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Airway management in pediatric epiglottitis: a national perspective

Jason L Acevedo1, Lina Lander, Sukgi Choi

  • 1Department of Otolaryngology, Head and Neck Surgery, National Capitol Consortium, Washington, DC, USA. jasag00@yahoo.com

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|March 31, 2009
PubMed

Insights

Pediatric epiglottitis requiring airway intervention is rare and costly to treat, with an average hospital stay of 15.6 days. This analysis highlights the disease

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Critical Care
  • Health Services Research

Background:

  • Epiglottitis, though rare in the post-vaccine era, remains a significant concern in pediatric medicine.
  • Airway intervention is sometimes necessary for severe cases, necessitating specialized care.

Purpose of the Study:

  • To describe the current demographics of pediatric epiglottitis cases requiring airway intervention.
  • To analyze resource utilization, including length of stay and total charges, for these cases.

Main Methods:

  • A retrospective case series analysis was conducted using data from the Kids' Inpatient Database.
  • Patients under 19 years old diagnosed with epiglottitis and requiring an airway intervention (intubation or tracheotomy) were extracted.

Main Results:

  • Forty pediatric patients (under 19) required airway intervention for epiglottitis.
  • The average length of stay was 15.6 days, with average total charges of $74,931.
  • Admission to children's facilities and non-emergent admissions were associated with higher costs.

Conclusions:

  • Pediatric epiglottitis requiring airway intervention is a rare, expensive, and protracted condition.
  • The findings underscore the need for continued vigilance and specialized training for managing this potentially fatal disease.
Abstract

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