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Acute supraglottitis in adults in Finland: Review and analysis of 308 cases

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Acute supraglottitis in adults in Finland : Review and analysis of 308 cases. / Bizaki, Argyro J.; Numminen, Jura; Vasama, Jussi Pekka; Laranne, Jussi; Rautiainen, Markus.

In: LARYNGOSCOPE, Vol. 121, No. 10, 10.2011, p. 2107-2113.

Research output: Contribution to journalReview ArticleScientificpeer-review

Harvard

Bizaki, AJ, Numminen, J, Vasama, JP, Laranne, J & Rautiainen, M 2011, 'Acute supraglottitis in adults in Finland: Review and analysis of 308 cases', LARYNGOSCOPE, vol. 121, no. 10, pp. 2107-2113. https://doi.org/10.1002/lary.22147

APA

Bizaki, A. J., Numminen, J., Vasama, J. P., Laranne, J., & Rautiainen, M. (2011). Acute supraglottitis in adults in Finland: Review and analysis of 308 cases. LARYNGOSCOPE, 121(10), 2107-2113. https://doi.org/10.1002/lary.22147

Vancouver

Bizaki AJ, Numminen J, Vasama JP, Laranne J, Rautiainen M. Acute supraglottitis in adults in Finland: Review and analysis of 308 cases. LARYNGOSCOPE. 2011 Oct;121(10):2107-2113. https://doi.org/10.1002/lary.22147

Author

Bizaki, Argyro J. ; Numminen, Jura ; Vasama, Jussi Pekka ; Laranne, Jussi ; Rautiainen, Markus. / Acute supraglottitis in adults in Finland : Review and analysis of 308 cases. In: LARYNGOSCOPE. 2011 ; Vol. 121, No. 10. pp. 2107-2113.

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@article{d167693d030d4aa19bba43c55b8b6bd6,
title = "Acute supraglottitis in adults in Finland: Review and analysis of 308 cases",
abstract = "Objective: The aim of this article is to study the clinical features, management, and outcome in adult patients with acute supraglottitis. Study Design: Retrospective review. Methods: We searched the medical records from our database from the years 1989 to 2009 using codes of international statistical classification of diseases and related health problems for acute epiglottitis or supraglottitis. In total, 308 patients were identified. Results: Incidence of acute supraglottitis increased from 1.88 (first decade) to 4.73 per 100,000 cases (second decade) (P =.05). The mean age of the patients was 49 years old with a slightly male predominance. Sore throat and odynophagia were the most common symptoms. Concomitant disease were common among the patients. Isolated inflammation of epiglottis without involvement of other supraglottic tissue was detected only in 51 patients. Intravenous cephalosporins were the most common empiric antibiotic treatment regimen. Intravenous corticosteroids were administered to half of the cases. Streptococcus was the most common organism in throat cultures. In total, 45 patients needed airway intervention. Complications were rare and mortality was 0.6{\%} in our series. Conclusions: Acute supraglottitis in adults seems to be a different entity than epiglottitis in children, and inflammation does not usually exclusively involve the epiglottis. Early diagnosis seems to decrease the need for airway intervention and to permit the successful treatment of the patient with intravenous antibiotics and corticosteroids. Streptococcus appears as the dominant causative microorganism. However systemic diseases and other local infections that compromise the regional supraglottic immunity may increase the risk for acute supraglottitis.",
keywords = "airway intervention, dyspnea, epiglottitis, sore throat, stridor, Supraglottitis",
author = "Bizaki, {Argyro J.} and Jura Numminen and Vasama, {Jussi Pekka} and Jussi Laranne and Markus Rautiainen",
year = "2011",
month = "10",
doi = "10.1002/lary.22147",
language = "English",
volume = "121",
pages = "2107--2113",
journal = "LARYNGOSCOPE",
issn = "0023-852X",
publisher = "Wiley",
number = "10",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Acute supraglottitis in adults in Finland

T2 - Review and analysis of 308 cases

AU - Bizaki, Argyro J.

AU - Numminen, Jura

AU - Vasama, Jussi Pekka

AU - Laranne, Jussi

AU - Rautiainen, Markus

PY - 2011/10

Y1 - 2011/10

N2 - Objective: The aim of this article is to study the clinical features, management, and outcome in adult patients with acute supraglottitis. Study Design: Retrospective review. Methods: We searched the medical records from our database from the years 1989 to 2009 using codes of international statistical classification of diseases and related health problems for acute epiglottitis or supraglottitis. In total, 308 patients were identified. Results: Incidence of acute supraglottitis increased from 1.88 (first decade) to 4.73 per 100,000 cases (second decade) (P =.05). The mean age of the patients was 49 years old with a slightly male predominance. Sore throat and odynophagia were the most common symptoms. Concomitant disease were common among the patients. Isolated inflammation of epiglottis without involvement of other supraglottic tissue was detected only in 51 patients. Intravenous cephalosporins were the most common empiric antibiotic treatment regimen. Intravenous corticosteroids were administered to half of the cases. Streptococcus was the most common organism in throat cultures. In total, 45 patients needed airway intervention. Complications were rare and mortality was 0.6% in our series. Conclusions: Acute supraglottitis in adults seems to be a different entity than epiglottitis in children, and inflammation does not usually exclusively involve the epiglottis. Early diagnosis seems to decrease the need for airway intervention and to permit the successful treatment of the patient with intravenous antibiotics and corticosteroids. Streptococcus appears as the dominant causative microorganism. However systemic diseases and other local infections that compromise the regional supraglottic immunity may increase the risk for acute supraglottitis.

AB - Objective: The aim of this article is to study the clinical features, management, and outcome in adult patients with acute supraglottitis. Study Design: Retrospective review. Methods: We searched the medical records from our database from the years 1989 to 2009 using codes of international statistical classification of diseases and related health problems for acute epiglottitis or supraglottitis. In total, 308 patients were identified. Results: Incidence of acute supraglottitis increased from 1.88 (first decade) to 4.73 per 100,000 cases (second decade) (P =.05). The mean age of the patients was 49 years old with a slightly male predominance. Sore throat and odynophagia were the most common symptoms. Concomitant disease were common among the patients. Isolated inflammation of epiglottis without involvement of other supraglottic tissue was detected only in 51 patients. Intravenous cephalosporins were the most common empiric antibiotic treatment regimen. Intravenous corticosteroids were administered to half of the cases. Streptococcus was the most common organism in throat cultures. In total, 45 patients needed airway intervention. Complications were rare and mortality was 0.6% in our series. Conclusions: Acute supraglottitis in adults seems to be a different entity than epiglottitis in children, and inflammation does not usually exclusively involve the epiglottis. Early diagnosis seems to decrease the need for airway intervention and to permit the successful treatment of the patient with intravenous antibiotics and corticosteroids. Streptococcus appears as the dominant causative microorganism. However systemic diseases and other local infections that compromise the regional supraglottic immunity may increase the risk for acute supraglottitis.

KW - airway intervention

KW - dyspnea

KW - epiglottitis

KW - sore throat

KW - stridor

KW - Supraglottitis

UR - http://www.scopus.com/inward/record.url?scp=80053176402&partnerID=8YFLogxK

U2 - 10.1002/lary.22147

DO - 10.1002/lary.22147

M3 - Review Article

VL - 121

SP - 2107

EP - 2113

JO - LARYNGOSCOPE

JF - LARYNGOSCOPE

SN - 0023-852X

IS - 10

ER -