Airway management in pediatric epiglottitis: a national perspective.
Otolaryngol Head Neck Surg
; 140(4): 548-51, 2009 Apr.
Article
em En
| MEDLINE
| ID: mdl-19328345
ABSTRACT
OBJECTIVES:
The purpose of this study was to describe current demographics and resource utilization in the treatment of pediatric epiglottitis. STUDYDESIGN:
Case series from a national database. SUBJECTS ANDMETHODS:
The Kids' Inpatient Database was systematically searched to extract patients under 19 years old admitted with a diagnosis of epiglottitis and undergoing an airway intervention.RESULTS:
Three hundred forty-two sampled admissions were for epiglottitis; 40 of these patients were under the age of 19 and had an airway intervention (intubation or tracheotomy). On average, patients were 4.3 years old (SD = 6.0 years). The average length of stay was 15.6 days (SD = 33.9 and range = 0-199) with average total charges of $74,931 (SD = $163,387, range = $3342-$938,512). Multivariate analysis revealed that admission to a children's facility, admission other than via the emergency room, and nonemergent admission were associated with increased total charges. Twenty-two states reported an admission for pediatric epiglottitis that required airway intervention.CONCLUSIONS:
In our sample, only 40 patients were identified who were under the age of 19 years and required an airway intervention for the treatment of epiglottitis. Epiglottitis is a rare, expensive, and protracted disease to treat in the postvaccine era. The unique nature of this disease has implications for training future surgeons on proper management of this potentially fatal disease.
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
/
Financiamentos_gastos
Bases de dados:
MEDLINE
Assunto principal:
Custos de Cuidados de Saúde
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Epiglotite
Tipo de estudo:
Observational_studies
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Risk_factors_studies
Limite:
Child
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Child, preschool
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Female
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Humans
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Infant
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Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Otolaryngol Head Neck Surg
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Estados Unidos