几乎所有患者都接受了静脉抗生素治疗,98%的患者还接受了皮质类固醇治疗。2.73%的患者需要进行紧急气道干预(环甲膜切开术:0.54%;气管切开术:2.19%)。在所有患者中,353 人(96.44%)预后良好,1 人(0.27%)在气管切开术中因心肺骤停死亡,1 人(0.27%)在气管切开术后因插管失败在急诊室缺氧性脑病:结论:AE 的发病率呈上升趋势。即使很少需要进行气道干预,临床医生也必须保持高度警惕,及早识别可能使严重病例发展为危及生命的危险因素和紧急情况。此外,制定安全有效的管理策略对于预防灾难性并发症和保障患者生命至关重要。
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来源期刊
CiteScore
5.30
自引率
7.70%
发文量
537
审稿时长
2-4 weeks
期刊介绍: Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.
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