caa a22 4500 606185992 CHVBK 20210128100834.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00405-014-3464-x doi (NATIONALLICENCE)springer-10.1007/s00405-014-3464-x Adult supraglottitis: changing trends [Elektronische Daten] [Sharon Ovnat Tamir, Tal Marom, Irina Barbalat, Stanislav Spevak, Abraham Goldfarb, Yehudah Roth] 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 4.3/100,000patients/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. Springer-Verlag Berlin Heidelberg, 2014 Acute supraglottitis nationallicence Airway nationallicence Adult nationallicence Epiglottitis nationallicence Intubation nationallicence Airway obstruction nationallicence Ovnat Tamir Sharon Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, P.O. Box 5, 58100, Holon, Israel aut Marom Tal Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, P.O. Box 5, 58100, Holon, Israel aut Barbalat Irina Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, P.O. Box 5, 58100, Holon, Israel aut Spevak Stanislav Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, P.O. Box 5, 58100, Holon, Israel aut Goldfarb Abraham Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, P.O. Box 5, 58100, Holon, Israel aut Roth Yehudah Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, P.O. Box 5, 58100, Holon, Israel aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/4(2015-04-01), 929-935 0937-4477 272:4<929 2015 272 405 https://doi.org/10.1007/s00405-014-3464-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3464-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ovnat Tamir Sharon Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, P.O. Box 5, 58100, Holon, Israel aut NATIONALLICENCE 700 1- Marom Tal Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, P.O. Box 5, 58100, Holon, Israel aut NATIONALLICENCE 700 1- Barbalat Irina Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, P.O. Box 5, 58100, Holon, Israel aut NATIONALLICENCE 700 1- Spevak Stanislav Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, P.O. Box 5, 58100, Holon, Israel aut NATIONALLICENCE 700 1- Goldfarb Abraham Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, P.O. Box 5, 58100, Holon, Israel aut NATIONALLICENCE 700 1- Roth Yehudah Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, P.O. Box 5, 58100, Holon, Israel aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/4(2015-04-01), 929-935 0937-4477 272:4<929 2015 272 405