Page 67 - Portuguese Journal - SPORL - Vol 61. Nº2
P. 67
Figure 4
Graph showing the results of the Mann-Whitney test, with a difference between the groups without
complications (1; in blue) and with complications (2; in red), and the associated frequency of neutrophilia
(p<0.05). The Kruskal-Wallis test showed that duration of hospital stay, Spearman’s ρ test
patients with complications had a higher showed positive correlations with dyspnea
MEWS (p=0.032) and higher frequency (p<0.001), MEWS (p=0.019), and presence
of exudate in the supraglottic structures of exudate in the supraglottis (p=0.044).
(p=0.003). Another important factor in this Moreover, the Kruskal-Wallis test showed that
group of patients was neutrophilia (p=0.007), the relationship between the number of days
as shown by the results of the Mann-Whitney of hospital stay and outcomes was statistically
test (Figure 4). significant, with increased hospitalization
Additionally, the chi-square test showed time being associated with epiglottic abscess
an association of the need for AAM with (p=0.002), cervical abscess (p=0.020), surgical
neutrophilia (p=0.022) and elevated CRP levels drainage (p=0.004), and need for orotracheal
(p=0.017). MANOVA results revealed that the intubation (p=0.001) or tracheotomy (p=0.011).
outcomes were independently associated
with the duration of symptoms, MEWS, Discussion
and cumulative presence of symptoms and Epiglottitis is an inflammatory disease of
comorbidities, with a statistical significance of the epiglottis and/or the other supraglottic
p<0.001 for all these parameters. A subsequent structures 1-2, 9 . Its incidence in the pediatric
between-subject effects analysis showed that population has been decreasing, probably
that these factors independently influenced as a result of the introduction of the HiB
the need for AAM (p<0.001) (Table 3). (Haemophilus influenzae type B) vaccine in
The post-hoc analysis showed that the need the National Vaccination Plan 10-11 . However,
for orotracheal intubation or tracheotomy was epiglottitis in adults is becoming increasingly
associated with a MEWS > 2. It was not possible frequent . The characteristics of the sample
2-4
to identify the discriminating parameter/value in this study—a higher proportion of men and
in the post-hoc analysis when applied to the mean age of 47 years—are in line with those
other independent variables that influenced described in the literature . Although this
5
MANOVA. Regarding the factors related to the is a potentially fatal disease due to the risk
Volume 61 . Nº2 . June 2023 209
