Supraglotite aguda em idade adulta: análise de fatores associados a intervenção na via aérea

Abstract

Aim: Characterize the clinical presentation and treatment management of adults with acute supraglottitis (AS) and to recognize factors associated with the need for airway intervention and longer hospital stay. Study Design: Retrospective. Material and Methods: Analysis of AS cases, observed in an ENT Emergency Service, between 2011 and 2017. Results: We included 85 cases, with 83 patients undergoing exclusive medical treatment and two cases requiring airway intervention. Smoking/alcoholic habits, evidence of muffled voice and respiratory distress signs, such as tachypnea or stridor, were associated with the need for airway intervention. Hospitalization was prolonged in patients with sialorrhea, dyspnea and need for airway intervention. Conclusions: In adult patients, AS has specific characteristics that must be recognized to allow its timely identification. In this series, we recognize the success of the conservative treatment of this infection and the reduced number of patients submitted to airway intervention.