Department of Otorhinolaryngology, Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, PO Box 263, 00029 HUS, Helsinki, Finland.
Eur Arch Otorhinolaryngol. 2019 Nov;276(11):3173-3177. doi: 10.1007/s00405-019-05624-0. Epub 2019 Sep 5.
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.
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.
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 € and 5.856 € 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).
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.
2b.
在急性会厌炎（AE）或急性声门上炎（AS）中，气道的管理至关重要。我们假设气管切开的患者比插管的患者恢复得更快。
我们回顾性分析了 2007 年至 2018 年期间在一家三级护理中心接受插管或气管切开术的所有成人 AE 和 AS 患者。分析了患者的人口统计学、治疗和并发症。
该队列包括 42 名患者。50%的患者通过插管，50%的患者通过气管切开术来确保气道通畅。所有插管患者（n=21）和 3 名气管切开患者均在重症监护病房治疗（p<0.0001）。3 名插管患者和 8 名气管切开患者出现了与操作相关的并发症（p=0.892）。总体治疗费用中位数为 11547 欧元，插管组和气管切开组分别为 5856 欧元（p<0.001）。气管切开组出院后病假中位数为 13 天，插管组为 7 天（p=0.097）。
在 AE 或 AS 中，气管切开术在确保气道通畅方面的管理费用较低，但与插管患者相比，气管切开患者的并发症和病假时间更长。
2b。
